Utilization Management Clinician (Tuesday-Saturday or Sunday-Thursday)
PacificSource Health Plans(1 month ago)
About this role
A Case Manager (Registered Nurse or clinically licensed behavioral health practitioner) at PacificSource coordinates members' access to appropriate, cost-effective healthcare and community resources. The role focuses on assessing member benefits, supporting care navigation, and promoting quality outcomes through collaboration with clinical and non-clinical professionals.
Required Skills
- Case Management
- Utilization Management
- Care Coordination
- Clinical Assessment
- Discharge Planning
- Preauthorization Review
- Documentation
- Vendor Negotiation
- Provider Relations
- Communication
+2 more
Qualifications
- Registered Nurse
- Licensed Behavioral Health Practitioner
- Unrestricted State License
- CCMC Case Manager Certification (Preferred)
- Multistate Licensure (OR/MT/ID) Within 6 Months
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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