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Develops and Implements Behavioral Health Policies and Programs: Assists in developing high-quality, market-competitive behavioral health medical policies and programs, and provides leadership in developing short and long-range plans, goals, and objectives for integrated utilization management. Subject Matter Expert and Clinical Leadership: Serves as a subject matter expert on behavioral health, provides medical advice, oversight, and leadership for staff, and ensures members receive safe, effective, and cost-efficient services.

HOUR

Cambia Health

Associate Medical Director Behavioral Health Or Utilization Management Medical Director DOE

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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.

Temporary Customer Service Professional I

As 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. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.

Remote Care Management Nurse

Client Meetings (2 days/week)Meet with clients virtually or in person (your choice) to walk through options and help them apply for coverage. Your level of success will depend on factors including your effort, ability to follow training and systems, engagement with leads, and client needs in your area.

Spieldenner Financial Group

Mortgage Protection (Remote)

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

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.

Associate Medical Director

We’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.

Center for Social Dynamics

Hybrid Remote BCBA

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Our clients are often going through a very difficult time after injury or personal loss, so a good fit for this role would be someone who can balance helping them see the value of the professional role the Advocates bring to their case while expressing a warm and empathetic understanding of their situation. It is a sales-focused team who speak on the phone with potential clients to understand their needs, help them feel comfortable, position our firm as a solution to their needs and sign them as new clients.

Intake Specialist (Remote)

We are serial entrepreneurs, for example Paul Müller (founder Adjust, €1.2B exit) and Petter Made (founder SumUp, €8B) who are eager to support outlier personalities and serial entrepreneurs to build €1B+ companies. You will iterate your product with us until having reached product-market-fit and receive support in building up a sales force or creating a marketing engine respectively.

EWOR

SaaS Co-Founder / CMO (100 % remote) (m/f/d)

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

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HEALTHCARE - Competitive health benefits including HSA with employer contribution, life insurance options, and supplemental coverage options, giving you the flexibility to select the coverage that best fits your needs and lifestyle. Core States Group designs, builds, and manages programs and projects across North America and has been recognized on top lists throughout the architecture, engineering, and construction (A/E/C) industry.

Core States Group

Permitting & Regulatory Compliance Specialist II

The successful candidate will be able to show documented success as a top producer using superior clinical selling skills, while effectively managing their territory operating within all compliance and company policies and procedures, as a results-oriented salesperson, business partner and consultant. Clinical Acumen - Possesses strong clinical and disease state knowledge that enables impactful clinical selling and strong decision making, while showing a deep understanding of the market and customers patients/practice.

YEAR

Mallinckrodt LLC

Immunology Sales Specialist (Northwest) - Nephrology

At The Edelson Agency , we believe in helping families protect their financial futures while empowering our agents to grow personally, professionally, and financially. Purpose-Driven Work — Help protect families, strengthen communities, and provide peace of mind when it matters most.

The Edelson Agency

Hiring Remote Insurance Agents (Remote)

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).

Utilization Management Nurse

PART_TIME

In addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.

CorVel Healthcare Corporation

Medical Case Manager II

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

Established in 1999, Core States Group drives innovation and improves everyday life for countless people across several markets, including Convenience, Distributed Generation, Financial, Grocery, Housing, Industrial, Restaurants, Retail, Semiconductor, Zero-Emission Vehicle (ZEV) Infrastructure, and more. HEALTHCARE - Competitive health benefits including HSA with employer contribution, life insurance options, and supplemental coverage options, giving you the flexibility to select the coverage that best fits your needs and lifestyle.

Project Planner (Private Land Development)

Building skills and confidence of clients to find employment through resume creation, interview preparation, on-site job training, benefits planning, person-centered planning, assessments services, etc. As part of our ongoing commitment to a diverse, equitable, and inclusive workplace, we're invested in building teams with a wide variety of backgrounds, identities, and experiences.

<div class="paragraph"><strong><span style="color: #0098cd; font-size: x-large;">To promote the growth, development and independence of people with disabilities through programs of therapy, education and work opportunity.</span></strong></div>
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<h2 class="wsite-content-title"><strong><span style="color: #515151;">Every Step of the Way</span></strong></h2>
<div class="paragraph"><span style="font-size: medium;">We are a leader in advancing equal opportunities for children and adults with disabilities. Our services for children provide early intervention, inclusive early learning, and after school programs. Our employment services include transition services, vocational training, job placement, and supported employment.&nbsp;​</span><br /><br /><span style="font-size: medium;">We provide outsourcing solutions that meet the manufacturing and service needs of small and medium sized businesses, Fortune 500 companies, local government offices, and large federal agencies.&nbsp;​Our portfolio of&nbsp;<a href="https://www.nwcenter.org/social-enterprise.html">Social Enterprises</a>&nbsp;employ people with and without disabilities working side-by-side to offer world-class service to our customers.</span><br /><span style="font-size: small;">​</span></div>
<h2 class="wsite-content-title"><strong><span style="color: #515151;">Our History</span></strong></h2>
<div class="paragraph"><span style="font-size: medium;">Northwest Center was founded in 1965 by parents who refused to institutionalize their children with developmental disabilities or accept the prevailing notion that their children couldn't be taught. Banding together to form Northwest Center, they hired their own teachers to develop education programs targeted to special needs children.<br /><br />Our founders authored and won approval of civil rights legislation that opened the doors of Washington State schools to children with disabilities.&nbsp;<a href="https://www.nwcenter.org/our-blog/it-took-citizens-who-cared-how-northwest-center-changed-the-world">House Bill (HB) 90 &ldquo;Education for All&rdquo;</a>&nbsp;was signed into law in 1971 and served as the model for national legislation,&nbsp;<a href="https://en.wikipedia.org/wiki/Education_for_All_Handicapped_Children_Act" target="_blank" rel="noopener noreferrer">The Education for All Handicapped Children Act</a>&nbsp;of 1975.&nbsp;<span style="color: #2a2a2a;">View a&nbsp;</span><a href="https://www.nwcenter.org/history-timeline.html">timeline</a><span style="color: #2a2a2a;">&nbsp;of our history.&nbsp;</span><br /><br />In 1967, just two years after our founding, Northwest Center entered into a partnership with Value Village. We collect clothing and household donations with The Big Blue Truck&trade; and The Blue Bin. Value Village buys that merchandise to sell in its stores, and the revenue funds our inclusive education and employment programs.&nbsp;<a href="https://www.nwcenter.org/valuevillage.html">​Learn more about our 50 partnership for good.</a></span></div>

Northwest Center

Employment Support Professional

We'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.

Remote Jobs in Spokane, WA

Associate Medical Director Behavioral Health Or Utilization Management Medical Director DOE Cambia Health

Temporary Customer Service Professional I Cambia Health

Remote Care Management Nurse Cambia Health

Mortgage Protection (Remote) Spieldenner Financial Group

Appeals Clinician I Cambia Health

Associate Medical Director Cambia Health

Hybrid Remote BCBA Center for Social Dynamics

Intake Specialist (Remote) PNW

SaaS Co-Founder / CMO (100 % remote) (m/f/d) EWOR

Associate Medical Director Cambia Health Solutions Inc

Permitting & Regulatory Compliance Specialist II Core States Group

Temporary Customer Service Professional I Cambia Health Solutions Inc

Immunology Sales Specialist (Northwest) - Nephrology Mallinckrodt LLC

Hiring Remote Insurance Agents (Remote) The Edelson Agency

Utilization Management Nurse Cambia Health

Medical Case Manager II CorVel Healthcare Corporation

Behavioral Health Utilization Management Clinician Cambia Health

Project Planner (Private Land Development) Core States Group

Employment Support Professional Northwest Center

Hybrid Remote BCBA Center for Social Dynamics Inc

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