Utilization Management Clinician
PacificSource Health Plans(22 days ago)
About this role
A healthcare case management professional at PacificSource who helps members access quality, affordable care by ensuring benefits are applied and services are coordinated across the health plan. The role is clinical in background and supports population-level utilization management and care navigation within the Health Services department.
Required Skills
- Case Management
- Utilization Management
- Care Coordination
- Discharge Planning
- Clinical Assessment
- Documentation
- Provider Negotiation
- Behavioral Health
- Communication
- HIPAA Compliance
Qualifications
- Registered Nurse
- Licensed Behavioral Health Practitioner
- Unrestricted State License
- State Licensure (OR/MT/ID as needed)
- CCM Certification (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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