Top 30 Utilization management Jobs in Selah Wa

Clinical Review Specialist
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $22.31 - $33.47 an hour
- Full-time
- Nursing
- Mid-level
- Residential
- Paid holidays
- Disability insurance
Quick Apply
Quality Director
Kittitas Interactive Management —Yakima, WA
- $81,120 - $87,360 a year
- 18 years or older
- Word processing
- Basic math
Quick Apply
Vice President of Acute Care & Crisis Stabilization
COMPREHENSIVE HEALTHCARE —Ellensburg, WA
- $127,275.20 - $190,923.20 a year
- Full-time
- Acute care
- Inpatient
- Office
- Paid holidays
- Disability insurance
Quick Apply
Imaging Manager - Yakima Memorial
Yakima Memorial Hospital —Yakima, WA
- $111,987.20 - $161,158.40 a year
- Full-time
- Hospital
- 5 years
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
Chief Medical Officer
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $336,800 - $505,200 a year
- Full-time
- Background check
- Medicine
- Psychiatry
- Paid holidays
- Disability insurance
Quick Apply
Nurse
Confederated Tribes and Bands of the Yakama Nation —Toppenish, WA
- $36.11 - $40.64 an hour
- Full-time
- Background check
- Nursing
- Psychiatry
- Continuing education credits
- Paid holidays
Quick Apply
Psychiatric Medical Director
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $247,998.40 - $409,188.00 a year
- Full-time
- Medicine
- Psychiatry
- 5 years
- Paid holidays
- Disability insurance
Quick Apply
Advanced Practice Clinician - Nurse Practitioner or Physician Assistant (Pediatric Focus)
Yakima Valley Farm Workers Clinic —Yakima, WA
- $141,000 - $160,000 a year
- Full-time
- Bilingual
- Nursing
- Doctoral degree
- Profit sharing
- Paid holidays
District Nurse
Mt Adams School District #209 —White Swan, WA
- $46.10 an hour
- 8 hour shift
- Nursing
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
12d
Pharmacist - Per Diem
Yakima Valley Farm Workers Clinic —Yakima, WA
- $80.22 an hour
- Part-time
- Spanish
- English
- Mid-level
- Health insurance
Director of Nursing - RN
Mountain View Post Acute - WA —Ellensburg, WA
- $85,000 - $160,000 a year
- Full-time
- Nursing
- Bachelor of Science
- Basic math
Quick Apply
11d
Physician ED Claims Reviewer
Vytwo —United States
- Full-time
- Remote
- Mid-level
- 2 years
Quick Apply
Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply

Discover related jobs

Based on your search for utilization management jobs.

Safety/EHS Manager
MANZANA PRODUCTS CO., INC. —Sunnyside, WA
O Manage safety related onboarding and orientation programs for employees, contractors, and visitors. O Review contractor risk assessments, Job Safety Analyses…
$95,000 - $120,000 a year
Quick Apply
Social Work Case Manager
Triumph Treatment Services —Yakima, WA
Valid drivers license and vehicle insurance and 5 years licensed driving experience required. Valid drivers license and vehicle insurance required.
$26.50 - $35.40 an hour
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Family Preservation Clinical Supervisor
Mentor Behavioral Health —Columbus, OH
Current driver's license, car registration, and auto insurance if providing transportation to individuals receiving services. 401(k) with company match.
$75,000 a year
Outpatient Intake Assessment Specialist
Highlife Recovery —Columbus, OH
Complete comprehensive biopsychosocial assessments and diagnostic evaluations within the clinician’s license and scope of practice.
$60,000 - $70,000 a year
Quick Apply
4d

Show more jobs in cities nearby

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

Clinical Review Specialist

COMPREHENSIVE HEALTHCARE -
Yakima, WA

Quick Apply

Job Details

Full-time
$22.31 - $33.47 an hour

Benefits

Paid holidays
Disability insurance
Health insurance
Employee assistance program
Retirement plan

Qualifications

Utilization management
Resource utilization in healthcare

Full Job Description

Who is Comprehensive Healthcare?
Comprehensive Healthcare provides innovative behavioral health and integrated healthcare services to clients of all ages. We take pride in our creative and collaborative work environment and in delivering clinically excellent, trauma-informed, recovery-oriented services.

What are we looking for in a Clinical Review Specialist?
The Clinical Review Specialist verifies client insurance coverage, provides information regarding the client’s treatment to payors as requested and ensures that payors authorize treatment throughout the client’s placement.

Clinical Review Specialist duties may include:

Verifies initial insurance coverage for each client admitted to an evaluation and treatment facility. Works with BHO’s or other payor sources to verify coverage of placement, if the client does not have coverage.
Conducts reviews of clinical records to ensure appropriate levels of care and modalities are being provided. Effectively and collaboratively works with clinical staff when challenging the course of treatment and
therapeutic engagement necessary. Exhibits sound clinical judgment when assisting in the development of the course of treatment.
Provides ongoing utilization management reviews to authorizing bodies and obtains continued authorization throughout the inpatient placement.
Attends facility staff meetings via telephone and obtains necessary clinical information, as well as provides information regarding insurance authorization status to the treatment team.
Routinely monitors and tracks different authorizing bodies to identify patterns of problems and helps to develop plans for improvement.
Provides training and guidance to treatment teams regarding necessary documentation and language for authorizations.
Assists in implementing and providing training to new clinical programs in the Residential Treatment, Crisis and Evaluation and Treatment facilities.

Qualifications:

Bachelor’s degree in social sciences or nursing or as necessary to obtain a Washington State Substance Use Disorder Professional credential.
Two years of experience in a clinical position in a medical or behavioral health care setting
Working knowledge of current practices related to levels of care and utilization management concepts.

What Comprehensive Healthcare Can Offer You
Training and Development

A variety of career opportunities in a wide range of settings with room for mobility and promotion
Regular training opportunities including support, supervision, and consultation in implementing evidence-based services and programs

Innovative Program & Services

A strong reputation for providing quality, evidence-based services within a collaborative multi-disciplinary team environment
Innovative, forward-looking leadership that seeks to thrive in an ever-changing healthcare environment
Joint Commission-accredited organization committed to continuous quality improvement
Established partnerships with major research universities and other community and healthcare providers to implement cutting-edge treatment programs and services

Excellent Benefits

Competitive salaries within our communities and industry
Healthcare coverage for employee and qualified family members
Generous vacation, paid holiday and sick leave policies
Access to Employee Assistance Program services
Agency-funded retirement plan with contributions equal to 5% of compensation
Additional retirement investment opportunities with a 50% investment match of up to 4% of compensation
Agency-funded life and disability insurance program
Financial incentives to further employee education

Comprehensive Healthcare is proud to be an equal opportunity employer. We do not discriminate based on race, sex, age, color, religion, national origin, sexual orientation, gender identity or expression, marital status, veteran status, disability status, or any other basis prohibited by federal, state, or local law. We value the diverse perspectives and strengths that our employees bring to the workplace and we encourage individuals from underrepresented groups to apply for our positions. The Human Resources department offers accommodations and assistance for the application and interview process; please contact us to make arrangements.

Quick Apply

Refine Your Search

utilization management jobs in selah wa

Clinical Review Specialist

Quality Director

Vice President of Acute Care & Crisis Stabilization

Imaging Manager - Yakima Memorial

Chief Medical Officer

Nurse

Psychiatric Medical Director

Advanced Practice Clinician - Nurse Practitioner or Physician Assistant (Pediatric Focus)

District Nurse

Pharmacist - Per Diem

Director of Nursing - RN

Physician ED Claims Reviewer

Remote Orthopedic Physician (MD/DO) Outpatient Prior Authorizations (IC to FTE)

Discover related jobs

Explore jobs in cities nearby

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

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected