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Case manager Jobs in Everett, WA

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Case manager • everett wa

Last updated: 3 days ago

Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

MercorEverett, Washington, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Utilisation Management and Case Management leaders — including ... Show more

Manager, Field Services Manager (Onsite)

RTXEverett, WA, United States
$118,300.00 yearly
Full-time

Collins Aerospace is seeking a dedicated and experienced Field Service Supervisor to lead and coordinate a team of Field Service Technicians.This role involves overseeing technical support activiti... Show more

PATH Outreach Case Manager

BridgewaysEverett, Washington, United States
$27.65 hourly
Full-time
Quick Apply

Provides direct service with program recipients and completes administrative tasks to assist the PATH Program Manager in providing outreach and case management services to individuals experiencing ... Show more

HOUSING MANAGER

US Government JobsEverett, WA, United States
Full-time

You will serve as a Housing Manager in the Fleet and Family Readiness of Naval Station Everett. Show more

Disaster Case Manager

The Salvation ArmyMarysville, WA , US
$24.00 hourly
Full-time +1

DEPARTMENT: Emergency Disaster Services.POSITION TITLE: Disaster Case Manager.REPORTS TO: Cascade Emergency Disaster Services Director.STATUS: TEMPORARY, FULL-TIME / PART-TIME; NON-EXEMPT.This role... Show more

Manager - Case Management RN

Intermedia Group, Inc.Everett, WA, USA
Full-time

OPEN JOB: Manager - Case Management RN.The Manager RN Case Management is responsible for the daily management and organization of all activities and staff within the Case Management Department incl... Show more

Manager, Quality

Helion EnergyEverett, WA, United States
Full-time

Fusion Power Company Job Opportunity.We are a fusion power company based in Everett, WA, with the mission to build the world's first fusion power plant, enabling a future with unlimited clean elect... Show more

Case Manager RN

PRO MED Healthcare ServicesEverett, WA, US
$47.73 hourly
Full-time
Quick Apply

Schedule: Full time - Days.With a supportive leadership team and care management assistants ready to back your efforts, you'll thrive in a unionized work environment that champions professiona... Show more

Registered Nurse (RN) Case Manager Hospice

Continuum Care of WashingtonEverett, WA
Full-time

Continuum Care of Washington -.The registered nurse plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience.The professional ... Show more

Manager Care Management - Social Work - Everett, Washington, US, Full Time/Per (MK)

Central Business Solutions, IncEverett, WA, United States
$113,000.00 yearly
Full-time

The Manager Care Management is responsible for the daily management and organization of all activities and staff within the Care Management Department including care coordination, case management, ... Show more

Location Manager

CintasEverett, WA, United States
$109,251.00 yearly
Full-time

Location: Everett, WA, US, 98203.Cintas is seeking a Location Manager.The Location Manager assists with managing the location's overall operational business while completing a defined curriculum of... Show more

Manager - Case Management RN

Intermedia GroupEverett, WA, United States
Full-time

The Manager RN Case Management is responsible for the daily management and organization of all activities and staff within the Case Management Department including care coordination, case managemen... Show more

Youth Re-Engagement Specialist - Case Manager

Sea Mar Community Health CentersEverett, WA, United States
$27.08 hourly
Full-time +1

Youth Re-Engagement Specialist.Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, compre... Show more

EVNSC Case Manager

The Salvation ArmyEverett, WA , US
Full-time +1

ENSC) Everett New Start Center Case Manager.The Salvation Army is a branch of the Christian Church, and the ultimate goal of all programs is spiritual regeneration of all people.The Case Manager pr... Show more

Case Manager (CM ) RN

Nomad HealthEverett, WA, United States
Full-time

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this.Travel Case Manager (CM ) Registered Nurse :.Travel Nursing Job Assignment Le... Show more

General Manager

Arby'sMarysville, WA, United States
Full-time

General Management Opportunities.You may know us as the brand with Roast Beef and Curly Fries but we are also crafting incredible career opportunities.As a growing company, we're always looking fo... Show more

Assistant Manager

Panda Restaurant GroupLake Stevens, WA, US
$27.00 hourly
Full-time

Are You Craving A Career With An Industry Leader?.Panda Express is searching for experienced leaders to join our store management team.Panda is 100% committed to the professional and personal devel... Show more

Department Manager

Hobby Lobby StoresEverett, WA, US
$20.75 hourly
Full-time

We are currently looking to fill a full-time.Store hours are Monday through Saturday, 9 AM to 8 PM and we are CLOSED ON SUNDAY.A department manager is responsible for:.Straightening and cleaning yo... Show more

Branch Manager

All Ways Caring HomeCareEverett, WA, United States
$33.65 hourly
Full-time

The Branch Manager is accountable for the overall operation of the ResCare HomeCare or All Ways Caring Branch.The Branch Manager must manage all aspects of branch sales and service delivery to meet... Show more

General Manager

Urban Air Adventure ParksEverett, WA, United States
Full-time

Urban Air is seeking a General Manager to motivate, instill accountability, and achieve results to drive success while maintaining our fun culture! This person will provide overall leadership, visi... Show more

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Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

Remote Utilisation Management / Case Management leader (RN/Physician-advisor) - AI Trainer

MercorEverett, Washington, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Utilisation Management and Case Management leaders — including RN UM directors, case management managers, and physician advisors — to evaluate AI tools designed to enhance clinical review, medical-necessity determination, and care-coordination workflows. Your clinical and operational expertise will directly shape AI systems that improve utilisation performance, reduce unnecessary care, and support value-based care objectives. **Responsibilities** - Lead utilisation management and/or case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. - Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness. - Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations. - Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals. - Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning. - Monitor UM/CM KPIs, including avoidable days, denial rates, observation vs. inpatient conversion rates, and readmission rates. - Ensure compliance with CMS Conditions of Participation, Two-Midnight Rule, and payer-specific UM requirements. - Collaborate with revenue cycle, compliance, and clinical leadership to align UM performance with financial and quality objectives. - Annotate AI outputs and provide structured clinical feedback to support AI training datasets. **Requirements** - 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role. - Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise. - Deep knowledge of InterQual, MCG, or Milliman clinical review criteria. - Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria. - Experience managing physician advisor programs and peer-to-peer review processes with payers. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs. **Preferred Qualifications** - CPUR (Certified Professional in Utilisation Review), ACM (Accredited Case Manager), or CCM (Certified Case Manager) credential. - MD or DO with UM/physician advisor experience preferred for physician advisor roles. - Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent). - Familiarity with AI tools and comfort evaluating AI-generated clinical review content. - Background in health system, ACO, or value-based care organisation UM programs. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in utilisation management and clinical decision-support. - Opportunity to work on high-impact projects shaping the future of healthcare AI.