- Healthfirst (WA)
- … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
- Molina Healthcare (WA)
- …medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist, UM will be responsible for reviewing coverage determinations and ... in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a...changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary… more
- Whidbey General Hospital (Coupeville, WA)
- …+ Washington State DOH RN License required. + Current BLS HCP required. + Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. ... home health, Hospice, skilled nursing, anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management/Utilization Plan that integrates the… more
- Molina Healthcare (Spokane, WA)
- …Clinical Services Auditor performs auditing of clinical staff in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health ... auditing of registered nurse and other clinical functions in Utilization Management ( UM ), Case Management (CM), Member Assessment Team (MAT), Health Management… more
- Highmark Health (Olympia, WA)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
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