- Pacific Medical Centers (Seattle, WA)
- …in order to assure cost effective, appropriate utilization of health care resource. UM Nurse Case Manager perform utilization management of services and ... **Description** Coordinates care for Pacific Medical Centers' Managed Care...benefits and more! **Required Qualifications:** + Upon hire: Washington Registered Nurse License. + 5 years Clinical… more
- Highmark Health (Olympia, WA)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... experience + 1 year in a clinical setting **Preferred** + 5 years in UM /CM/QA/Managed Care + Transplant Experience + Bone Marrow and/or Stem Cell Experience… more
- Healthfirst (WA)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... + Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member ...as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(2) years of acute hospital clinical experience Current licensure as a Registered Nurse in the state of Washington ( RN -WA). BLS required within 3 months of ... **Responsibilities** The Care Coordinator RN is responsible for...experience. Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY The RN - Care Manager is a health care professional with experience and background to assure compliance with CMS Conditions of Participation ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will...working knowledge of payer contracts and regulatory requirements and UM specific changes (ie, changes in authorizations, payer contracts,… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... **Responsibilities** **JOB SUMMARY / PURPOSE** The Care Coordinator RN is responsible for...+ Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ), or UM Certification… more
- Highmark Health (Olympia, WA)
- …in a clinical setting **Preferred** + Experience in UM /CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state,… more