• Utilization Review Clinician

    Centene Corporation (Olympia, WA)
    …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine overall… more
    Centene Corporation (01/10/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Tacoma, WA)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS… more
    Molina Healthcare (01/13/25)
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  • Care Review Clinician , Inpatient…

    Molina Healthcare (Tacoma, WA)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS ... or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina employees: If… more
    Molina Healthcare (01/13/25)
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  • Market Medical Director - Anesthesia…

    Virginia Mason Franciscan Health (Tacoma, WA)
    …in anesthesia and perioperative medicine services/resources, maximizing effective utilization of resources and enhancing overall patient outcomes/service ... Incumbent will work a minimum .20 FTE as a clinician and be subject to an active provider contract....at VMFH hospitals. + Engages in continuous study and utilization of Virginia Mason Production System; leads process improvement,… more
    Virginia Mason Franciscan Health (12/13/24)
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  • Nurse (Clinical/Ambulatory)

    Defense Health Agency (Tacoma, WA)
    …Embedded Pharmacists, Physical Therapists, Case Managers, Health Educators, Integrated Behavioral Mental Health Providers, and Disease and Population Health ... approach that includes, but is not limited to, disease prevention, wellness, behavioral health, disease management, and force health readiness. The team is aligned… more
    Defense Health Agency (10/19/24)
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