Nursing Consultation Advisor (NCA/CQCT) - Internal
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About The Position
This position is responsible for implementing and managing statewide clinical programs and policies. The clinical policies and services addressed by this position impact 1.8 million Medicaid clients. This position effectively manages clinical programs, including implementing policies and applying best practices principles in utilization management and quality of care standards that contribute to over $2 billion in federal and state Medicaid Title XIX, Titles XXI and state funds. In addition, this position applies utilization review principles, as well as evidence-based WAC criteria, the principles of WAC 182-501-0165, and makes evidence-based medical necessity determinations for client specific medical services which require prior authorization.
