We have other current jobs related to this field that you can find below
-
Utilization Review Clinician
3 weeks ago
Olympia, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Must be licensed in either of the following states: TX, KS, WA, OK,...
-
Utilities Engineer
1 month ago
Olympia, United States City Of Tumwater Full timeTumwater is a vibrant community, rich in history, community, and opportunity. Nestled into the base of Puget Sound, Tumwater is the southern gateway to the Seattle/Tacoma metropolitan area. It’s just a little over an hour from the Pacific Ocean beaches, the Olympic Peninsula, and Mount Rainier with beautiful landscapes of prairie, river, estuary, and lush...
-
Travel Nurse RN
12 hours ago
Olympia, United States Cynet Health Full timeReviews the treatment plan with oncologist, is aware of expected outcomes and possible complications, and independently assesses the patient s general physical and emotional status.Implements plan of care for each patient (utilizing clinical pathways where applicable) and individualizes to meet the age specific needs of patients/significant others.Evidence...
-
Olympia Area Post-Acute Care Practice
3 months ago
Olympia, United States TeamHealth Full timeDo you have a passion for geriatric patients and enjoy solving complex medical problems within an interdisciplinary medical team? Do you enjoy working autonomously and thrive in a leadership role? TeamHealth has the perfect opportunity for you! This part-time medical director role will include patient care rounding and medical director duties in a...
-
Advanced Practice Clinician, HouseCalls
2 months ago
East Olympia, United States Optum Full time$40,000 Student Loan Repayment Or $30,000 Sign-on Bonus For Individuals Who Have Not Previously Participated In This Program Flexible provider schedules available between 20-40 hours per week Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions...
-
Pharmacy Specialist Clinician
4 days ago
Olympia, WA, United States American Oncology Network, Inc. Full timeLocation:Vista OncologyPay Range:$20.48 - $34.12Position SummaryIn compliance with state requirements, maintains the ordering and stocking of medications and supplies as needed in the clinic. Under supervision of appropriate licensed healthcare professional as defined by State regulations, prepares and mixes medications. Coordinates with drug sales...
-
Chief Medical Officer
4 days ago
Olympia, Washington, United States CVS Health Full timeJoin CVS Health as a Chief Medical OfficerAt CVS Health, we are united by a singular mission: to bring our heart to every aspect of health care. This mission drives our dedication to providing enhanced, human-centered health care in a world that is constantly evolving.Our Heart At Work Behaviors™ embody this mission, empowering every employee to play a...
-
Hematology and Oncology Specialist
4 days ago
Olympia, Washington, United States Washington Permanente Medical Group Full timeAbout Washington Permanente Medical GroupWashington Permanente Medical Group (WPMG) is a clinician-led, self-governed, and independent multi-specialty group practice dedicated to providing exceptional care to over 700,000 Kaiser Permanente patients throughout Washington state. Our approach is free from traditional healthcare barriers, emphasizing a...
-
Hospitalist
2 months ago
Olympia, United States Kaiser Permanente Full timeAbout Us Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and...
-
Hospitalist
2 months ago
Olympia, United States Kaiser Permanente Full timeAbout Us Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and...
-
Hospitalist
2 months ago
Olympia, United States Virginia Foundation for Healthy Youth Full timeAbout Us Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialtygroup practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and...
-
Hospitalist
2 months ago
Olympia, United States Virginia Foundation for Healthy Youth Full timeAbout Us Washington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialtygroup practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and...
-
Senior IT Operations Analyst
4 days ago
Olympia, Washington, United States Washington Health Benefit Exchange Full timeOVERVIEWThe Washington Health Benefit Exchange (Exchange) is dedicated to enhancing the way residents of Washington acquire health insurance through innovative solutions and a user-friendly experience. Our core values—integrity, respect, equity, and transparency—guide our efforts to deliver exceptional value to the healthcare community.ABOUT THE...
-
Client Insights Analyst
4 days ago
Olympia, Washington, United States Apexon Full timePosition OverviewAs a Client Insights Analyst, you will play a crucial role in delivering valuable insights to our clients. Your responsibilities will include engaging with clients to identify their business requirements and challenges. Utilizing your analytical expertise, you will conduct both quantitative and observational data analyses to derive...
-
Mooring Buoy Operations Specialist
4 days ago
Olympia, Washington, United States State of Washington Full timePosition Title: Mooring Buoy Technician, Property & Acquisition Specialist 1 (PAS1)Employment Type: Full-time, Permanent, Represented positionLocation: Natural Resources Building - Olympia, WASalary: $3, $4,865.00 MonthlyAbout the Role:The Department of Natural Resources (DNR) is seeking a dedicated professional to oversee the Mooring Buoy and Ports Programs...
-
Cardiology Nurse Practitioner
3 weeks ago
Olympia, United States Optum Full timeJob DescriptionOptum is seeking an accomplished Cardiology Nurse Practitioner or Physician Assistant for our Heart & Vascular center with The Everett Clinic located in Everett, WA. This is an outstanding opportunity for a provider who wants to remain clinically active while helping to shape the future of heart & vascular care in Washington.The Cardiology...
-
Mooring Buoy Operations Specialist
3 days ago
Olympia, Washington, United States State of Washington Full timePOSITION SUMMARY Mooring Buoy Technician, Property & Acquisition Specialist 1 Recruitment # Full-time, Permanent, Represented position Location: Natural Resources Building - Olympia, WA Partial Telework flexibility may be available and considered Salary: $3, $4,865.00 Monthly APPLICATION REVIEW The review of applications is ongoing. We reserve the...
-
Clinical Director- RN or PT-Centralia
1 month ago
Olympia, United States LHC Group Full timeSummaryThe Clinical Director is responsible for overseeing and directing the patient care operations of the home care facility. This includes: coordinating and completing assigned projects to effectively support the immediate and long range objectives of the company; oversight of the eligibility of patients referred to home care services, planning for the...
-
Hospitalist
2 months ago
Olympia, United States Washington Permanente Medical Group Full timeAbout UsWashington Permanente Medical Group (WPMG) is a clinician-led, self-governed and independent multi-specialty group practice, providing care to the more than 700,000 Kaiser Permanente patients in Washington state. We work unencumbered by traditional health care obstacles and without silos; prioritizing people over profits, collaboration over ego, and...
-
Associate Psychosocial Professional
1 week ago
Olympia, United States Kaiser Permanente Full timeCollaborative Care Clinician, hybrid work model available Job Summary: Under supervision of a Licensed Clinical Independent Social Worker, Licensed Marriage Family Therapist or a Licensed Professional Clinical Counselor, provides a wide range of clinical psychosocial services for adult and/or child members in a primary or specialty care, mental health or...
![Centene Corporation](https://media.trabajo.org/img/noimg.jpg)
Utilization Review Clinician
2 months ago
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.
(Must hold either a KS or a WA license in the BH arena).
-
Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate
-
Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria
-
Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning
-
Analyzes BH member data to improve quality and appropriate utilization of services
-
Provides education to providers members and their families regrading BH utilization process
-
Interacts with BH healthcare providers as appropriate to discuss level of care and/or services
-
Engages with medical directors and leadership to improve the quality and efficiency of care
-
Formulates and presents cases in staffing and integrated rounds
-
Performs other duties as assigned
-
Complies with all policies and standards
Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.
License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.
Master’s degree for behavioral health clinicians required.
Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.
Knowledge of mental health and substance abuse utilization review process preferred.
Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.
License/Certification:
-
LCSW- License Clinical Social Worker required or
-
LMHC-Licensed Mental Health Counselor required or
-
LPC-Licensed Professional Counselor required or
-
Licensed Marital and Family Therapist (LMFT) required or
-
Licensed Mental Health Professional (LMHP) required or
-
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Pay Range: $25.97 - $46.68 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.