- Molina Healthcare (Tacoma, WA)
- …Access and Monitoring team responsible for prior authorizations and/or other utilization management activities aimed at providing Molina Healthcare members with the ... clinical and non-clinical team activities to facilitate integrated, proactive utilization management, ensuring compliance with regulatory and accrediting standards.… more
- Molina Healthcare (Spokane, WA)
- …candidate with a WA state LPN licensure. Candidates with case management, Utilization Management (UM), and direct managed care experience are highly preferred. ... following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's… more
- Molina Healthcare (WA)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... be licensed for the state they reside This position will support Medical Review for Medicare and Marketplace request authorization. Strongly prefer candidates with a… more
- Evolent (Olympia, WA)
- …quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on ... performing precertification and prior approvals. Tasks are performed within the RN/ LVN /LPN scope of practice, under Medical Director direction, using independent… more