Utilization Management Clinician
PacificSource Health Plans(22 days ago)
About this role
This position coordinates delivery of healthcare services for PacificSource members, ensuring access to quality, cost-effective care through utilization management and care coordination. The role works closely with physicians, nurses, social workers, and other professionals to assess member benefits, resources, and clinical needs and to facilitate transitions of care. It also serves as a primary resource for members and families navigating the health plan and health system.
Required Skills
- Case Management
- Utilization Management
- Clinical Knowledge
- Care Coordination
- Discharge Planning
- Documentation
- Communication
- Problem Solving
- Teamwork
- Negotiation
+1 more
Qualifications
- Registered Nurse
- Licensed Behavioral Health Practitioner
- State Nursing/Clinical License
- Case Manager Certification (CCMC)
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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