- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com/ . The ** Care Coordinator ** - ** Clinical Appeals ** performs prospective review ... Care Services and Claims to ensure appropriate cost-effective care by applying their clinical knowledge and critical thinking skills to assess the medical… more
- CVS Health (Olympia, WA)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and deviation from… more
- Providence (WA)
- …retain the best people, we must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:** + Provide ... Health Plan Partners and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here,… more
- Highmark Health (Olympia, WA)
- …obtain necessary and/or additional information when necessary. + Consult with staff clinical pharmacist for guidance and assistance as necessary. + Document all ... through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. + Serve as a resource for technical staff. +… more
- Centene Corporation (Olympia, WA)
- … and improved member outcomes. + Experience as a Utilization Management (UM) Specialist, Appeals Coordinator , or Care Coordinator + Previous experience ... 5:00 PM (Pacific Time) **Position Purpose:** Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective… more
