- CVS Health (Olympia, WA)
- …division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers ... of working intensely as a telephonic Associate Manager, Case Management with staff and clients for fully and/or self-insured...and communicate information appropriately to the Manager of Case Management . - Refer all cases that do not meet… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... clinic budget; 6) coordinating clinic patient care, security, risk management , disaster readiness and facilities upkeep/maintenance activities; and 4)… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... and vulnerable patients. + **Advocacy and education:** patient/family self-care management ; patient/family health management education; bioethics referrals and… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... and take on the role as leader of the Hospital's utilization review/ management committee, which is charged with adhering to regulatory requirements while ensuring… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... This job is responsible for providing professional expertise and guidance to site-based management , medical providers and staff in support of the creation of a… more
- Virginia Mason Franciscan Health (Silverdale, WA)
- …a full spectrum of health care services, from routine wellness to complex disease management , all grounded in rigorous research and education. Our comprehensive ... ill, and vulnerable patients. 2. Advocacy and education: patient/family self-care management ; patient/family health management education; bioethics referrals and… more
- Molina Healthcare (Vancouver, WA)
- …managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management , and evidence-based ... regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management … more
- Molina Healthcare (Everett, WA)
- …managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management , and evidence-based ... Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health and… more
- Molina Healthcare (WA)
- …data management . * Advanced understanding health care operations (utilization management , disease management , HEDIS quality measures, claims processing, ... tracking tools and identify opportunities to improve performance and data management , and support, guide and influence decision-making related to clinical programs,… more
- Molina Healthcare (Spokane, WA)
- …specified information from data sources. + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims ... unfavorable trends, develop recommendations to improve trends, communicate recommendations to management + Lead projects to completion by contributing to ad-hoc data… more