- Premera Blue Cross (Mountlake Terrace, WA)
- …account managers, producers, and clients about pharmacy programs and benefits. + Provide clinical drug utilization management , formulary management , and ... serve pharmacy students and/or residents as a preceptor, introducing them to drug utilization management , care management activities, product review, and… more
- CVS Health (Olympia, WA)
- …all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Olympia, WA)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Olympia, WA)
- …(UM) Nurse Consultant . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, document and communicate all ... clinical records. **Key Responsibilities of the UM Nurse Consultant ** (Includes but is not limited to) + Reviews...practice experience as an RN required. + 2+ Years Utilization Management experience. + Must be willing… more
- Highmark Health (Olympia, WA)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …Advisor will conduct clinical reviews on cases referred by case/ utilization management and/or other healthcare professionals in accordance with Hospital ... objectives related to quality care of patients, regulatory compliance, and utilization management (including LOS). 4. The Physician Advisor should discuss… more
- Whidbey General Hospital (Coupeville, WA)
- …the areas of utilization review, status determination, clinical resource utilization , the discharge planning and appeal/denial management . The RN - Care ... anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management / Utilization Plan that integrates the functions of utilization review,… more
- Air National Guard Units (Fairchild AFB, WA)
- …with leadership may include, but is not limited to, coaching and change management . Provide ANG PHP briefing to newly-appointed commanders and others in leadership ... health assessments and individual consultation to facilitate coordination of clinical , counseling, and other services promoting the psychological health of… more
