- Humana (Olympia, WA)
- …and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity ... required. Mandatory overtime during peak season.** **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT)...**Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional… more
- LifeCenter Northwest (Bellevue, WA)
- …teams as needed. + Serve as a clinical resource for Organ Utilization Coordinator Team (OUCT) and Organ Optimization staff , offering guidance on allocation ... Lead ongoing training and development initiatives for the OUCT and other clinical staff , ensuring mastery of core competencies and operational standards.… more
- Sedgwick (Olympia, WA)
- …to verify and enter data in appropriate system(s); and to provide general support to clinical staff in a team environment. **ARE YOU AN IDEAL CANDIDATE?** We are ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator **PRIMARY PURPOSE** : To assign ...+ Enters demographics and UR information into claims or clinical management system; maintains data integrity. +… more
- CenterWell (Olympia, WA)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- CenterWell (Silverdale, WA)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- University of Washington (Seattle, WA)
- …far as possible + Identify gaps in clinical documentation and work with clinical staff to develop and implement quality improvement and staff education ... least one of the following: certified healthcare chart auditor, certified professional in utilization review (or utilization management or healthcare … more
- Highmark Health (Olympia, WA)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more
- Evolent (Olympia, WA)
- …is responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under ... directed by the office of the Chief Medical Officer. + Responsible for clinical conversations with providers and their office staff regarding medical necessity… more
- CVS Health (WA)
- …day. **Position Summary** The supervisor is responsible for oversight of healthcare management staff including the organization and development of high ... performing teams. Works closely with functional area management to ensure consistency in clinical interventions...experience as a Registered Nurse - 1+ years of Utilization Management experience - Must have experience… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary This Dietitian ( Clinical ) position is in the Clinical Section of Nutrition and Food Services (NFS) serving as the medical nutrition expert in in the ... acute care and/or long-term care settings. Clinical Dietitians coordinate nutritional care of Veterans with other health care providers, the Veteran, the Veteran's… more
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