Top 26 Utilization management Jobs in Pullman Wa

Field Care Coordinator - Remote in Northern Idaho
UnitedHealthcare —Lewiston, ID
- $29 - $52 an hour
- Full-time
- LMFT
- Spanish
- Microsoft Outlook
1d
Supervisor Utilization Management
Cambia Health Solutions —Lewiston, ID
- $80,717 - $142,000 a year
- Full-time
- Hybrid work
- Background check
- Nursing
- RN License
- Health savings account
- Paid holidays
Remote Care Management Nurse
Cambia Health Solutions —Lewiston, ID
- $34.20 - $55.70 an hour
- Urgently hiring
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health savings account
- Paid holidays
Pharmacy Services Technician
Cambia Health Solutions —Lewiston, ID
- $19.20 - $34.90 an hour
- Full-time
- Remote
- Background check
- HIPAA
- Mid-level
- Health savings account
- Paid holidays
Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE)
Gritman Medical Center Inc. —Moscow, ID
- Microsoft Excel
- HIPAA
- Travel
Quick Apply
Occupational Therapist
Lewiston Center of Cascadia LLC —Lewiston, ID
- CPR Certification
- BLS Certification
- Mid-level
Occupational Therapist
Lewiston North of Cascadia —Lewiston, ID
- CPR Certification
- BLS Certification
- Mid-level
Occupational Therapist
Paradise Creek Health and Rehabilitation —Moscow, ID
- $50 - $60 an hour
- Full-time
- Background check
- CPR Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Family Medicine Medical Director Utilization Management
Amerihealth Caritas —United States
- Weekends as needed
- Hybrid work
- Medicine
- Physical & Rehabilitation Medicine
- 3 years
- Paid holidays
- Health insurance
Appeal Analyst RN | Remote | Contract
Walker Healthforce, LLC —United States
- Contract
- Remote
- Nursing
- Microsoft Outlook
- RN License
- Health insurance
- Dental insurance
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
3d
Physician Assistant/Nurse Practitioner (D), CVOR - Regional
Corewell Health —United States
- Weekends as needed
- Acute care
- Nursing
- Surgery
- Free parking
- Paid holidays

Discover related jobs

Based on your search for utilization management jobs.

Quality Assurance Specialist III
HUB International —Pullman, WA
Each Quality Assurance Specialist will have a specific area of responsibility, including: Auditing, including broker standard audits; support services (Patra, I…
$33 - $42 an hour
Quality Control Associate
Alturas Analytics, Inc. —Moscow, ID
Bachelor’s degree in science or related field and 1-3 years of related work experience. Position requires working in front of a computer monitor over 2/3 of the…
$46,325 a year

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

RN, LSW, LISW, Care Manager - Columbus
Careforth —Columbus, OH
Ability and flexibility to travel (usually by car) within assigned geographic area; valid driver’s license and car insurance required.
$62,657 - $84,173 a year
Infection Prevention Staff Development IPSD
Majestic Care of Whitehall —Whitehall, OH
Current LPN or RN license by State Board of Nursing in state employed; license must be active, valid, and in good standing.
Quick Apply
10d

Show more jobs in cities nearby

I want to receive the latest job alert for utilization management in pullman wa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization management jobs near pullman wa

Occupational Therapist jobs in Lewiston, ID

Registered Nurse Bone Marrow Transplant jobs in San Antonio, TX

Pharmacy Technician jobs in Lewiston, ID

Occupational Therapist jobs in Moscow, ID

Occupational Therapist jobs in Tacoma, WA

School Based Occupational Therapist jobs in Long Island, NY

Play Therapist jobs in Dallas, TX

Occupational Therapist jobs in Uci, CA

Occupational Therapist jobs in Jamestown, NY

Occupational Therapist jobs in El Paso, TX

Mental Health Therapist jobs in Washington State

Field Coordinator jobs in Minnesota

Facilities Coordinator jobs in San Jose, CA

Field Coordinator jobs in Oregon

Field Coordinator jobs in Salem, OR

Field Engineer jobs in Dallas, TX

Oil Field jobs in El Paso, TX

Field Coordinator jobs in Fairfax, VA

Dermatology Nurse jobs in St. Louis, MO

Travel Nurse jobs in Honolulu, HI

Field Care Coordinator - Remote in Northern Idaho

UnitedHealthcare -
Lewiston, ID

Apply Now

Job Details

Full-time
$29 - $52 an hour
1 day ago

Qualifications

Microsoft Outlook
Healthcare privacy protection
Medicaid

Full Job Description

UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a team that shares your passion for helping others. Join us to start Caring. Connecting. Growing together

As a part of the care management team, the Care Coordinator will be the primary care manager for a panel of members with chronic and complex health care needs. This position will provide support to the broader team with clinical and non-clinical activities to support a person-centered approach to care coordination. Care coordination activities will focus on supporting member's medical, behavioral, and socioeconomic needs to promote appropriate utilization of services and improved quality of care.

This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills.

If you are located in Idaho and reside in Latah, Nez Perce, Clearwater, Lewis, Idaho, Boundary, Bonner, Kootenai, Benewah, Shoshone or the surrounding areas, you will have the flexibility work remotely* as you take on some tough challenges. This is a hybrid- based position up to 50% of time in field when business requires with a home - based office. You will work from home when not in the field.

Primary Responsibilities:

Serve as the primary care manager for dual eligible members
Engage people face-to-face and/or telephonically to complete a comprehensive needs assessment or wellness assessment (as appropriate), including assessment of medical, behavioral, functional, cultural, and social drivers of health (SDoH) Develop and implement individualized, person-centered care plans inclusive of goals, opportunities and interventions aligned with a person's readiness to change to support the best health and quality of life outcomes by meeting them where they are in their health journey
Partner and collaborate with the internal care team, providers, and community resources/partners to implement care plans and remove obstacles so the member can successfully stay in or return to the community (when appropriate
Assist members with obtaining necessary HCBS supports and services
Provide referral and linkage as appropriate and accepted by the individual being served (may include internal consult opportunities such as Housing Navigator, Pharmacy Team, Peer Specialist, etc. or community-based provider referrals such as PCP, specialists, medication assisted therapy referrals, etc.)
Support proactive discharge planning and manage/coordinate care transition following ER visit, inpatient or Skilled Nursing Facility
Provide education and coaching to support member self-management of care needs and lifestyle changes to promote health
Advocate for people and families, as needed, to ensure that the member's needs and choices are fully represented and supported by the health care team
Support Provider and Facility nonclinical questions (credentialing, claims, etc.) connecting them to the correct Health Plan and/or UHC resources

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Must meet one of the following:
Current and unrestricted Idaho license in one of the below:
- RN
- LCSW, LMSW, LSW, LCPC, LPC, LMFT, LAMFT
- LPN/LVN
- 2-year degree (or higher) AND 2+ years of experience in Healthcare or Healthcare related industry
1+ years of experience working with people that have Medicaid / Medicare or who have significant social drivers of health (SDoH) needs
1+ years of experience with MS Office, including Word, Excel, and Outlook
Reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 50% of time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Reside in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Preferred Qualifications:

CCM certification
If individual with 2-year degree and 2+ years of experience, preferably as a Healthcare Paraprofessional
Experience working with an Electronic Health Record (EHR) system for documentation
Experience / additional training or certifications in care in rural settings homelessness, food insecurity, behavioral health, co-occurring conditions, IDD, Person Centered Care, Motivational Interviewing, Stages of Change, Trauma-Informed Care
Experience supporting individuals with complex and chronic conditions including those residing in a nursing facility or that meet nursing facility level of care within the community
Experience working in team-based care
Background in Managed Care
Bilingual in Spanish or other language specific to market populations
Lives in Idaho

Physical Requirements

Ability to transition from office to field locations multiple times per day
Ability to navigate multiple locations/terrains to visit employees, members and/or providers
Ability to transport equipment to and from field locations needed for visits (ex. laptop, stethoscope, etc.)
Ability to remain stationary for long periods of time to complete computer or tablet work duties
All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $29 to $52 annually based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

Apply Now

Refine Your Search

utilization management jobs in pullman wa

Field Care Coordinator - Remote in Northern Idaho

Supervisor Utilization Management

Remote Care Management Nurse

Pharmacy Services Technician

Coding Supervisor | HIM | HYBRID (ON-SITE/REMOTE)

Occupational Therapist

Occupational Therapist

Occupational Therapist

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Family Medicine Medical Director Utilization Management

Appeal Analyst RN | Remote | Contract

Remote Psychologist - US Location

Physician Assistant/Nurse Practitioner (D), CVOR - Regional

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization management in pullman wa

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected