- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse ...Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management , Quality ... a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination.… more
- Highmark Health (Olympia, WA)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Providence (Olympia, WA)
- …the best people, we must empower them. **Required qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of Acute care hospital or ... hire Care Manager Certification + 1 year of Care management , discharge planning, or utilization management...Shift:** Multiple shifts available **Career Track:** Nursing **Department:** 3030 UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND… more
- Guardian Life (Olympia, WA)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Centene Corporation (Olympia, WA)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Conduct review of delegated entities for compliance with quality, service performance ... and utilization , credentialing reviews and medical record audits. Perform community...Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care… more