Health Services

​Providing Support, Advocacy, and High Value Health Care for Our Community

The Health Services Department is responsible for developing and implementing programs and activities of the Care Coordination, Utilization Management, Pharmacy, and Quality Improvement groups. The department operates under the direction of the Health Services Director and the Chief Medical Officer.

Health Education

The Health Education Services is a resource for assisting you in providing appropriate health education tips/materials for your members. Many are available in languages other than English.

Care Coordination

The objective of the Care Coordination group is to proactively invite members and their providers to participate in programs that will maximize positive health outcomes and satisfaction; educate providers about all case management programs with the latest protocols; and encourage providers to refer members to the appropriate programs.

  • Basic Population Health Management
  • Tansitional Care Services
  • Complex Case Management
  • Learn More

 

​Pharmacy

Partnership's Pharmacy department is responsible for the management of the medical drug benefit (provider administered drugs/PADs) and medical drug expenditure control. State Medi-Cal contracts with Magellan to provide pharmacy services through Medi-Cal RX



Medical Directors

The Medical Directors of Partnership are dedicated to the health of our members and the larger community. A majority of their time is spent on traditional Utilization Management (UM) activities; working with UM nurses to ensure inpatient care and other medical procedures where appropriate and working with the pharmacists and the pharmacy services team on authorizations for non-formulary medications.

Click here to visit the Medical Director's webpage.​

 

​Quality Improvement

Improving quality and service to our members are strategic priorities of Partnership. Our Quality Improvement Department supports these priorities by implementing activities and programs directed at the following goals by improving the health of the populations we serve

Click here to learn more about Quality.​


News

October08
October 08, 2024

California Health Care Foundation, Partnership HealthPlan of California Award $1.2 Million to Support Provider Training in Northern California

​Partnership HealthPlan of California is pleased to announce its collaboration with the California Health Care Foundation (CHCF) to award $1...

Events

May14
May 14, 2025

Physician Advisory Committee (PAC) Meeting

All meetings are held on the second Wednesday of each month from 7:30 - 9 a.m.(December and July meetings are tentative)...
May21
May 21, 2025

Quality/Utilization Advisory Committee (Q/UAC) Meeting

Q/UAC meetings are held on the third Wednesday of every month from 7:30 to 9 a.m.(December and July meetings are tentative)...
May26
May 26, 2025

Memorial Day Holiday

All Partnership offices will be closed Monday, May 26, 2025.