Utilization Management Clinician (Tuesday-Saturday or Sunday-Thursday)
PacificSource Health Plans(1 month ago)
About this role
A Utilization Management clinician at PacificSource helps members access appropriate, quality, and cost-effective healthcare by assessing benefits and available medical and community resources. The role focuses on supporting member outcomes through collaboration with clinical and non-clinical providers and aligning services with plan benefits.
Required Skills
- Case Management
- Utilization Review
- Clinical Assessment
- Care Coordination
- Discharge Planning
- Documentation
- Provider Negotiation
- Behavioral Health
- Acute Care
- HIPAA Compliance
+3 more
Qualifications
- Registered Nurse (RN)
- Licensed Behavioral Health Practitioner
- Unrestricted State License
- Case Manager Certification (CCM) (Preferred)
- Oregon/Idaho/Montana Licenses (May Be Required)
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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