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Premera Blue Cross
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Mountlake Terrace, Washington
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in utilization management.
Experience with ensuring health plan accreditation.
Experience ... Fortune 100 companies. Our services include innovative programs focused on health management, wellness
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Virginia Mason Franciscan Health
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Bremerton, Washington
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Responsibilities
Job Summary / Purpose
The Utilization Management (UM) Director is responsible for the market(s) development, implementation, evaluation and direction of the Utilization Management
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Molina Healthcare
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Bothell, Washington
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healthcare services provided to members, targeting improvements in efficiency and satisfaction for patients ... , pharmacy utilization and effective resource management.
Develops and implements a Utilization
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PacificSource
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Tacoma, Washington
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utilization management (UM) services which promote quality, cost-effective outcomes by helping member populations achieve effective utilization of healthcare services. Facilitate outstanding member care using
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CVS Health
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Olympia, Washington
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Position Summary
This Utilization Management (UM) Nurse Consultant role is 100% remote, and the ... to work Pacific Time Zone hours.
As a Utilization Management Nurse Consultant, you
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Molina Healthcare
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Bothell, Washington
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appropriateness and medical necessity of healthcare services provided to members, targeting improvements in ... utilization practices, guideline usage, pharmacy utilization and effective resource management.
Develops
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Cambia Health Solutions
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Olympia, Washington
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management, transition of care services, medical policy development and implementation, utilization ... Vice President Clinical Service - Utilization Management & Appeals
Oregon, Washington, Idaho
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Providence
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Renton, Washington
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goals of Case Management include the achievement of optimal health, access to services, advocacy ... and training (care coordination and utilization management), for developing/maintaining standard
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Providence St. Joseph Health
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Renton, Washington
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who will:
Serve as an expert in medication utilization and pharmacy therapeutic, utilization and ... analytic acumen to collaborate with analytics and care management programs to lead tactical development and
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PeaceHealth
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Vancouver, Washington
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’ needs for services in collaboration with the healthcare team. Monitor and evaluate utilization of those ... regulations and standards.
Provide utilization management including facilitating appropriate status
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Kaiser Permanente
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Renton, Washington
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of Care and Utilization Management in providing strategic leadership to ensure efficient utilization ... , healthcare or business-related field.
Case Management Certification
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Kaiser Permanente
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Renton, Washington
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Management programs and services meet the financial, service and clinical quality standards.
Promotes the delivery of Complex Care Management services across the continuum to include patient
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Genesis Healthcare
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Everett, Washington
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utilization review, case management or discharge planning required.*Valid driver's license and automobile with ... -effective services, and care through a collaborative process that coordinates, monitors, and evaluates
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Humana
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Olympia, Washington
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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PeaceHealth
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Vancouver, Washington
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collaboration with the healthcare team. Monitor and evaluate utilization of those services to focus on the best ... healthcare team. Monitor and evaluate utilization of those services to focus on the best treatment and
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Humana
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Olympia, Washington
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Providence St. Joseph Health
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Renton, Washington
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will:
Serve as an expert in medication utilization and pharmacy therapeutic, utilization and economic ... acumen to collaborate with analytics and care management programs to lead tactical development and
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Virginia Mason Franciscan Health
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Silverdale, Washington
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coordination, communication and collaboration with utilization management, nursing, physicians, ancillary ... the healthcare industry, we’ll take care of you with benefits that may include health/dental/vision
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UnitedHealth Group
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Marysville, Washington
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Management decisions through utilization reports and systems such as Health Plan Benefits, CM dashboards and ... acute care
1+ years of care management, utilization review or discharge planning experience
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DaVita
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Tacoma, Washington
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Case Management or Chronic Care Management
1+ years of utilization management experience
Spanish ... support some of our most complex patients, assisting them in navigating a challenging healthcare system
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Molina Healthcare
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Seattle, Washington
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JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with ... in Washington State and Utilization Management (UM) experience is highly preferred* . *_Further
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UnitedHealth Group
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Seattle, Washington
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appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site ... consequences resulting from Care Management decisions through utilization reports and systems such as Health
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Providence
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Washington
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utilization management edits in a point-of service environment. This requires coordination between internal ... in Business Administration, Healthcare Administration or Healthcare related field. Or 4 years
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Cambia Health Solutions
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Newcastle, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Cambia Health Solutions
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Spokane, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Cambia Health Solutions
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Tacoma, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Cambia Health Solutions
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Alger, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Cambia Health Solutions
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Tumwater, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Cambia Health Solutions
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Ahtanum, Washington
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years of case management, utilization management, disease management, or behavioral health case ... LMFT)
* 3 years of case management, utilization management, disease management, or behavioral health
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Humana
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Olympia, Washington
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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