- Providence (Everett, WA)
- …in consultation with the Human Resources leader. + Upon hire: Washington Registered Nurse License + Experience as an RN in an acute care setting within ... years, OR recent Utilization Management experience **Preferred Qualifications:** + Utilization review or case management experience + Experience with… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary Registered Nurse ( RN ) Utilization Management (UM) delivers knowledge-based care to clients while developing technical skills. Assesses, plans, ... The Nurse Utilization Management (UM) Registered Nurse ( RN ) is responsible...care Bachelor of Science in Nursing Case Management Experience Utilization Management/ Review experience Physical Requirements: Heavy lifting… more
- Molina Healthcare (Seattle, WA)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Seattle, WA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Whidbey General Hospital (Coupeville, WA)
- …background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an ... an RN + Minimum of two years current experience as an RN in utilization review , case management and/or discharge planning in a hospital inpatient acute… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …Nursing field in lieu of 1 year experience. + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 months of ... located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing… more
- Virginia Mason Franciscan Health (Burien, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required… more
- CenterWell (Seattle, WA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …as directed by supervisors. Duties include but not limited to: Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... of Science in Nursing Minimum of 1-2 years experience as registered nurse Previous acute care experience Experience administering chemotherapy/biotherapy… more
- Molina Healthcare (Seattle, WA)
- …abuse through the identification of aberrant coding and/or billing patterns through utilization review . * Incorporate leadership and communication skills to work ... care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED… more
- Seattle Children's (Seattle, WA)
- …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management or ... in a clinical setting **Required Credentials** Current Washington State RN license. National certification in case management must be...utilization review leadership experience **Compensation Range** $115,277.00 - $172,915.00 per… more
- Houston Methodist (Seattle, WA)
- …- One year of clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact ... an acute care hospital setting is required; coding and utilization review experience preferred + For Medical...State Licensure within 60 days **OR** + RN -Temp - Registered Nurse -… 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 ... **Description** **Care Manager RN @ Swedish Ballard** **Full Time 1 FTE**...focus on what really matters - our patients.** The nurse case manager coordinates the care and service of… more
- Molina Healthcare (Seattle, WA)
- …License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization Management Certification ... _This position requires an actively licensed Registered Nurse_ **JOB DESCRIPTION** **Job Summary** The mission of Clinical Operations is to drive value through an… more
- Elevance Health (Seattle, WA)
- …hour commute of an Elevance Health Office The Wound Care UM RN is responsible for performing pre-certification certification and/or authorization activities for Home ... care for wound care. + Promotes healing and decrease home care utilization . + Responsible for certification determinations and sending written authorizations to… more
- University of Washington (Seattle, WA)
- …to finish working closely with the CTO Regulatory coordinators to manage, review , and initiate trials to ensure competitive activation and enrollment timelines + ... managing business operations (including financial and related information systems), utilization management and productivity for the Ambulatory Research and Clinical… more