- 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 (Bellevue, 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
- Molina Healthcare (Bellevue, 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 (Bellevue, 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 (Bellevue, 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 (Bellevue, 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 (Bellevue, 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
- 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
- Molina Healthcare (Bellevue, WA)
- …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....years in one or more of the following areas: utilization management , case management , care… more
- Molina Healthcare (Bellevue, WA)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... requests for transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be… more
- Virginia Mason Franciscan Health (Burien, WA)
- …appropriate tasks. + This position is responsible for serving as the primary Registered Nurse delivering care to post-partum women and normal newborns who ... available standards resources and data and in the efficient utilization of staff/resources. + Work involves continuous contact with...of Mother/Baby Education program. + Current licensure as a Registered Nurse issued by the Washington State… more
- Molina Healthcare (Bellevue, WA)
- …on business need (up to 25%) **Job Qualifications** * Active and unrestricted Registered Nurse (RN) license or independent behavioral health license (LCSW, LPC, ... **Job Description** Looking for a Registrared Nurse or Licensed Social worker to support HealthPlans...experience in health care * Understanding of clinical operations: utilization management , case management , etc.… more
- Virginia Mason Franciscan Health (Burien, WA)
- …acute care RN work experience preferred. **Licensure/Certification:** + Current licensure as a Registered Nurse by the Washington State Board of Nursing. + ... available standards, resources and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients,… more