Utilization Management Clinician
PacificSource Health Plans(21 days ago)
About this role
This role coordinates healthcare services for members by collaborating with clinicians and other professionals, assessing benefits and available resources, and facilitating access to appropriate care. The position focuses on utilization management to promote quality, cost-effective outcomes and supports members in navigating the health system.
Required Skills
- Care Coordination
- Case Management
- Utilization Review
- Clinical Assessment
- Discharge Planning
- Documentation
- Negotiation
- ICD Coding
- CPT Coding
- Communication
+3 more
Qualifications
- Registered Nurse
- Clinically Licensed Behavioral Health Practitioner
- Unrestricted State License
- Multi-state Licensure (OR/MT/ID)
- Case Manager Certification (CCM)
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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