At Health Net, Clinical Specialists are our connection to the real world of medical practice and can be our members' lifeline when they need it the most. Your clinical expertise helps assure highest quality care.
RNs help individuals and families by providing oversight, utilization, and case and care management services, as well as participating in quality improvement initiatives to influence positive health outcomes for our members. RNs provide review and approval for inpatient, outpatient and continuing care.
Psych RNs, Nurse Practitioners and Therapists (LCSW, MSW, MFT, PhD) provide telephone counseling to our member patients in crisis, coordinate in/outpatient clinical services to our members throughout the United States, and serve as Case/Care Managers throughout their care.
Drug and Substance Abuse Counselors, Sexual Assault Response Coordinators and Domestic Abuse Counselors are needed to work with community, military and federal government based organizations to provide counseling and coordination services to patients.
Pharmacists serve as consultants to retail pharmacies, hospitals and physicians to assist in assuring the best possible care for Health Net members.
Pharmacy Residents participate in 13 required rotations and up to four elective rotations. The paid, one-year Health Net Managed Care Pharmacy Practice Residency Program gives residents comprehensive experience to build and refine their clinical, leadership and communication skills through innovative practice.
Pharmacy Technicians assist patients and pharmacies with inquiries related to their covered benefits.
Clinical Quality Managers at Health Net utilize clinical research, patient chart evaluations, and national standards to recommend and implement strategies for improved patient outcomes. Your expertise is also needed to impact larger populations of Health Net member patients by conducting studies to review outcome measures, assisting with URAC, NCQA and HEDIS reporting.
Health Educators and Disease Management Specialists help patients communicate more effectively with their physicians to ensure better care. They also coordinate health fairs and provide community based health education/wellness programs.
Medical Directors are needed in all Health Plan, MHN (HNPS), and HNFS operational groups to provide recommendations and oversight to clinical staff. They serve as the liaison to medical groups, community and physician organizations on behalf of Health Net.
Appeals and Grievances Specialists review requests for care and service by conducting research and reviewing patient medical records, and making recommendations for care and service requests that are not within the member's covered benefits.