- Pacific Medical Centers (Renton, WA)
- … Nurse License. + 5 years Clinical experience. + Utilization review/case management . **Preferred Qualifications:** + Bachelor's Degree in Nursing ... to assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the entire… more
- University of Washington (Seattle, WA)
- …Medicine** **UW Medicine Primary Care at Shoreline** has a unique opportunity for a ** Registered Nurse Care Manager!** **WORK SCHEDULE** + Part-time, 90% FTE (36 ... the patients and employees we serve + Opportunity to provide career growthThe ** Registered Nurse Care Manager** supports the growth of our patient population,… more
- Molina Healthcare (Seattle, WA)
- …Responsible for the development, implementation, and delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. Leads ... Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's...+ 2 or more years in case, disease or utilization management ; managed care; or medical/behavioral health… more
- University of Washington (Seattle, WA)
- …UW Medicine** **Harborview Medical Center** has an outstanding opportunity for a ** Registered Nurse (RN)** to join our **Outpatient Specialized Treatment for ... 6 team members: a program director/family education specialist, therapist, psychiatrist, registered nurse , supportive employment and education specialist, and a… more
- University of Washington (Seattle, WA)
- …UW Medicine** **Harborview Medical Center** has an outstanding opportunity for a ** Registered Nurse (RN)** to join our **Outpatient Behavioral Health Clinic** ... include crisis intervention, psychiatric evaluation, psychotherapy, group treatment, case management , and geriatric psychiatry services, as well as treatment for… more
- Fresenius Medical Center (Renton, WA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Molina Healthcare (Seattle, WA)
- … Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program or a bachelor's degree in Nursing. **Preferred ... contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM… more
- Molina Healthcare (Seattle, WA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Molina Healthcare (Seattle, WA)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- Molina Healthcare (Seattle, WA)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review. + Minimum two years of experience in… more
- Molina Healthcare (Seattle, WA)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational… more
- Molina Healthcare (Bellevue, WA)
- …integrated) performing one or more of the following activities: utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.). ... identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational… more
- Swedish Health Services (Seattle, WA)
- …by Swedish beyond three years is contingent upon attaining the BSN degree. + Washington Registered Nurse License upon hire. + 3 years of Registered nursing ... focus on what really matters - our patients.** The nurse case manager coordinates the care and service of...Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization … more
- Swedish Health Services (Seattle, WA)
- …beyond three years is contingent upon attaining the BSN degree. + Upon hire: Washington Registered Nurse License + 3 years registered nursing experience in ... focus on what really matters - our patients.** The nurse case manager coordinates the care and service of...Acts as resource and provides oversight for the Case Management Associate for discharge planning and utilization … more
- CenterWell (Seattle, WA)
- …+ Diploma, Associate or Bachelor Degree in Nursing + Current and unrestricted Registered Nurse licensure (in the state of practice) + Minimum of ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...two years as a Registered Nurse + Current CPR certification +… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Pharmacy, Public Health, Epidemiology, Biostatistics, Genetics, Health Technology). **(Required)** + Registered Nurse , Physician's Assistant, or Nurse ... **(Required)** + Four (4) years of health plan experience in utilization management to include any of the following: pre-service review, post services… more
- Providence (Everett, WA)
- **Description** The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric care management services for at risk ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation… more
- Virginia Mason Franciscan Health (Burien, WA)
- …**Job Requirements** + We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, and ... or the critical care residency program **License/Certification** + Current licensure as a Registered Nurse issued by the Washington State Board of Nursing… more
- Virginia Mason Franciscan Health (Burien, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... of nursing experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington (RN-WA). + BLS required… more
- Pacific Medical Centers (Seattle, WA)
- … Nurse License. + 5 years Clinical experience. + Utilization review/case management . **Preferred Qualifications:** + Bachelor's Degree Nursing. + ... Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case...outpatient. This position assists physicians (internal and external) with management and coordination of care. May work at varied… more