- Molina Healthcare (Spokane, WA)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Coeur D'Alene, ID)
- …800 AM to 5 PM MST (No weekends or Holidays) **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to ... a case load and manage members enrolled in this program . We are looking for a Care Manager...on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes face-to-face comprehensive assessments of members… more
- Providence (Spokane, WA)
- **Description** **Senior IS Program Manager , Revenue Cycle Operations** **The Senior IS Program Manager position advises, consults, and manages one or ... experience to plan, organize, direct, and supervise teams and program activities in a way that achieves program...California Fair Chance Act." **About the Team** Providence Shared Services is a service line within Providence… more
- Molina Healthcare (Spokane, WA)
- The Clinical Services Auditor performs auditing of clinical staff in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health ... + May conduct staff trainings as needed. + Communicates with QA supervisor/ manager about issues identified and works collaboratively to resolve/correct them. **JOB… more
- Walgreens (Spokane Valley, WA)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Providence (Spokane, WA)
- …Care Manager provides professional, comprehensive patient centric care management services for at risk patients in an acute care environment. Accountabilities ... Care Manager provides professional, comprehensive patient centric care management services for at risk patients in an acute care environment. Responsibilities… more
- Molina Healthcare (Spokane, WA)
- …of the member's interdisciplinary care team (ICT), including referrals to state plan healthcare services . * Follows-up with members and providers to check on ... staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug...identify potential targeted utilization management activities. * Works with healthcare services team (eg, data managers, care… more
- Molina Healthcare (Spokane, WA)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Spokane, WA)
- …**Job Summary** Establish a specifically designed Operational Regulatory Oversight program that effectively prevents and/or detects violation of applicable laws ... provisions, and internal policies and procedures. * Supports the Operational Oversight Manager , Director, and team in the general development of the Operational… more
- Molina Healthcare (Spokane, WA)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Stryker (Spokane, WA)
- …critical illness insurance, accident insurance, hospital indemnity insurance, personalized healthcare support, wellbeing program and tobacco cessation ... at nothing to live out Stryker's mission to make healthcare better. **What you will do:** As a Surgical...you will do:** As a Surgical Technologies Regional Sales Manager , you will strategically plan, direct and coordinate the… more
- Molina Healthcare (Spokane, WA)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Spokane, WA)
- … Healthcare Effectiveness Data Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Services (CAHPS), and other quality metrics. * ... a member-centered interdisciplinary care team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing on any changes… more
- Molina Healthcare (Spokane, WA)
- …oversight support. * Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are ... all other settings. Strives to ensure that best possible services are available to members at time of hospital...Job Duties** * Follows member throughout a 30 day program that starts at hospital admission and continues oversight… more
- Molina Healthcare (Spokane, WA)
- …entry and telephone and clerical support for team facilitating care management related services for members. * Facilitates initial review of assigned case levels and ... needs and works under the direction of the care manager to implement care plan. * Schedules member visits...care management staff during process of identifying appropriate member services . * Coordinates required member services in… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …information, refer to Required Documents below. Responsibilities The Patient Safety Manager (PSM) Registered Nurse (RN) coordinates and implements patient safety ... Administration (VHA) facilities and for Veteran patients in all healthcare settings. General Description of Assigned Duties; but not...of patients. Responsible for the documented outcomes at the program level. Program level outcomes must be… more
- Burkhart (Spokane, WA)
- We are looking for a Sales Account Manager in the Spokane, WA area. The ideal candidate will be ambitious, professional, and a self-starter. What's in it for you? + ... including medical, dental and vision coverage. + Generous PTO Program , Paid Sick Leave, 8 paid holidays, and an...years. What you'll be doing As a Sales Account Manager , you bring value to Burkhart clients by providing… more
- Molina Healthcare (Spokane, WA)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Providence (Spokane Valley, WA)
- …infusion/pharmacy services , home medical equipment, hospice and palliative care, Program of All-Inclusive Care for the Elderly (PACE), personal home services ... **Description** Nurse Manager - Home Infusion Pharmacy- Spokane, Washington Schedule- Full...invaluable. Join our team at Providence Infusion and Pharmacy Services and thrive in our culture of patient-focused, whole-person… more
- Molina Healthcare (Spokane, WA)
- …of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and business processes. Considers ... least 8 years clinical systems experience, preferably as a product owner / manager within a managed care, nursing informatics or health care environment, or… more