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 (HE) 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.

​Pharmacy

The Pharmacy Department is responsible for formulary management and drug expenditure control.

​Quality Improvement

Improving quality and service to our members are strategic priorities of PHC. 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

​Medical Directors

The Medical Directors of PHC 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.

 

Hospitalist Leadership Meeting with PHC Medical Directors

 

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Emergency Department Leadership Meeting with PHC Medical Directors

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News

June24
June 24, 2018

For Your Health: Don’t Let Spoiled Food Spoil Summer Fun

​Summer is here and most of us will be planning outdoor meals like picnics and barbecues. Unfortunately, according to the U.S. Department of...
June06
June 06, 2018

Middle School Students Win Immunization Poster Contest

​Partnership HealthPlan of California (PHC) recently teamed up with Anderson Middle School in Anderson to highlight the importance of immuni...
December19
December 19, 2017

Starting Jan. 1, 2018, new Palliative Care benefit offers patient- and family-centered care for those facing end of life

Palliative care is patient- and family-centered care that anticipates, prevents, and treats suffering during end of life. And beginning Jan...

Events

December25
December 25, 2018

Christmas Holiday

​​​​​​​In observance of Christmas holidays, all PHC offices will be closed on Monday, December 24, 2018 and Tuesday, December 25, 2018​.​​​...