• Utilization Management RN - Usfhp

    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
    Pacific Medical Centers (01/23/25)
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  • Primary Care/Women's Health PACT Registered

    Veterans Affairs, Veterans Health Administration (Tacoma, WA)
    Summary The Women's Health (PACT) Registered Nurse is responsible for influencing care outcomes by collaborating with clients and members of the ... and coaching on wellness, disease prevention, and chronic care management . Assists in directing the provision of nursing education,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (03/14/25)
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  • Registered Nurse Care Manager (90%…

    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
    University of Washington (03/04/25)
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  • Trainer - Clinical Services - Utilization

    Molina Healthcare (Tacoma, 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
    Molina Healthcare (03/13/25)
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  • RN / Registered Nurse - Outpatient…

    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 (03/11/25)
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  • RN / Registered Nurse - Outpatient…

    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
    University of Washington (12/25/24)
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  • Med-Surg Registered Nurse - RN

    Virginia Mason Franciscan Health (Tacoma, WA)
    …One year of related work experience is preferred. Current State Licensure as a Registered Nurse is required. Basic Life Support required. **Pay Range** $46.02 - ... (EBP) through standards, resources, and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients,… more
    Virginia Mason Franciscan Health (02/24/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Bonney Lake, 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
    Fresenius Medical Center (01/17/25)
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  • Delegation Oversight Nurse (Must Reside…

    Molina Healthcare (Tacoma, 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 (03/06/25)
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  • Field Family Nurse Practitioner (Tacoma,…

    Molina Healthcare (Tacoma, 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 (03/15/25)
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  • Clinical Appeals Nurse (RN): Texas and New…

    Molina Healthcare (Tacoma, 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 (02/09/25)
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  • Area Manager - Occupational Health Nurse

    Sysco (Kent, WA)
    …application + Case Management in Workers' Compensation **Licenses/Certifications:** + Licensed Registered Nurse in State of Residence. License must be active ... fit for duty through injury prevention, employee wellness, case management , and process improvement that significantly impacts EHS's bottom-line...and unencumbered. + Licensed Registered Nurse in States within the area… more
    Sysco (03/14/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Tacoma, 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 (01/25/25)
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  • Manager, Healthcare Services (Remote)

    Molina Healthcare (Tacoma, 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 (03/07/25)
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  • Manager, HCS Clinical Policy - Medicare (Remote)

    Molina Healthcare (Tacoma, 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
    Molina Healthcare (02/14/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Tacoma, WA)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (02/01/25)
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  • RN Clinical Manager Home Health

    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
    CenterWell (01/11/25)
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  • RN Medical Surgical Telemetry

    Virginia Mason Franciscan Health (Tacoma, WA)
    …PNW. We look forward to you joining our St Joseph family! **Responsibilities** **Role:** Registered Nurse jobs are responsible for providing a wide variety of ... One year of related work experience is preferred Current State Licensure as a Registered Nurse is required Basic Life Support and Advanced Cardiac Life Support… more
    Virginia Mason Franciscan Health (02/25/25)
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  • RN PCU

    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 (02/06/25)
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  • Care Coordinator RN

    Virginia Mason Franciscan Health (Federal Way, 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
    Virginia Mason Franciscan Health (03/09/25)
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