- Molina Healthcare (Tacoma, WA)
- …DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level ... quality of care issues. + Assists with Complex Claim review including DRG Validation, Itemized Bill Review ,...Claim review including DRG Validation, Itemized Bill Review , Appropriate Level of Care, Inpatient Readmission, and any… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- Summary As a GEROFIT Nurse at VA Puget Sound responsibilities include conducting comprehensive exercise assessments, creating tailored exercise plans, and providing ... through effective communication and adherence to clinical guidelines. Responsibilities The Nurse GEROFIT Registered Nurse (RN) executes position responsibilities… more
- Molina Healthcare (Tacoma, WA)
- …contained in the delegation agreement. **KNOWLEDGE/SKILLS/ABILITIES** The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the… more
- Cardinal Health (Olympia, WA)
- …life-changing therapies to patients who need them-faster.** **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through ... treatments of a small number of pharmaceutical clients, the Nurse receives inbound calls from patients and schedules outbound...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Defense Health Agency (Tacoma, WA)
- **Overview** SUPERVISORY NURSE (CLINICAL/DIALYSIS) Tacoma, WA **About the Position:** This position is located within the Nephrology Service at Madigan Army Medical ... Practical Nurses, Dialysis Technicians, and administrative personnel. + Establish, review and update nursing policies and procedures, internal standing operating… more
- Virginia Mason Franciscan Health (Lakewood, WA)
- …**Franciscan Medical Group is currently seeking a full time Supervisor, Clinic Nurse , RN for our Franciscan Family Medicine Clinic in Lakewood, WA. This ... individual goals and follow-up as outlined in policies and procedures. + Review departmental supply requisitions, oversee records and reports. Track and analyze … more
- Fresenius Medical Center (Tacoma, WA)
- …back by participating in philanthropy and community outreach programs. **Staff Registered Nurse ** This is an exceptional opportunity to succeed with a premier ... the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on...Assessment physical. + Ensures completion of Annual Standing Order Review with each physician as required. **OTHER:** + Performs… more
- Molina Healthcare (Tacoma, WA)
- …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical/medical reviews of previously denied cases ... the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, or other specific program… more
- Evolent (Olympia, WA)
- …better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure notification ... decisions against criteria and policy, escalating questions to the physician reviewer , and creating letters that meet regulatory and Plain Language requirements.… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those… more
- Molina Healthcare (Tacoma, WA)
- **EMERGENCY ROOM ADMISSIONS REVIEW NURSE ** **_2 openings for 12 hour NIGHT SHIFT: 7:30PM (in the evening) - 08:30AM (in the morning) PACIFIC HOURS NON EXEMPT, 3 ... days a week will rotate._** **_TRAINING SCHEDULE WILL BE Monday thru Friday 8:30AM to 5:30PM PACIFIC throughout a 2 - 3 month training and then will move to a 3 day/12 hour shift after training is completed. Training hours are mandatory._** **_This position… more
- Molina Healthcare (Tacoma, WA)
- …job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse (RN) Program and an Associate's or Bachelor's Degree in Nursing. **OR** ... Bachelor's Degree in a social science, psychology, counseling, gerontology, public health, social work, or health related field. **OR** LVN/LPN with an additional 4 years of related experience in lieu of a Bachelor's Degree **REQUIRED EXPERIENCE/KNOWLEDGE,… more
- Molina Healthcare (Tacoma, WA)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing (RN) license in good standing. **Preferred Experience** Previous experience in hospital Acute care, ER or ICU Previous experience with InterQual… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …DUTIES AND RESPONSIBILITIES (O-3 & O-4 Billet): A physician assistant or nurse practitioner who practices in conformance with established criteria, guidelines, and ... national meetings as required. O-4 level participates in the APP Peer Review process. Performs other duties and responsibilities as assigned. DUTIES AND… more
- The Arora Group (Tacoma, WA)
- Advanced Practice Provider (NP/PA) - PT/PRN Advanced Practice Nurse Currently recruiting an Advanced Practice Provider (NP/PA) - PT/PRN in Tacoma, WA to coordinate ... required. + Participates in all required credentialing and peer review processes as required. + Facilitates and mentors APP...entity recognized by the US Department of Education. + Nurse Practitioner - Graduate from an accredited Family … more
- Immigration and Customs Enforcement (Tacoma, WA)
- …federal Advanced Practice Providers (APP) to include both Physician Assistants and/or Nurse Practitioner at IHSC sites. Provides leadership and oversight of APP ... in the credentialing and privileging processes. Oversees the APP peer review processes. Augments clinical leadership in collaboration with the clinical director.… more
- Immigration and Customs Enforcement (Tacoma, WA)
- …Advanced Practice Provider (APP), whether they are a Psych Mental Health Nurse Practitioner (PMHNP), Board Certified Psychiatric Pharmacist (BCPP), or a Psych ... and national meetings as required. Participates in the Psychiatric APP peer review process. Assists in program development, policy review and revisions,… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …management. Essential Duties: + Record medical histories, perform physical examinations, review diagnostic imaging and labs and formulate accurate diagnoses under ... on Certification of Physician Assistants or + Advanced Registered Nurse Practitioner (ARNP) + Masters of Science in Nursing...Practice + Board certification as either + Acute Care Nurse Practitioner + Adult-Geriatric Acute Care Nurse … more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …job is responsible for serving as the admissions, discharges and transfers (ADT) nurse for patients across the acute care setting in accordance with established ... notice._ **Job Functions:** **Under the direction and supervision of a Registered Nurse , performs nursing admission assessments on VMFH patients as they are admitted… more
- CenterWell (Tacoma, WA)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by Utilization ... Review staff. Upon completion of the assessment, creates and...of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's… more