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Case manager Jobs in Everett, WA

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Case manager • everett wa

Last updated: 5 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

Shift Manager

Five GuysMarysville, WA, United States
Full-time

We are looking for a dedicated and skilled professional to join our team.The ideal candidate will have a strong background in [specific field] and will be responsible for [main responsibilities].Th... Show more

Leasing Manager

GablesEverett, WA, United States
$28.00 hourly
Full-time

Be proud of where you work and become part of our team by applying for your new career with Gables TODAY!.At Gables, taking care of the way you live and work is at the heart of our company culture.... 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

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

Project Manager

TerraPowerEverett, WA, United States
Permanent

TerraPower Isotopes (TPI) is seeking an experienced Project Manager to work within the TPI Project Office and carry a dual mandate: help build the Project Office itself while directly delivering th... Show more

Assistant Manager

Panera - Flynn GroupEverett, WA, United States
Full-time

Our Panera Bread cafes are upscale, friendly cafes which feature baked breads and pastries.We serve made-to-order soups, salads and sandwiches as well as specialty espresso beverages.We're known fo... 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

Manager Care Management Social Work

Veracity SolutionsEverett, WA, United States
Full-time

Manager Care Management Social Work.Location: Everett, WA Employment Type: Full-Time.Acute Care Case Management Experience.Hospital Leadership Experience.Care Management / Social Work Leadership B... 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

QA MANAGER

Kettle CuisineEverett, WA, United States
Full-time

Everett Plant - Everett, WA 98203.Manage the quality assurance team to verify that the Quality Management System is successfully executed every shift, every day.The role ensures that all materials ... 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

AccordEverett, WA, United States
Full-time

No matter what you've been told, not all restaurant companies are the same.At Taco Time we pride ourselves on being different.Taco Time NW hiring process is completely virtual.Apply, interview, and... Show more

HOUSING MANAGER

US Marine CorpsEverett, WA, United States
Full-time

You will participate in the processing of resident complaints and related investigations.You will review current expenditures and estimate projected costs.You will function as liaison with communit... Show more

Estimating Manager

SST DirectEverett, WA, US
$180,000.00 yearly
Full-time +1
Quick Apply

Relocate to Hawaii – Earn Up to a 40% Annual Bonus + Relocation Assistance!.Estimating Manager – Ship Repair & Marine Industry Direct Hire | Superior Skilled Trades 📍 Honolu... Show more

People also ask
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.