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American Traveler is seeking a travel nurse RN Cardiology for a travel nursing job in Seattle, Washington. Job Description & Requirements • Specialty: Cardiology, • Discipline: RN, • Start Date: ASAP, • Duration: 13 weeks, • 40 hours per week, • Shift: 8 hours, days, • Work in an outpatient cardiac device clinic with peri-operative management for inpatients, • Patient population includes adults and geriatrics with cardiac devices, • Common devices managed include Boston Scientific, Medtronic, Abbott, and Biotronik, • Typical schedule is Monday through Friday with staggered 8-hour shifts between 6:30 AM and 5:00 PM, • No weekends or holiday shifts required, • Expected to cover both inpatient and outpatient settings within the facility, but not offsite satellite locations, • EMR systems used: Cerner and Contado (Device Management System); training provided if unfamiliar, • Clinic support includes two EP physicians and three EP APPs, with permanent staff always available to support travelers, • Primary duties include device management, post-operative wound checks, remote monitoring of cardiac devices, and coordination with a multi-disciplinary team, • Orientation includes general onboarding, EMR training, and up to five days with a preceptor depending on competency, • Royal blue scrubs required, • Supportive environment with approachable physicians, APPs, and device representatives onsite\n \n Requirements\n, • Active WA or compact RN license required at the time of consideration; pending licenses are not accepted, • Minimum of 2 years of recent RN experience, • Current BLS (AHA) certification required, • Must have Certified Cardiac Device Specialist (CCDS) certification, • Certified Electrophysiology Specialist (CEPS) certification preferred, • Experience in post-implant wound management highly desirable, • Two professional references required: one supervisor from the last 12 months and one peer or supervisor from the last three years, including employment dates and rehire eligibility, • Copy of driver's license required for consideration\n Benefits\n, • High Pay and Bonuses, • Medical, Dental and Vision Insurance with Day 1 Options, • 401(k) Plan, • Weekly Payroll Deposit, • Free Online CEUs, • Generous Housing Allowance, • Travel and Licensure Reimbursements, • Non-taxed Per Diem and Subsidy With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career.

American Traveler is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Seattle, Washington. Job Description & Requirements • Specialty: PCU - Progressive Care Unit, • Discipline: RN, • Start Date: ASAP, • Duration: 13 weeks, • 36 hours per week, • Shift: 12 hours, nights, • Work in the Telemetry/Progressive Care Unit Float Pool within an acute care hospital setting, • Float among observation, med-surg, general surgery, ortho surgery, short stay surgery, thoracic surgery, neurosurgery, oncology, telemetry, and progressive care units, • Care for med-surg and post-op surgical patients as well as PCU-level patients with strokes, CHF, post vascular procedures, arrhythmias, DKA, and those with lines, drains, and chest tubes, • Nurse to patient ratios are 4-5:1 on med-surg and 3:1 on progressive care, • Night shifts with weekend coverage as needed, including possible consecutive weekends, • First to float within facilities in Region I as required, • Remote cardiac monitoring present, RNs required to read telemetry strips, • Uses Cerner EMR, • RNs will perform patient care duties in various hospital units based on staffing needs, • Self-scheduling is permitted, but block scheduling is not available, • General hospital orientation, online learning modules, Cerner validation, and unit-specific orientation provided, • Royal blue scrubs required, • Charge nurse does not typically take a patient assignment, • Nurse aides are available with a 10:1 ratio, • No on-call requirement, • Holiday coverage may be required depending on staffing, • Returning candidates must not have been employed by CommonSpirit, CHI, or Dignity within the past year\n \n Requirements\n, • Active WA or compact RN license required at time of consideration, • Minimum 2 years of acute care experience with med-surg and stepdown/PCU background, • Current BLS and ACLS certifications required, • Experience titrating drips such as heparin, nicardipine, nitroglycerin, insulin, and cardizem recommended, • Ability to operate CPAP and BiPAP equipment when needed, • Must provide 2 professional references: one supervisor reference from the past 12 months, and one peer or supervisor reference from the past 3 years, • Copy of driver’s license required for consideration\n Benefits\n, • High Pay and Bonuses, • Medical, Dental and Vision Insurance with Day 1 Options, • 401(k) Plan, • Weekly Payroll Deposit, • Free Online CEUs, • Generous Housing Allowance, • Travel and Licensure Reimbursements, • Non-taxed Per Diem and Subsidy With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career.

What You’ll Do** - Write and refine prompts to guide model behavior in healthcare scenarios - Evaluate LLM-generated responses to healthcare-related queries for accuracy, reasoning, clarity, and completeness - Conduct fact-checking of all medical and healthcare claims using trusted pub

Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. Molina Healthcare is an Equal Opportunity Employer (

Job Description Overview Operations Management focuses on efficiently meeting the needs of our clients across various lines of business. If your passion is managing and developing staff to ensure quality care to help our clients live their best life we encourage you to apply today! The Client Success Manager, Senior Living cultivates and maintains an on-going strategic relationship with their clients. They are responsible for the ensuring customer satisfaction with pharmacy services, issue resolution and overall retention of their clients. This position requires entails 60-75% travel in and around the Seattle, WA area. Ideal location to reside is within commuting distance to that location to enable home officing 25% of the time. In order to meet the needs of our Clients and PharMerica standards, this position cannot be performed fully remote. Required: 3 or more years’ experience in client management (customer service) or sales in Long-Term Care. We offer: DailyPay Flexible schedules Competitive pay Shift differential Health, dental, vision and life insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Results Driven (unlimited) Time Off Tuition reimbursement Non-retail/Closed-door environment Annual Incentive Bonus Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today! This position will be posted for a minimumof 8 days Responsibilities • Works with the Director, Senior Living Account Management in developing strategies that result in retention of assigned PharMerica Clients, • Works with the Senior Living team to manage PharMerica’s Clients and customers., • Conducts and documents meetings with assigned clients, • Works directly with key PharMerica teams to deliver on client commitments and to meet service-level agreements., • Owns client issue escalation and resolution process., • Prepares for and participates in a client review process to include maintaining documents for such review., • Documents Client retention, upselling activities, and interactions, in PharMerica’s designated CRM platform, • Owns proving insight and recommendations on pricing negotiation and contract renewals., • Works with other disciplines (billing, credit/collections, contracting, and marketing) to assure that corporate billing, and receivable standards are achieved., • Prepares quarterly business review materials and client engagement call materials as assigned., • Conducts routine client-facing training for PMC products, tools and resources., • Provides educational materials to facilitate compliance with PMC procedures, tools and resources., • Supports solution selling or up-selling of PharMerica products and services., • Ensures an overall positive experience for the assigned client base., • Works collaboratively with clients and key PharMerica management to implement various corporate initiatives, implement PharMerica products/services/tools, and oversee new facility start-ups/transitions., • Compiles Client reports and assists with CRM data management and issue resolution management., • Attend PharMerica corporate/networking events and conferences, as needed., • Mentor other associates as needed or required, • 60-70% Travel Required, • Performs other tasks as assigned., • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards., • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Each essential function is required, although reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Qualifications • Education/Learning Experience, • Required: Bachelor’s Degree in business or related field, • Desired: MBA, • Work Experience, • Required: 3 or more years’ experience in client management or sales in Long-Term Care or related industries, • Desired: previous experience in a client management, customer service, or client support role; previous experience in a client support role within a healthcare setting or other business-to-business setting., • Preferred: Licensed pharmacy technician, RN, LPN preferred, • Skills/Knowledge, • Required: Ability to present to all levels of management; excellent time-management skills; basic computer skills; advanced Microsoft Office proficiency; outstanding problem solving skills; experience in root cause analysis; able to collaborate cross-functionally; experience working within a team, • Desired: SalesForce and Axiom experience; previous experience in a project management and client-facing customer service role; strong background in administrative management with the ability to manage multiple priorities and deadlines at once; strong experience in business writing

Job Description This position is remote. We are targeting an individual who lives in the Seattle area and is knowledgeable of the area and its available resources. This is essential in being able to assist our Medicare and Dual Plan members by providing education coordination with care teams and connecting to community-based resources. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities., • Become an anti-racist organization Responsible for the operational delivery of the plan’s case management and coordination programs and processes. Provides case management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness, and/or highly complex medical/behavioral and social conditions. The goal is to improve members' quality of life and ensure cost-effective outcomes by using internal and community-based resources. To be successful in this role, you: • Have a Bachelor’s degree in nursing, or a master’s degree in social work and/or related behavior health field (preferred), • Possess Current, unrestricted license in the State of Washington as a registered nurse (RN) (required) OR, • Current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required), OR, • Current, unrestricted license in the State of Washington as a Mental Health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required), • Have a minimum of one (1) year case management, home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR, • Have a minimum of one (1) year facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse/substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families. Experience with those who have disabilities and knowledge of Child and Families Services, • Have a minimum three (3) years of clinical experience in an acute care and/or outpatient setting (required), • Experience and proficiency with Microsoft Office products, • Possess a Case Management Certification (preferred) The Case Manager I is responsible for performing telephonic case management for members with acute, chronic, and complex needs. Examples listed below are not necessarily exhaustive and may be revised by the employer. • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions., • Works within a multi-functional team to connect with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes., • Assesses, evaluates, plans, implements, and documents care of members within the organization’s clinical database system, in accordance with organizational policies and procedures., • Responsible for the assessment of members, including identifying and coordinating access to the appropriate level of care and treatment. Uses the assessment information to assign the appropriate risk and complexity level, and create and document a care plan in coordination with the member, family and health team input., • Initiates a plan of care based on member-specific needs, assessment data and the medical/behavioral plan of care. Goals for members are measurable and developed in conjunction with the patient/family to improve quality of life., • Plans care in collaboration with members of the multidisciplinary team, and considers the physical, behavioral, cultural, psychosocial, spiritual, age specific and educational needs of the member in the plan of care., • Reviews and revises the plan of care with the interdisciplinary care team to reflect changing member needs based on evaluation of the members’ status, and/or as a result of reassessment., • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided. Engages community resources where applicable., • Conducts interdisciplinary care team meetings with the member/family to assess care plan and recommend adjustments as indicated., • Continuously evaluate members’ progress towards goals, identify potential barriers to attaining goals and expected outcomes in collaboration with other health care team members., • Documents all case activity using the CHPW care management system and follows documentation standards and protocols., • Collaborates with the Transition of Care (TOC) team if a member is hospitalized., • Serves as a liaison at various local and statewide meetings and/or workgroups and provides clinical support to providers’ network to enhance integrated care coordination., • Assesses barriers to care and assist members and health care team to address concerns., • Implements developed workflow activities and activities for designated programs., • Conduct member case management in the field at Provider(s) office, member’s home, inpatient medical or psychiatric hospitals, skilled nursing facilities, adult family homes, or in a community setting., • Attend member appointments or care conferences in collaboration with the members care team when indicated., • This position may requires traveling on behalf of the Company and working in the field. It is essential that a current driver’s license, proof of insurance and an acceptable driving record are maintained., • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards., • Managed care (Medicaid and/or Medicare) experience, • Previous experience using Care Management software applications, • Knowledge of, and experience with, community resources preferred, • Knowledge of Medicare and Medicaid regulations, • Experience in care management workflow systems, • Effective verbal and written communication skills, • Effective organizational, time management, and project management skills, • Ability to work independently, • Comfortable presenting in a group setting, • Perform all functions of the job with accuracy, attention to detail and within established timeframes. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency, • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • 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 Sensory*: • Extended periods of sitting, computer use, talking, and possibly standing Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

Job DescriptionAbout Rowan: At Rowan, we are all about making ear piercing experiences a celebration full of joy! Rowan is an innovative ear-piercing and hypoallergenic jewelry brand that brings safety to the forefront with our team of licensed nurses – and celebration to every customer with our joyful approach to piercings and jewelry. Our priority is to offer a fun, celebratory, and safe ear piercing experience for everyone. When we say piercing for all, we mean it. Everybody is invited to this ear party! About This Role: • The Clinical Studio Manager (CSM) pierces, oversees the daily operations of our ear piercing studio, ensuring the highest level of customer service, and maintaining a clean, safe, and welcoming environment. The ideal Clinical Studio Manager candidate will be a strong Rowan Nurse with a passion for retail, a commitment to safety and customer satisfaction, and an ability to drive sales and manage a team effectively. We are looking for an enthusiastic, customer-obsessed Clinical Studio Manager to join our team and oversee our Bellevue Square studio location.Key Responsibilities: Piercing: • Create magical and memorable customer experiences by combining top-notch clinical care with a celebratory atmosphere during each piercing session., • Ensure customer's safety and comfort and smooth flow of customer care., • Provide confident, clear, and professional communication with clients throughout their entire piercing experience., • Educate customers on aftercare, promoting Rowan's After Care to support healing and ensure their well-being., • Conduct a thorough ear evaluation to find the perfect earring placement and offer personalized styling advice., • Maintain a sterile and aseptic environment at the nurse station and on the procedure tray, ensuring all surfaces, instruments, and supplies are clean and properly sanitized to prevent contamination and promote customer safety., • Use your expert knowledge of skin care and infection control and prevention to provide professional and personalized piercing services. Customer Experience:, • Create a warm, welcoming, celebratory atmosphere, greet and engage with customers., • Customer-obsessed, working on the selling floor shoulder to shoulder with your teams, leading by example and delivering celebratory customer service, ensuring every customer enjoys a joyful and memorable ear piercing experience., • Help customers and their friends and family choose and style their ears with Rowan jewelry., • Handle customer inquiries, concerns, and complaints with professionalism and a focus on customer satisfaction., • Maintain a clean, welcoming, and safe studio environment at all times., • Engage with the local community to drive brand awareness, traffic and appointments., • Create a comforting atmosphere for customers, easing their concerns to ensure a relaxed and confident piercing experience., • Actively monitor the customer experience, quickly addressing and resolving any issues to maintain Rowan's clinical piercing standards.Leadership + Team Management:, • Lead, coach, and develop a team of studio staff, including Nurse Piercers and Sales Associates, to ensure consistent delivery of exceptional customer service and adherence to Rowan’s Clinical Safety standards and protocols., • Accountable for meeting Studio targets and overall performance, driving revenue growth and creating a performance-oriented culture by setting clear expectations and targets for the Studio team., • Foster a positive and inclusive team culture that reflects Rowan’s values and mission, bringing out the best in the Studio team and helping all team members meet and exceed their goals., • Schedule staff in partnership with District Manager within labor allocations to ensure optimal coverage while achieving payroll plans and audit for payroll accuracy, Manage time-off requests, and handle any staffing issues as they arise., • Recruit for open studio positions.Operations + Sales:, • Oversee all aspects inventory management, prioritizing Studio compliance to policies and standard operating procedures, while ensuring inventory control through POS accuracy and loss prevention measures., • Meet or exceed individual and Studio sales targets and performance metrics, including average order value, revenue to target, and increasing LTV by effectively communicating the value of Rowan’s services and products to customers, converting piercing customers to non piercing jewelry customers, and coaching and helping team members achieve their targets as well., • Drive sales and profitability by meeting or exceeding targets through optimized appointments, inventory sell-through, and ensuring proper daily team coverage to meet customer demand., • Ensure all visual merchandising standards are met and that product presentation, displays and fixtures are reflective of brand guidelines and standards., • Ensure compliance with all health and safety regulations, particularly regarding ear piercing procedures., • Ensure the studio and selling floor are neat, clean, organized, and reflects the brand image at all times., • Ensure all piercing stations, including the nurse cart, mayo stand, and nurse nook, are always stocked with the necessary supplies and ready for any customer needs., • Ensure the safety and cleanliness of our services by sterilizing jewelry and needle piercing instruments.Training + Development:, • Mentor and train new nurses to uphold Rowan's Clinical Piercing Standards, including shadowing piercing services and observing customer interactions., • Train and onboard new staff members, ensuring they understand Rowan’s procedures, safety protocols, customer experience standards and product knowledge., • Leverage coaching and feedback to continually develop a diverse Studio team., • Provide ongoing training and development opportunities to staff to enhance their skills and knowledge.Administrative Duties:, • Prepare and submit reports on studio performance, including sales, customer feedback, and operational opportunities., • Ensure studio budgets, track expenses, and financial targets are met., • Coordinate with corporate teams on marketing initiatives, product launches, and other company-wide activities.What You Offer:, • Required Certifications: Active RN or LPN/LVN License., • Proven experience in a retail management role for 3-5 years, preferably in a similar service-oriented environment. Jewelry experience a plus., • Proven strong leadership skills with the ability to inspire, motivate and develop a team., • Customer-obsessed, you love being on a selling floor with your team leading by example and delivering exceptional, memorable customer experiences., • Proven track record of driving sales and optimizing store profitability., • Excellent customer service skills with a passion for creating memorable experiences., • Ability to work a flexible schedule, including weekends and holidays., • Thrives in a fast-paced environment, able to adapt to multiple priorities while ensuring daily expected standards and financial goals are met., • Comfortable using technology, software systems and POS., • Deep understanding of retail operations, including inventory management and visual merchandising., • Strong organizational and multitasking abilities., • Knowledge of health and safety regulations, particularly related to piercing, is a plus., • Excellent verbal and written communication skills., • Proficient working in Google Suite (Calendar, Gmail, Sheets, and Documents)., • Analytical skills, including basic retail math, calculating inventory on-hands, tracking sales., • The role involves tasks that may include climbing ladders, bending, lifting, pushing, and reaching above and below the waist. The ability to lift up to 25 pounds is required., • Standing for a full 8-hour shift is a regular part of this role., • We are committed to providing reasonable accommodations to enable individuals with disabilities to perform the essential functions of this job, provided that these accommodations do not create undue hardship for the company, impede job performance, or pose safety concerns., • Full-time schedule: 5 full days per week., • Weekend availability: 3 weekends per month.Benefits + Perks:, • Annual Base Salary between $75,000 - $80,000. This role is eligible for the Studio Manager Monthly bonus program as well as earned tips!, • Paid accrued Vacation and Sick Time for full-time employees., • Medical/Dental/Vision Health Plans for full time employees., • Employee Assistance Program (EAP) Resources., • 401k and Roth IRA Plans., • Generous employee discounts on our amazing products and services!

Job Description MDS Coordinator (RN) Status: Full-Time Wage: $50 - $63/hour - depending on experience Location: Avamere Rehab of Burien - 1031 SW 130th St, Burien 98146 Apply at Teamavamere.com This is not a remote or hybrid position At Avamere, we believe in taking care of our employees. We offer a comprehensive benefits package that includes: • Health Insurance: Comprehensive medical, dental, and vision plans. Low individual and family deductible., • 401 (k) Plan: After 90 days of employment, with matching program., • Paid Time Off (PTO): Accrue up to 4 weeks PTO per year, 6 holidays and accrued sick leave., • EAP Canopy with unlimited telehealth mental health visits., • Continuing Education and Higher Education Reimbursement., • Generous employee referral bonus program., • Flexible Spending Accounts & CERA: Medical FSA, Dependent Care FSA and CERA (Commuter Expense Reimbursement Account)., • Professional Development: Opportunities for growth and development within the company. Responsibilities: • Review patient care plans for appropriate goals, problems, approaches, and revisions based on nursing needs., • Ensure all personnel involved in providing care to the patients are aware of their care plans., • Schedule and facilitate care plan conferences., • Monitor and guide the completion of PPS and OBRA assessments., • Manage the Utilization Review (UR) process., • Oversee MAR’s treatment, flow sheets and physician's orders., • Must possess a nursing degree from an accredited college or university., • Must possess a current, unencumbered, active license to practice as an RN in this state., • MDS Certification preferred., • Knowledgeable and experienced in the RAI process, CAAs, RUG categories and MDS 3.0., • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to nursing care facilities., • Must chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident and resident’s response to care., • Experience with Electronic Medical Records and computer documentation systems., • Maintain confidentiality of all resident care information in accordance with HIPAA guidelines., • Must speak, read, and write English fluently #clinical95

Job Description This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the Spokane region (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties). Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities., • Become an anti-racist organization This position works under the general direction of the Supervisor of Care Management and is responsible for the plan’s regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: • Possess a Bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field (required)., • Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR, • Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR, • Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required), • Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR, • Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families., • Have experience with those who have disabilities and knowledge of Child and Families Services., • Have a minimum three (3) years of clinical experience and/or outpatient setting (required)., • Have a case management certification., • Are bilingual., • Have experience in managed care (Medicaid/HCA)., • Have previous experience in using Care Management software applications., • Have knowledge of, and experience with, community resources., • Engages with members, providers and agencies in the assigned region to support field care management services., • Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program., • Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services.Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location., • Assesses, evaluates, plans, implements, and documents the care of members within the organizations’ clinical database system in accordance with organizational policies and procedures., • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided., • Evaluates members’ progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team., • Works within the multi-interdisciplinary care team that collaborates with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes., • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions., • Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned, • Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed., • Participates in clinical case review with internal interdisciplinary team at Care Management Rounds., • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards., • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion., • Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA., • Knowledge of and experience with community and other resources, • Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data, • Organizational, time management, and project management skills, • Ability to handle multiple priorities, • Ability to multi-task and deal with complex assignments on a frequent basis, • Proficiency and experience with Microsoft Office products, • Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers, • Ability to work independently, • Perform all functions of the job with accuracy, attention to detail and within established timeframes. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency, • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. At this time, we are offering a $3,000.00 sign-on bonus for this opening. CHPW offers the following benefits for Full and Part-time employees and their dependents: • 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 Sensory*: • Extended periods of sitting, computer use, talking, and possibly standing Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Job Description This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities. This position works under the general direction of the Supervisor of Care Management and is responsible for the plan’s regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: • Possess a Bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field (required)., • Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR, • Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR, • Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required), • Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR, • Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families., • Have experience with those who have disabilities and knowledge of Child and Families Services., • Have a minimum three (3) years of clinical experience and/or outpatient setting (required)., • Have a case management certification., • Are bilingual., • Have experience in managed care (Medicaid/HCA)., • Have previous experience in using Care Management software applications., • Have knowledge of, and experience with, community resources., • Engages with members, providers and agencies in the assigned region to support field care management services., • Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program., • Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location., • Assesses, evaluates, plans, implements, and documents the care of members within the organizations’ clinical database system in accordance with organizational policies and procedures., • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided., • Evaluates members’ progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team., • Works within the multi-interdisciplinary care team that collaborates with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes., • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions., • Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned, • Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed., • Participates in clinical case review with internal interdisciplinary team at Care Management Rounds., • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards., • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion., • Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA., • Knowledge of and experience with community and other resources, • Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data, • Organizational, time management, and project management skills, • Ability to handle multiple priorities, • Ability to multi-task and deal with complex assignments on a frequent basis, • Proficiency and experience with Microsoft Office products, • Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers, • Ability to work independently, • Perform all functions of the job with accuracy, attention to detail and within established timeframes. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency, • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • 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 Sensory*: • Extended periods of sitting, computer use, talking, and possibly standing Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Job Description This position is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities. The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient’s condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient, the patient’s family, co-workers, and internal and external customers to achieve optimal patient outcomes. Ensures members have timely access to care and supports during transitions between levels of care. Understands and effectively communicates requirements and follows Community Health Plan of Washington (CHPW) policies and procedures. To be successful in this role, you: • Have a bachelor’s degree in a relevant field or an equivalent combination of education and highly relevant experience., • Have a current, unrestricted license as an RN or LPN., • Have at least two years clinical experience in either a physical health or behavioral health setting., • Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health plan policies., • Collaborate with facilities to perform discharge planning., • Provide coordination support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides support to ensure necessary services are available during the transition period., • Collaborates with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes., • Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care in accordance with the patient’s medical needs., • Identify potentially unnecessary services and/or delivery settings and recommends appropriate alternatives., • Identifies and determines medical necessity of out of network (OON) requests for services., • Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing care., • Delivers timely written notification to patient or family members and communicates with members of the health care team., • Prepare cases that do not meet medical necessity or criteria for medical director review., • Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review., • Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of decertification and appeals., • Using established screening tools, identify candidates and recommend enrollment into care management and disease management programs., • Identify quality of care issues and report for investigation per CHPW's policy., • Participates as part of the care management team; works collaboratively with all department staff., • Reporting to work on time and for all scheduled shifts is essential to this position., • Ability to effectively manage and maintain quality standards for high volume of authorization., • Ability to work independently., • Effective written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers., • Knowledge in criteria set, including MCG, InterQual, ASAM, and LOCUS preferred., • Ability to multi-task and deal with complex assignments with competing priorities on a frequent basis., • Perform all functions of the job with accuracy, attention to detail and within established timeframes., • Effective analytical skills and the ability to interpret, evaluate and formulate action plans based upon data., • Experience in care management workflow systems., • Flexibility and willingness to work in a matrix-management environment., • Demonstrated organizational, time management, and project management skills., • Demonstrated proficiency and experience with Microsoft Office products., • Ability to present in a group setting., • Willingness to be part of a collaborative and dynamic clinical development team. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency., • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Non-Exempt and is eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • 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 Sensory*: • Extended periods of sitting, computer use, talking and possibly standing, • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion, • Frequent torso/back static position; occasional stooping, bending, and twisting. Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

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