- Cognizant (Olympia, WA)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- Fresenius Medical Center (Bonney Lake, WA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (Olympia, WA)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Virginia Mason Franciscan Health (Kirkland, WA)
- …**Job Requirements** Required: + This position requires current licensure as a registered nurse plus one years' increasingly responsible health care operations ... you will play a key leadership role overseeing the daily operations and clinical coordination of both primary care and specialty care services. You'll provide… more
- 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 -...or Associate's Degree in Nursing + 3 years - Utilization Review, Care Management, Quality Management, and/or Discharge planning… more
- Fresenius Medical Center (Vancouver, WA)
- + **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- University of Washington (Seattle, WA)
- …changes impacting revenue cycle **REQUIREMENTS** + Active licensure to practice as a Registered Nurse in Washington State + Bachelor's degree in Nursing + ... Medicine's Patient Financial Services Department** has an outstanding opportunity for a ** Clinical Appeals and Disputes Nurse .** **WORK SCHEDULE** + 100% FTE… more
- Evolent (Olympia, WA)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Defense Health Agency (Tacoma, WA)
- …At least one year of licensed clinical experience AFTER licensure as a registered nurse at the time of application Apply for this Job Online ... **Overview** ** NURSE (Labor and Delivery), Tacoma, WA** **This position...responsiveness to emergencies; effectiveness of practice, patient management, bed utilization ; customer service and relations; open communications; and a… more
- Molina Healthcare (WA)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in ... for denial or modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs, physicians and member/provider… more
- General Dynamics Information Technology (Lakewood, WA)
- … Credentialing Center. + Current RN license; full, active, and unrestricted license as a Registered Nurse in one of any US State, the District of Columbia, Guam, ... Seize your opportunity to make a personal impact as Nurse Case Manager supporting mission critical work on an...of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems… more
- Molina Healthcare (Longview, WA)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… more
- University of Washington (Seattle, WA)
- …teams **REQUIREMENTS** + Bachelor's Degree in Nursing + Active licensure to practice as a Registered Nurse in Washington State + 6 years of clinical ... has an outstanding opportunity for an experienced acute care Nurse Manager to work on our **Cardiology/Cardiothoracic unit.** **DEPARTMENT DESCRIPTION**… more
- CenterWell (Silverdale, WA)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... position comes with a $10K sign-on bonus.** + The ** Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse in a home care, with… more
- Houston Methodist (WA)
- …clinical experience preferred **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within ... At Houston Methodist, the Clinical Documentation Specialist is responsible for improving the...60 days **OR** + RN-Temp - Registered Nurse - Temporary State Licensure within… more
- Philips (Bothell, WA)
- …imaging equipment etc) with clinical experience as Radiologic Technologist (RT) or Registered Nurse (RN) highly preferred. + Experience in healthcare (in the ... **Sales Support, Clinical Specialist - FORS (West/National Travel)** In this...to effectively manage assigned accounts in terms of driving utilization , customer relationship management, problem resolution, etc. + You… more
- Molina Healthcare (Tacoma, WA)
- …and experience. * At least 5 years health care management/leadership required. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical ... * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Registered Nurse (RN). License must be active and unrestricted… more
- Swedish Health Services (Seattle, WA)
- …beyond three years is contingent upon attaining the BSN degree + Upon hire: Washington Registered Nurse License + 3 years Registered nursing experience in an ... focus on what really matters - our patients.** The nurse case manager coordinates the care and service of...to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a… more
- Virginia Mason Franciscan Health (Bellevue, WA)
- …school of nursing approved by the Washington State Board of Nursing + Current Registered Nurse licensure by the Washington State Board of Nursing + Completion ... severe or complex their needs. The dimensions of a nurse 's practice are driven by the needs of a...patients and families. Specific domains of nursing practice include: Clinical Judgment: The RN Procedural Periop incorporates clinical… more