- Immigration and Customs Enforcement (Tacoma, WA)
- Summary The Clinical Nurse Manager oversees nursing services at ICE facilities, ensuring compliance with laws, regulations, and standards. Responsibilities ... Service Corps (IHSC), Office of Deputy Assistant Director of Clinical Services (DAD-CSU). The Nurse Manager (NM) will report directly to the Regional Nurse … more
- Elevance Health (Seattle, WA)
- **Telephonic Nurse Case Manager Senior** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager Senior** is responsible for care management within… more
- Molina Healthcare (Vancouver, WA)
- …programs. **Preferred Qualifications** * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....Candidates with knowledge of CPT/HCPCS codes, record review, chart audit , provider disputes, appeals, and 1500 & UB04 claim… more
- Molina Healthcare (Vancouver, WA)
- …**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional ... to clinical experience + Documents clinical review summaries, bill audit findings and audit details in the database + Provides supporting documentation for… more
- Swedish Health Services (Seattle, WA)
- **Description** **Quality Program Manager RN - Oncology @ Swedish First Hill** **Full time** **Day shift** **Fantastic benefits and compensation package offered by ... compliance activities designated in the Quality Management Plan and Audit Calendar. + Ensures compliance with FACT, CIBMTR, and...from an accredited school. + Upon hire: Washington Registered Nurse License. + Upon request: Driving may be necessary… more
- CVS Health (Olympia, WA)
- …travel if a plan sponsor requests pharmacist attendance for an onsite visit/assessment/ audit . The Pharmacy Program Manager role includes: -Collaborate with an ... with heart, each and every day. The Pharmacy Program Manager is an individual contributor (non-people manager )...interdisciplinary care management team ( nurse case managers, medical directors, dietitians, social workers) to… more
- Elevance Health (Seattle, WA)
- …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery of ... clinical guidelines, and industry knowledge to substantiate conclusions. + Utilizes audit tools, auditing workflow systems and reference information to generate … more
- Molina Healthcare (Bellevue, WA)
- …licensure required **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case ... in regulatory audits as subject matter expert and fulfilling different audit team roles as required by management. + Maintains member/provider confidentiality… more
- Herc Rentals (Bellevue, WA)
- …communicate effectively and professionally with our customers + Satisfy and audit , in a timely manner, all required documentation, timesheets, checklists, receiving ... Flex spending and health savings accounts Virtual Health Visits 24 Hour Nurse Line Healthy Pregnancy Program Tobacco Cessation Program Weight Loss Program **Building… more