- Virginia Mason Franciscan Health (Tacoma, WA)
- …relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial ... **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for overseeing the...type and setting of post-acute services based upon patients clinical needs. 6. Identifies risk for readmission and implements… more
- Molina Healthcare (Bothell, WA)
- …state, and local laws and regulatory requirements affecting the medical and clinical staff. + Required current WA Medical license. **Job Duties** + Provides ... and action plan, which includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate care at the most… more
- Evolent (Olympia, WA)
- …(FDA), and various prior authorization lists, facilitating timely decision-making for clinical and business review teams. + Demonstrate strong analytical ... in value-based healthcare analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. +… more
- Evolent (Olympia, WA)
- …You Will Be Doing:** + Responsible for oversight of utilization management ( UM )/ care management (CM) correspondence development, internal and external approvals, ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...and on-going maintenance of corporate clinical correspondence to ensure compliance with legislative and accreditation… more