Overview:Dignity Health is one of the nation's largest health care systems. As of June 30, 2017, Dignity Health operated more than 400 care centers, including

…ability to obtain Previous experience working in RNAC role Understanding of Medicare, Managed Care and Medicaid reimbursements Knowledge of federal and state

Nurse Manager (Utilization Management) Bothell, WA Fulltime MUST have a clinical license of some kind (RN, LPN) Background in Prior Authorizations or Utilization

…and wise self- care . Current knowledge of regional preventive health issues, managed care health improvement initiatives, and a variety of health improvement

…is preferredExperience: At least five (5) years of relevant clinical experience. Acute care or managed care utilization review is preferred. Licensure,

…and resilience of our communitiesThe Jewish Board is one of New York's best- managed nonprofits. In 2016, The Jewish Board won the annual Nonprofit Excellence Awards,

…5 years of health care experience required; preferably in a managed care environment in related area of responsibility, (ie utilization management,

…Minimum of 1-2(+) years of clinical or utilization review experience, case management, managed care regulations; or any combination of education and experience,

…Quality Management experience preferred Experience using standardized clinical guidelines preferred; Milliman Care Guidelines (MCG), Managed Care and NCQA

…for depression, anxiety and other psychiatric illnesses that would ordinarily be managed in a primary care setting.Hospital/Program DescriptionThe Pavilion at