Nurse Manager of Care Coordination Utilization Review - Seattle, WA

seattle, United States

Posted on 05/12/2020


Position Details

Type:

Permanent

Industry:

Healthcare / Healthcare Services

Function:

Medical / Health

Job Level:

Standard Management (Manager/Supervisor of Staff)

Education:

Bachelor's Degree

Nurse Manager of Care Coordination Utilization Review Job in Seattle, WA

 

A Nurse Manager of Care Coordination Utilization Review is needed in suburban Seattle for a national Managed Care Organization.

 

This Nurse Manager will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate the delivery of care across the continuum, including behavioral health and long-term care.

 

The Nurse Manager of Care Coordination Utilization Review will have direct reports (Nurse Supervisors and non-clinical Care Managers). This Healthcare Services (HCS) team's overall goal will be to ensure patient progress toward, medically appropriate and cost-effective care.

 

Desired Qualifications:

RN or LPN license

Four years of Managed Healthcare experience

Experience working within the applicable state, federal, and third-party regulations

Two years of leadership experience

Two years in one of the following areas:

  • Utilization Management
  • Case Management
  • Care Transition
  • Disease Management.

 

Candidates with the above experience, as well as a Certified Case Manager (CCM), Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management certification will earn interviews.  This leadership role is highly rewarding because it is an opportunity to work directly and help plan members, as well as various teams within the organization. This is a tremendous opportunity to join a fast-paced environment and organization, where upward career growth is the reward for hard work.

 

Does this position sound like you? Apply to our link below for immediate consideration and the opportunity to speak to myself candidly about this position. Not quite a fit? That’s okay. Please visit our website at www.PrincetonOne.com to learn more about all of the other fantastic

opportunities we’re currently filling.

 

PrincetonOne is an equal opportunity employer.

 

#casemanager #casemanagement #rn #lsw #msw #bsn #msn #director #hospital leadership #washington #ccm #acm