Utilization Management Clinician
PacificSource Health Plans(22 days ago)
About this role
A clinical Case Manager within PacificSource’s Health Services team who helps members access appropriate, affordable healthcare through evaluation of benefits and coordination with medical and community providers. The role focuses on supporting member navigation of the health system and promoting clinically appropriate, cost-effective outcomes.
Required Skills
- Case Management
- Care Coordination
- Clinical Assessment
- Utilization Management
- Discharge Planning
- Documentation
- Negotiation
- Communication
- Teamwork
- Problem Solving
Qualifications
- Registered Nurse
- Licensed Behavioral Health Practitioner
- Unrestricted State License
- Case Manager Certification (CCMC preferred)
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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