Hybrid Healthcare Jobs in Edmonds, WA
Signature Performance, Inc.
$145000 - $165000
Seattle, WA
The Director acts as the primary architect of the transition, workflow integration, managing the complex "human element" of staff re-badging while simultaneously integrating global offshore/nearshore teams to ensure operational stability and immediate financial improvement for the client. POSITION PURPOSE: The Director of Healthcare Revenue Cycle New Client Implementation is a strategic leadership role responsible for the end-to-end onboarding of new healthcare system clients onto our managed services service delivery model.
Providence St. Joseph Health
Renton, WA
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence St. Joseph Health
Renton, WA
The RN Care Coord-Qual Med Mgmt will provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development and medical claims audits. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence St. Joseph Health
Renton, WA
Care management services include nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance finding alternative services when benefits are exhausted. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
3B Healthcare, Inc
Everett, WA
Total Staffed Beds: 571 total for both campuses. Will this traveler need to float between like units?
APN Consulting Inc
Everett, WA
Parking Cost: Facility PaidFacility Name: Providence Regional Medical Center Everett Colby Campus. Observed Holidays: New Year's Day: Falls Within: 12:00 AM day of - 12:00 AM day after.
UnitedHealth Group
$60200 - $107400
Seattle, WA
Primary Responsibilities:** + Maintains clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporates this information into the clinical review and care coordination processes + Performs clinical review for appropriate utilization of medical services by applying appropriate medical necessity criteria guidelines + Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria + Documents clinical reviews in care management system. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and setting by following evidence based clinical guidelines, medical necessity criteria and health plan guidelines.