NewRegistered Nurse (RN) Aveanna HealthcareRegistered Nurse (RN)Tacoma, WARemote$41–$52 / hourSee Aveanna Healthcare Terms & Conditions at https://www.aveanna.com/privacypolicy.html and Privacy Policy at https://www.aveanna.com/privacypolicy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Senior Service Engineer IS - Hybrid Providence St. Joseph HealthSenior Service Engineer IS - HybridSeattle, WARemoteFull timeProvidence 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. In this role, you'll partner with endpoint engineering, service desk, and application teams to design, scale, and run Nexthink as a core enterprise service-turning endpoint telemetry into actionable insights, automation, and measurable outcomes.
Utilization Review RN - Remote Providence St. Joseph HealthUtilization Review RN - RemoteRenton, WARemoteFull timeProvidence 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. 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.
RN Case Manager- IKC National Flex Team- Remote DaVitaRN Case Manager- IKC National Flex Team- RemoteFederal Way, WARemoteFull timeOur more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month. DaVita Integrated Kidney Care (DaVita IKC) is an the integrated care division of DaVita Inc. working on DaVita's vision to provide integrated care to all ESRD patients, who are some of the most medically complex and vulnerable patient populations in the US.
Remote Care Management Nurse Cambia Health SolutionsRemote Care Management NurseBellevue, WARemoteFull timeAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member's care to assess, plan, implement, coordinate, monitor and evaluate care as needed - all in service of creating a person-focused health care experience.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph HealthRevenue Cycle Auditor RN - Full time, Day, RemoteRenton, WARemoteFull timeProvidence 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.
NewPhysician - Hybrid Radiologist (Onsite + Teleradiology) - Onsite/Remote - Washington MedAtlantic Healthcare SolutionsPhysician - Hybrid Radiologist (Onsite + Teleradiology) - Onsite/Remote - WashingtonSeattle, WashingtonRemoteIf you’re not interested but have a colleague who might be, MedAtlantic offers a lucrative referral bonus if you refer a colleague that would like more information. • Collaborating with referring doctors, specialists, and healthcare team members.
NewClaims Specialist - Other Fiscal Services Hybrid Remote WA State Pacific Medical Center IncClaims Specialist - Other Fiscal Services Hybrid Remote WA StateSeattle, WARemote$21.55–$33.53 / hourRequsition ID: 439479 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Senior Service Engineer - End User Compute, Hybrid Providence Health & ServicesSenior Service Engineer - End User Compute, HybridRedmond, WARemoteRequsition ID: 438183 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI ENDPOINT ENG Address: OR Portland 5050 NE Hoyt St Work Location: Providence Professional Plaza Portland-Portland Workplace Type: Hybrid Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Service Engineers ensure caregivers have a fast, reliable, and frustration‑free digital experience by owning and operating our endpoint management platforms, including Microsoft Configuration Manager/SCCM, Microsoft Intune, and Jamf.
Senior Service Engineer IS - Hybrid Providence Health & ServicesSenior Service Engineer IS - HybridRedmond, WARemoteRequsition ID: 433029 Company: Providence Jobs Job Category: Development/Engineering Job Function: Information Technology Job Schedule: Full time Job Shift: Multiple shifts available Career Track: Business Professional Department: 4011 SS IS ESI ENDPOINT ENG Address: OR Portland 5050 NE Hoyt St Work Location: Providence Professional Plaza Portland-Portland Workplace Type: Hybrid Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. 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.
NewClaims Specialist - Other Fiscal Services Hybrid Remote WA State Providence Health & ServicesClaims Specialist - Other Fiscal Services Hybrid Remote WA StateSeattle, WARemote$21.55–$33.53 / hourRequsition ID: 439479 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 OTHER FISCAL SERVICES WA Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: Hybrid Pay Range: $21.55 - $33.53 Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.
Hybrid Remote/Onsite Dietitian - Washington Compass Group North AmericaHybrid Remote/Onsite Dietitian - WashingtonSeattle, WARemote$40–$50 / hourThe company has earned significant recognition, including being named one of Modern Healthcare's "Top 100 Best Places to Work in Healthcare" for five consecutive years, and appearing on Training Magazine's Top 125 Organizations list for six straight years. Compass Group employs over 3,000 RDNs across the United States, making us one of the nation's largest employers of Dietitians in a variety of settings: Hospitals and healthcare systems.
Senior Cloud Engineer Hybrid @ Bellevue, WA or Remote @ Florida OfferUp IncSenior Cloud Engineer Hybrid @ Bellevue, WA or Remote @ FloridaWARemote$215,000–$240,000 / yearOne of the top local marketplace apps for local buyers and sellers in the U.S., OfferUp makes it easy for people to discover more of what they need-from great deals and secondhand goods to jobs, services, home rentals, and more-right in their own communities. Keep the SDLC fast and safe - build CI/CD pipelines and developer workflows (GitHub Actions, monorepo tooling, JFrog Artifactory), and maintain the backend "golden templates" and shared libraries the wider org builds on.
IT Services Sales Executive (Healthcare Payer Vertical) - REMOTE NTT America, Inc.IT Services Sales Executive (Healthcare Payer Vertical) - REMOTESeattle, WARemote$108,500–$250,000 / yearAdditional Qualifications and Responsibilities** + Sells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc + History of success in a sales hunter role with a demonstrated ability to acquire net new logos + A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare Payer/Payvider service solutions industry/industries + Deep understanding of IT managed and professional services and ability to articulate the value proposition to clients + Creatively sell into large national Healthcare Insurance and Provider accounts and ability to demonstrate successful deal closures + Requires strategic agility to interface and successfully influence C-level executives within the customer organization + Design and implement sales strategy to achieve sales quota + Ability to assess potential sales opportunities and develop value propositions + Applies an extremely deep understanding of business, financials, service offerings, the market, and the needs/challenges of assigned accounts + Understands and applies long-term vision of business/technology direction for NTT DATA + Drives services sales strategies that help drive exponential sales growth + Demonstrated ability & success at meeting and/or exceeding annual quotas of $12+ million in Revenue + Understanding of the competitive landscape for IT services and anticipates how market and competitive factors will influence the selling of NTT DATA services + Excellent written and verbal communication skills and demonstrates boardroom executive presence + Ability and willingness to travel 40% of the time **Basic Qualifications:** + Bachelor's degree + Minimum of 7 years of experience in IT Services sales and/or professional services sales + Minimum of 5 years of experience selling into enterprise Healthcare Payer clients **About NTT DATA** NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Seattle) NTT America, Inc.IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Seattle)Seattle, WARemoteAdditional Qualifications and Responsibilities** + Sells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc + History of success in a sales hunter role with a demonstrated ability to acquire net new logos + A passion for improving healthcare and patient outcomes and recognized as an expert in the Healthcare Payer/Payvider service solutions industry/industries + Deep understanding of IT managed and professional services and ability to articulate the value proposition to clients + Creatively sell into large national Healthcare Insurance and Provider accounts and ability to demonstrate successful deal closures + Requires strategic agility to interface and successfully influence C-level executives within the customer organization + Design and implement sales strategy to achieve sales quota + Ability to assess potential sales opportunities and develop value propositions + Applies an extremely deep understanding of business, financials, service offerings, the market, and the needs/challenges of assigned accounts + Understands and applies long-term vision of business/technology direction for NTT DATA + Drives services sales strategies that help drive exponential sales growth + Demonstrated ability & success at meeting and/or exceeding annual quotas of $12+ million in Revenue + Understanding of the competitive landscape for IT services and anticipates how market and competitive factors will influence the selling of NTT DATA services + Excellent written and verbal communication skills and demonstrates boardroom executive presence + Ability and willingness to travel 40% of the time **Basic Qualifications:** + Bachelor's degree + Minimum of 7 years of experience in IT Services sales and/or professional services sales + Minimum of 5 years of experience selling into enterprise Healthcare Payer clients About NTT DATA NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
Senior Service Engineer - End User Computer, Hybrid Providence St. Joseph HealthSenior Service Engineer - End User Computer, HybridWARemoteIn this role, you'll partner with endpoint engineering, service desk, and application teams to design, scale, and run Nexthink as a core enterprise service-turning endpoint telemetry into actionable insights, automation, and measurable outcomes. When issues arise, you're the calm technical leader who uses real‑time endpoint data to quickly identify root cause, restore service, and ensure the fix sticks through durable automation and improved monitoring.
NewClaims Specialist - Other Fiscal Services Hybrid Remote WA State Providence St. Joseph HealthClaims Specialist - Other Fiscal Services Hybrid Remote WA StateSeattle, WARemoteTogether, 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. Monitors daily electronic claims transmission to research and resolve system and electronic clearinghouse claim rejection to maximize the number and percentage of patient bills processed without denials or errors.
Hybrid Remote Licensed Assistant Behavior Analyst (LaBA) Center for Social Dynamics IncHybrid Remote Licensed Assistant Behavior Analyst (LaBA)Puyallup, WARemote$32–$40 / hour2+ years of related professional experience implementing behavior modification intervention services OR 1 year of related professional experience implementing behavior modification intervention services and 12 semester units in applied behavior analysis OR you are a Board-Certified associate Behavior Analyst. As a fast-growing leader in the field, we're known for our vibrant culture, hands-on training, and career pathways that help you grow just as much as those we serve.
Hybrid Remote BCBA Center for Social Dynamics IncHybrid Remote BCBATacoma, WARemote$87,000–$102,000 / yearWe've rebalanced service minimums to deliver greater flexibility, sustainable workloads, and real ownership over earning potential, while launching breakthrough clinical programs that strengthen outcomes for both families and clinicians. Stability & Innovation - Our model balances long‑term stability with thoughtful innovation, supporting clinicians with sustainable growth and evolving modalities that enhance clinical care - not disrupt it.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseWARemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Registered Nurse / RN, Home Health PRN AccentCare, Inc.Registered Nurse / RN, Home Health PRNTacoma, WashingtonRemote$113,210.97–$138,368.97 / hourThe Staff Nurse directs CHHAs and CNAs in patient care tasks, performs patient assessments, develops patient care plans, evaluates the plan effectiveness, modifies it as appropriate and documents all patient care provided. The position combines the activities of direct and indirect patient care and provides direct care to pediatric, adolescent, adult, and geriatric patients.
RN Case Manager – Managed Care REMOTE TEEMA GroupRN Case Manager – Managed Care REMOTELakewood, WARemote$39–$41Care Coordination: Work closely with interdisciplinary teams, including physicians, case managers, social workers, and other healthcare professionals, to develop and implement individualized care plans for patients. This role involves assessing, monitoring, educating, and supporting patients in managing their diseases to improve overall health and quality of life while reducing unnecessary hospitalizations and emergency care.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & ServicesRevenue Cycle Auditor RN - Full time, Day, RemoteWARemoteRequsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: On-site Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. 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.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorSeattle, WashingtonRemote$72,000–$80,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Seattle, WARemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Licensed Practical Nurse U.S. Department of Veterans AffairsLicensed Practical NurseSeattle, WARemote$55,480–$86,393 / yearGS-04: Six months of qualifying experience as an LPN or LVN; OR Graduation from an approved school (which may be waived as provided in paragraph 4 of Section C) and one year of experience that involved nursing care work in a hospital, outpatient clinic, nursing home, or other supervised medical, nursing, or patient care facility that provided a practical knowledge of human body structure and sterile techniques and procedures; OR Graduation from an approved school of at least 24 months duration. Knowledge and skill in performing support duties for complex diagnostic tests and/or specialized practices or procedures, which include preparing the patient, assisting in the diagnostic examination, preparing and handling specialized instruments or other specialized equipment, and monitoring the patients condition before, during, and following the procedure.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationSeattle, WARemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)WARemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
(RN) Remote Care Manager - CA License req Molina Healthcare(RN) Remote Care Manager - CA License reqTacoma, WARemote$30.37–$61.79 / hourEssential Job Duties** - Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. - Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
(RN) Care Manager- Jail Transition Re-entry Program (REMOTE) Molina Healthcare(RN) Care Manager- Jail Transition Re-entry Program (REMOTE)Bellevue, WARemote$26.41–$59.21 / hourEssential Job Duties** - Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. - Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Primary Care Advanced Practice Provider (NP OR PA) Devoted Health IncPrimary Care Advanced Practice Provider (NP OR PA)WARemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Field Nursing Operations Manager (West Coast) Science 37Field Nursing Operations Manager (West Coast)Seattle, WARemoteWith interest/expertise in Science 37's decentralized model of care delivery, the Field Nursing Operations Manager is responsible for the operational oversight, implementation and daily management of all nursing activities for clinical research studies within their region at Science 37. Through our solutions; Direct-to- Patient Site and Patient Recruitment, we accelerate enrollment by expanding the reach of clinical trials to patients beyond the traditional site and rigorously qualifying patients prior to referring them to a traditional site.
Revenue Cycle Auditor RN -Remote Providence Health & ServicesRevenue Cycle Auditor RN -RemoteWashington, WARemoteRequsition ID: 428089 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: CA Irvine 15480 Laguna Canyon Rd Work Location: Providence System Offices Discovery Park-Irvine Workplace Type: Remote Pay Range: $See Posting - $See Posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. 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.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerSeattle, WARemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
NewRegistered Dietitian Part-Time (50% remote) RD Nutrition ConsultantsRegistered Dietitian Part-Time (50% remote)Tacoma, WARemoteRD Nutrition Consultants LLC is a leading Registered Dietitian Nutritionist Consulting firm that provides Dietitians to healthcare facilities across the United States. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
NewRegistered Dietitian Part -Time (50% remote) RD Nutrition ConsultantsRegistered Dietitian Part -Time (50% remote)Tacoma, WashingtonRemoteRD Nutrition Consultants LLC is a leading Registered Dietitian Nutritionist Consulting firm that provides Dietitians to healthcare facilities across the United States. Conduct comprehensive nutritional assessments on new admissions and quarterly thereafter, with more frequent reviews as needed for high-risk residents.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerSeattle, WARemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.