Top 26 Utilization management Jobs in Yakima, Wa

Clinical Review Specialist
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $22.31 - $33.47 an hour
- Full-time
- Nursing
- Mid-level
- Residential
- Paid holidays
- Disability insurance
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Authorization & Referral Specialist
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $21.25 - $31.88 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Continuous improvement
- Paid holidays
- Disability insurance
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Field Nurse Practitioner (Yakima, WA)
Molina Healthcare —Yakima, WA
- $88,453 - $198,356 a year
- Full-time
- Bilingual
- Skilled nursing facility
- BLS Certification
- Health insurance
Field Nurse Practitioner (Yakima, WA)
Molina Healthcare —Yakima, WA
- $88,453 - $198,356 a year
- Full-time
- Bilingual
- Skilled nursing facility
- BLS Certification
- Health insurance
Quality Director
Kittitas Interactive Management —Yakima, WA
- $81,120 - $87,360 a year
- 18 years or older
- Word processing
- Basic math
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6d
Front Office Supervisor
Yakima Valley Farm Workers Clinic —Yakima Valley, WA
- $26.75 - $32.76 an hour
- Full-time
- Word processing
- Mid-level
- High school diploma or GED
- Profit sharing
- Paid holidays
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
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Director of Acute Care & Field Operations
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $127,275.20 - $190,923.20 a year
- Full-time
- Acute care
- Writing skills
- Office
- Paid holidays
- Disability insurance
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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
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Vice President of Acute Care & Crisis Stabilization
COMPREHENSIVE HEALTHCARE —Yakima, WA
- $127,275.20 - $190,923.20 a year
- Full-time
- Acute care
- Inpatient
- Office
- Paid holidays
- Disability insurance
Quick Apply
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
1d
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
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
Pharmacist - Per Diem
Yakima Valley Farm Workers Clinic —Yakima, WA
- $77.87 an hour
- Part-time
- Spanish
- English
- Mid-level
- Health insurance
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
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
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
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

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Clinical Review Specialist
COMPREHENSIVE HEALTHCARE —Yakima, WA
Attends facility staff meetings via telephone and obtains necessary clinical information, as well as provides information regarding insurance authorization…
$22.31 - $33.47 an hour
Quick Apply

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Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Conducts utilization reviews of behavioral health cases to determine medical necessity…
13d
Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
Quick Apply
8d

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utilization management jobs near yakima, 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.

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Refine Your Search

utilization management jobs in yakima, wa

Clinical Review Specialist

Authorization & Referral Specialist

Field Nurse Practitioner (Yakima, WA)

Field Nurse Practitioner (Yakima, WA)

Quality Director

Front Office Supervisor

Imaging Manager - Yakima Memorial

Director of Acute Care & Field Operations

Nurse

Vice President of Acute Care & Crisis Stabilization

District Nurse

Chief Medical Officer

Psychiatric Medical Director

Pharmacist - Per Diem

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

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

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

Family Medicine Medical Director Utilization Management

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