UM Specialist III-RN Job in Bothell 98011, Washington US
POSITION SUMMARY Responsible for coordination of daily UM functions in accordance with Molina Healthcare of WA policies and procedures. Coordinates decisions for all services requiring a medical necessity review including: inpatient and outpatient hospital services, diagnostic testing, equipment, home health care, and high cost injectable drugs. Assists Medical Directors with appeal evaluations when needed. Functions as a clinical resource for other non-licensed UM staff. Interacts with the Medical Directors, Molina staff and providers in a professional manner to ensure Read more […]
November 9, 2010
• Tags: UM Specialist III-RN Job in Bothell 98011, Washington Us • Posted in: General • Comments Off on UM Specialist III-RN Job in Bothell 98011, Washington US