Manager, Clinical Utilization Management & Transitions of Care

CHPW
Seattle, WA
Category Healthcare
Job Description
Manager, Clinical Utilization Management & Transitions of Care in Seattle, WA, United States: leads utilization management, inpatient medical necessity reviews, and transitions of care efforts. Develops and optimizes workflows to ensure regulatory compliance, operational efficiency, and high-quality member outcomes.

Requirements

  • Hold a current, unrestricted RN license in the State of Washington.
  • Have a bachelor’s degree in nursing or an advanced clinical degree, or additional advanced clinical training, preferred.
  • Have a minimum of three (3) years UM or CM experience required.
  • Have a minimum of three (3) years leading teams required, experience working with remote workers desired OR a minimum of three (3) years in a supervisory or management role required.
  • Have a minimum of three (3) years acute or ambulatory clinical experience in a medical/surgical or pediatric setting required.
  • Possess a valid WA driver's license and have access to a reliable automobile.

Benefits

  • Medical, Prescription, Dental, and Vision
  • Telehealth app
  • Flexible Spending Accounts, Health Savings Accounts
  • Basic Life AD&D, Short and Long-Term Disability
  • Voluntary Life, Critical Care, and Long-Term Care Insurance
  • 401(k) Retirement and generous employer match
  • Employee Assistance Program and Mental Fitness app
  • Financial Coaching, Identity Theft Protection
  • Time off including PTO accrual starting at 17 days per year.
  • 40 hours Community Service volunteer time
  • 10 standard holidays, 2 floating holidays
  • Compassion time off, jury duty pay.
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