Brian James Email & Phone Number

Seattle, Washington, United States

Assis Transitions of Care Managers with the transition of member from an acute setting to the member's home or other appropriate next level of care. Provides support and coordination of non-clinical needs, including PCP appointments and transportation. Directs all clinical member issues to TOC Managers.

Seattle, Washington, United States

Responsible for administrative functions in processing Utilization Management (UM) organization determinations for services requiring authorization and hospital notification. Utilizes knowledge of Medicare and Medicaid guidelines in order to facilitate and comply with the UM processes in data entry of authorization requests, eligibility verification.

Greater Seattle Area

Serves as the central point of contact for care and service requests within the department. Ensures appropriate receipt and processing of referrals, hospital notifications and prior authorization request presented to the clinical teams

Provide support and services to people with disabilities in their homes and community. Work as part of a cohesive team to help clients achieve their goals and lead successful lives, provide daily documentation in relation to individual client’s support plan through a secured on-line database, responsible for client’s monthly expenditures, monthly.

Sitka, AK

Tracked and promoted youth participation in an after-school cultural program, collaborated with staff to develop cultural programming for middle through high school students, coordinate summer school programming for grade school through high school students, developed and administered fiscal budgets, administered two Federal scholarship programs, assisted.

Sitka, AK

Provided appropriate scope of dental procedures directly to patients, diagnosed and treated routine dental decay, expedited emergency triage, educated patients about oral care and preventative care, collaborated with colleague’s state wide, conducted routine oral heal instruction at the community level, utilized a computerized system to take dental x-rays.

Sitka, AK

Determine eligibility of beneficiary claims, process claims for submission and payment, processed invoices for contracted medical providers, interfaced with local, state and federal agencies to seek alternate funding sources and provided first line of communication for beneficiaries

Sitka, AK

Assisted tribal citizens with education and career advice, guided clients through individual plans, administered two Federal scholarship programs, developed and administered fiscal budgets, processed vendor’s invoices for payment, presented scholarship applications to the Education Committee for approval, processed scholarship awards for payment, amended.

Sitka, AK

Provided administrative and clerical support for the Education Department, coordinated local conference for 60 participants; arranged accommodations, meeting venues and travel through an on-line website, created a filing system for the Education Department, processed vendor’s invoices for payment

Greater Seattle Area

Transcribed prescription orders under the general supervision of a pharmacist, poured and counted prescriptions, processed insurance claims, contacted doctor’s offices for prescription refills, maintained prescription inventory control, managed the outdated drug return program for credit/reimbursement, customer service, cashier duties

Crown Hill, Seattle

Transcribed prescription orders under the direct supervision of a pharmacist, processed insurance claims, contacted doctor’s offices for prescription refills; maintained whole sale, retail and prescription inventory control, managed inventory of all outdated drugs to return to manufacturer for credit/reimbursement, provided home deliveries, customer.

Registered Medical Coder, Medical Insurance Coding Specialist/Coder

Certified Pet Groomer

Provide breed specific, pet quality grooming

Diploma Of Dental Therapy, Dentistry

Activities and Societies: New Zealand Dental Therapy Association

Pre-Pharmacy Studies

Certificate, Level A Pharmacy Assistant