Utilization Management Clinician (Tuesday-Saturday or Sunday-Thursday)
PacificSource Health Plans(1 month ago)
About this role
A healthcare clinician role at PacificSource focused on helping members access quality, affordable care by coordinating clinical and non-clinical resources. The position centers on applying clinical judgment within the health plan context to support effective utilization of services and promote cost-effective, high-quality outcomes. The role works closely with multidisciplinary care teams and interacts with members, providers, and internal departments to facilitate navigation of the health system.
Required Skills
- Case Management
- Utilization Management
- Clinical Assessment
- Care Coordination
- Discharge Planning
- Documentation
- Negotiation
- Provider Relations
- HIPAA Compliance
- ICD Coding
+2 more
Qualifications
- Registered Nurse
- Licensed Behavioral Health Practitioner
- State Nursing License
- Case Management Certification (CCMC)
About PacificSource Health Plans
pacificsource.comPacificSource offers health insurance plans for individuals, families, and employers. A Northwest not-for-profit, we put members first.
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