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FEED

As a member of the Clinical Services team, our Utilization Management Nurses provide utilization management (such as prospective concurrent and retrospective review) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier. Must have at least one of the following: Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or Masters' degree in Behavioral Health preferred for behavioral health); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management).

HOUR

Cambia Health Solutions is a family of companies headquartered in Portland, Oregon, working to create a person-focused and economically sustainable health care system. 

Through our health plans, innovative technology and strategic investments, we are delivering consumer-centric solutions that:

•       help people achieve better health and well-being 
•       make health care more available, affordable and accessible 
•       are easily understood by everyone

We put people at the heart of everything we do. Our company reaches more than 70 million Americans nationwide, including more than two million people in the Pacific Northwest who are enrolled in our regional health plans.  

Cambia Health Solutions Inc

Utilization Management Nurse

This role blends consultative sales expertise, technical acumen, and enablement leadership to influence customer outcomes, shape early-stage opportunities, and strengthen go-to-market execution. The ideal candidate brings a strong ability to connect business objectives with innovative network solutions while guiding internal teams to deliver meaningful customer impact.

YEAR

At Lumen, talent matters. We place employees with the greatest potential in the most impactful roles by providing you with the tools to level up in your career. We are a global company of approximately 38,000 professionals dedicated to unleash the world's digital potential. Lumen frees businesses from the legacy communication experiences holding them back today by making IT environments more user-friendly and intuitive. Our experience-first approach to networking, edge cloud and cybersecurity connects people, data and apps quickly, securely and effortlessly. We ignite business growth and accelerate innovation for 8 of the 10 most valuable brands in the world. With 450,000 route fiber miles serving customers in more than 60 countries, we deliver the fastest, most secure global platform for applications and data to help businesses, the government, and communities deliver amazing experiences.

Lumen Technologies Inc

Specialized Sales II - NaaS

PART_TIME

The Insurance Follow-Up Specialist is responsible for verifying patient insurance coverage prior to service, tracking outstanding insurance claims, resolving denials, and ensuring timely reimbursement from insurance carriers. This role combines front-end insurance eligibility verification with back-end insurance follow-up responsibilities—helping reduce denials, improve reimbursement, and support a seamless patient financial experience from start to finish.

Patient Accounting Service Center, LLC

Insurance Follow-Up Specialist (Remote)

Berry Street empowers independent dietitians to accept insurance and grow thriving private practices by providing comprehensive credentialing, scheduling, referral, and technical support, as well as access to a vibrant, collaborative clinician community. Dietitians working with Berry Street are committed to these pillars of high-quality care: Evidence-based: We provide quality care based on the latest clinical research.

Berry Street

Remote Registered Dietitian Or CNS - Flexible Hours, Work From Anywhere

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Participates on various teams to provide clinical input on medical policy reviews and development and may participate on committees that develop programs impacting clinical interventions, utilization management and case management. What You Will Do at Cambia: Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes.

Cambia Health

Associate Medical Director

As a member of the Behavioral Health team, our Clinicians provide utilization management (such as prospective concurrent and retrospective review) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes and appropriate payment for services - all in service of making our members' health journeys easier. 3 years direct Behavioral Health clinical experience as an independently licensed Master's level Behavioral Health Clinician in one of the areas of Psychology, Counselling, Social Work, Marriage or Family Therapy.

Behavioral Health Utilization Management Clinician

Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained. Participates in contract monitoring and support tools (matrices), by reviewing and interpreting contracts, extracting key information for use by internal and/or external customers, and keeping abreast of changes in company locations for inclusion in various matrices.

Banner Health

Contracts Management Specialist

Collaboration: Partner with Sales Engineers, Solution Architects, Sales Leadership, and Marketing teams to align on customer needs and enhance our product offerings, ensuring seamless execution of strategies for customer success. RFI/RFP Management: Respond to functional and technical elements of RFIs/RFPs, tailoring responses to align with customer requirements and demonstrate Qualys' capabilities.

Qualys, Inc., is the pioneer and leading provider of cloud security and compliance solutions with over 8,800 customers in more than 100 countries, including a majority of each of the Forbes Global 100 and Fortune 100. The Qualys Cloud Platform and integrated suite of solutions helps organizations simplify security operations and lower the cost of compliance by delivering critical security intelligence on demand and automating the full spectrum of auditing, compliance and protection for IT systems and web applications. Founded in 1999, Qualys has established strategic partnerships with leading managed service providers and consulting organizations including Accenture, BT, Cognizant Technology Solutions, Dell SecureWorks, Fujitsu, HCL Comnet, Infosys, Optiv, NTT, Tata Communications, Verizon and Wipro. The company is also a founding member of the Cloud Security Alliance (CSA). 
Qualys is always looking for great talent. For career opportunities, please see http://www.qualys.com/careers

Qualys Inc

Account Director

This is a fully remote role with flexible scheduling, focused on durable goods and equipment sales - including high-demand categories like heavy machinery. If you're reliable, self-motivated, and ready to be part of a growing nationwide operation in the equipment space - we'd love to hear from you.

V&H Wholesale LLC

Sales Representative (Remote)

In addition to its current liver tumor indication, HistoSonics is pursuing future indications across multiple applications including kidney, pancreas, prostate, neuro, women's health, and other significant underserved human health areas, to realize the broader potential histotripsy across multiple disease states and medical specialties. CAS) is responsible for developing the clinical competency, procedural confidence, and field readiness of newly hired commercial team members through immersive field-based coaching, competency development, and clinical mentorship.

HistoSonics Inc

Sr. Clinical Applications Specialist - West (CA, OR or WA)

Your clients are the businesses your neighbors already use: the marina, the family dentist, the restaurant on Harborview Drive, the landscaper who keeps Canterwood green. Earn recurring commissions of up to 80%, depending on monthly sales volume and performance relative to benchmark production and operating costs.

Social Publication

Advertising Sales Executive (Remote)

To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb. Internship qualifications include: Minimum 3 years college education, working toward a degree in Accounting or Business with an Accounting emphasis; one year from graduation preferred.

Accounting Internship

Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.

Centene Corporation Group

Remote Medical Director, Pharmacy

Join MAPEI Corporation, a global leader in the manufacturing of construction chemicals and building materials, including adhesives, sealants, and specialty products used in flooring, tile, and concrete restoration. Generate and maintain a robust pipeline of prospective customers using various sources, including industry directories, trade shows, online platforms, and market research.

Mapei SpA

Sales Representative - Wholesale Remote/Washington

As a member of the Clinical Services team, our Appeals Clinician I utilizes clinical expertise to complete the clinical component of all appeal types to resolve member and/or provider appeals - all in service of making our members' health journeys easier. What You Bring to Cambia: Qualifications: Bachelor's Degree in Nursing and 3 years of experience in a clinical setting, health insurance, coding/claims review, case management or equivalent combination of education and experience.

Appeals Clinician I

Expert-Level Strategic Analysis - Demonstrated ability to lead highly complex, unprecedented, sensitive, or enterprise-level analyses requiring advanced judgment, integration of multiple information sources, and consideration of significant organizational impacts. As the State's largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services.

State of Washington

Analytics and Projects Team Supervisor (MA5/AHSO)

As the State's largest health care purchaser and behavioral health authority, HCA serves nearly 3 million Washington residents through Apple Health (Medicaid), Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs, and behavioral health services. Based in DBHRs Operations section, you will track and analyze legislation, lead the divisions legislative work, and advise HCA and DBHR executive leadership on the policy, budget, and implementation impacts that shape behavioral health services across Washington.

Legislative Manager (MA5/DBHR)

Education/Experience: RN with 4+ years of clinical nursing or case management experience or LPN/LVN with 5+ years of clinical nursing or case management experience. At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day.

Lead Clinical Appeals Coordinator

Center-Based ABA Therapy. Summer Intensive Program.

The Stepping Stones Group (SSG) is part of <a href="http://shore capital partners" rel="nofollow">Shore Capital Partners</a> which includes our family of Special Education brands such as; <a href="http://www.mytherapycompany.com/about-us/">MyTherapyCompany</a> (MTC), <a href="http://www.cumberlandtherapy.com/about-us/">Cumberland Therapy</a> (CTS),  <a href="http://alphavistausa.com/about-us/">AlphaVista</a> ( AV) and <a href="http://www.traveltherapy.com/about-sos/">Staffing Options & Solutions</a> (SOS).  Our combined and respected brands, clinical leadership team and collaborative solutions makes us a premier education provider and a top five national provider of school-based therapy services to districts nationwide. 
Each brand understands and knows how to support the unique balance between the needs of client schools, the career interests of  employees and the needs of the individuals who receive therapy. Every member of our organization is driven by a commitment to improve the lives of students and their ability to succeed in the classroom and beyond. 
Our vision is to be the market leader in specialized services by creating better futures for all children, families, and communities nationwide. The SSG corporate office is in Lafayette, CO.

The Stepping Stones Group LLC

Speech Language Pathologist (SLP)

6 months of customer service call center experience; or 6 months of customer service experience in insurance, retail, banking, hospital, medical office or similar industry with extensive customer contact; or equivalent combination of education and experience. As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys easier and days brighter.

Remote Jobs in Lacey, WA

Utilization Management Nurse Cambia Health Solutions Inc

Specialized Sales II - NaaS Lumen Technologies Inc

Insurance Follow-Up Specialist (Remote) Patient Accounting Service Center, LLC

Remote Registered Dietitian Or CNS - Flexible Hours, Work From Anywhere Berry Street

Associate Medical Director Cambia Health

Behavioral Health Utilization Management Clinician Cambia Health

Contracts Management Specialist Banner Health

Account Director Qualys Inc

Sales Representative (Remote) V&H Wholesale LLC

Sr. Clinical Applications Specialist - West (CA, OR or WA) HistoSonics Inc

Advertising Sales Executive (Remote) Social Publication

Accounting Internship Cambia Health

Remote Medical Director, Pharmacy Centene Corporation Group

Sales Representative - Wholesale Remote/Washington Mapei SpA

Appeals Clinician I Cambia Health Solutions Inc

Analytics and Projects Team Supervisor (MA5/AHSO) State of Washington

Legislative Manager (MA5/DBHR) State of Washington

Lead Clinical Appeals Coordinator Centene Corporation Group

Speech Language Pathologist (SLP) The Stepping Stones Group LLC

Temporary Customer Service Professional I Cambia Health Solutions Inc

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