- University of Washington (Seattle, WA)
- …) **UW Medical Center** has an outstanding opportunity for an **experienced Utilization Review Nurse (UM RN)** to join our ... Req #: 236354 Department: UW MEDICAL CENTER - UTILIZATION MANAGEMENT Job Location Detail: Position supports both...training + Active licensure to practice as a Registered Nurse in Washington State required by start date +… more
- Elevance Health (Seattle, WA)
- …Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management. + Partners ... information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception… more
- Fresenius Medical Center (Mount Vernon, WA)
- …while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans ... looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Molina Healthcare (Seattle, WA)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource… more
- CenterWell (Silverdale, WA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... **Become a part of our caring community and help us...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Swedish Health Services (Seattle, WA)
- …you the chance to focus on what really matters - our patients.** The nurse case manager coordinates the care and service of selected patient populations through the ... and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to… more