• RN - Utilization Review

    Providence (Olympia, WA)
    **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years Nursing...Nursing Or + Associate's Degree Nursing + 3 years Utilization Review , Care Management, Quality Management, and/or… more
    Providence (09/06/24)
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  • Utilization Review Clinician…

    Centene Corporation (Olympia, WA)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (09/09/24)
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  • RN Bill Review

    Sedgwick (Olympia, WA)
    …and consult review ; and two (2) years of experience in daily application of nurse auditing, utilization review and bill review . **Skills & ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and professional… more
    Sedgwick (09/13/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Fircrest, WA)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (08/11/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Olympia, WA)
    …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred ... looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license...in a career at Lincoln, we encourage you to review our current openings and apply on our website.… more
    Lincoln Financial Group (08/24/24)
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  • Care Manager Behavioral Health (Remote)

    Highmark Health (Olympia, WA)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of health… more
    Highmark Health (09/10/24)
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  • Clinical Program Manager, Content Operations

    HealthEdge Software Inc (Olympia, WA)
    …both clinical outcomes and the member experience. **What you bring:** + ** RN /NP/MSN** with **10+ years of health care experience** **required** ; ideally with ... Effectively communicate to client our best practices for clinical program utilization , product functionality and customizations through the development of clinical… more
    HealthEdge Software Inc (09/14/24)
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