- 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 of...Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or… more
- Providence (Everett, WA)
- …in consultation with the Human Resources leader. + Upon hire: Washington Registered Nurse License + Experience as an RN in an acute care setting within ... years, OR recent Utilization Management experience **Preferred Qualifications:** + Utilization review or case management experience + Experience with… more
- Swedish Health Services (Seattle, WA)
- **Description** ** Utilization Review RN ** **Full time 1 FTE** ** Day Shift** The Utilization Review (UR) Nurse has a strong clinical ... Nursing degree (BSN) from an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years Med/Surg nursing experience in the clinical… more
- University of Washington (Seattle, WA)
- …) **UW Medical Center** has an outstanding opportunity for an **experienced Utilization Review Nurse (UM RN )** to join our team. **WORK SCHEDULE** + ... Req #: 236354 Department: UW MEDICAL CENTER - UTILIZATION MANAGEMENT Job Location Detail: Position supports both...and training + Active licensure to practice as a Registered Nurse in Washington State required by… more
- Pacific Medical Centers (Renton, WA)
- … Nurse License. + 5 years Clinical experience. + Utilization review /case management. **Preferred Qualifications:** + Bachelor's Degree in Nursing ... to assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the entire… more
- Molina Healthcare (Seattle, WA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Whidbey General Hospital (Coupeville, WA)
- …background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an ... and financial indicators including LOS, cost per case, avoidable days , resource utilization , readmission rates, concurrent denials,...+ Minimum of two years current experience as an RN in utilization review , case… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …also instruct patients and their families how to perform necessary procedures. A Registered Nurse administers skilled nursing care to patients on an intermittent ... and performance improvement as assigned. + Participates in utilization review of medical records as assigned....Licenses or Certifications Required Current and valid Washington State Registered Nurse licensure. A current and valid… more
- Providence (Spokane, WA)
- … Utilization Review / Utilization Management. + Upon hire: Washington Registered Nurse License + Education or experience in Case Management and/or ... **Description** **Care Manager RN - Case Management,** **Providence Holy Family Hospital, Spokane...Utilization Review / Utilization Management. + 3 years… more
- CenterWell (Tacoma, WA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… 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 ... that meet required qualifications and conditions for payment.** The RN Care Manager works as a catalyst to promote...Shift:** Multiple shifts available **Career Track:** Nursing **Department:** 3030 UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND… more
- Fresenius Medical Center (Puyallup, WA)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... for new employees who meet the RN CAP 2 criteria or attained through...the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis… more
- Fresenius Medical Center (Bonney Lake, 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
- Pacific Medical Centers (Seattle, WA)
- … Nurse License. + 5 years Clinical experience. + Utilization review /case management. **Preferred Qualifications:** + Bachelor's Degree Nursing. + ... Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case...full medical, dental and vision coverage from your first day + 401(k) plan with employer matching & complementary… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …as directed by supervisors. Duties include but not limited to: Inpatient Staff Registered Nurse ( RN ) is responsible for providing competent, evidence-based ... of Science in Nursing Minimum of 1-2 years experience as registered nurse Previous acute care experience Experience administering chemotherapy/biotherapy… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Seattle Children's (Seattle, WA)
- …for children with medical complexity Current or previous hospital case management or utilization review experience Current or previous case management or ... director, Care Coordination provides leadership, supervision, and oversight of day -to- day operations of the Case Management department....utilization review leadership experience **Compensation Range** $115,277.00 - $172,915.00 per… more
- Houston Methodist (Seattle, WA)
- … - Texas State Licensure and/or Compact State Licensure within 60 days **OR** + RN -Temp - Registered Nurse - Temporary State Licensure within 60 days ... where Western Medicine is practiced **WORK EXPERIENCE** + For RN - At least five years of recent clinical...an acute care hospital setting is required; coding and utilization review experience preferred + For Medical… more
- Swedish Health Services (Seattle, WA)
- …by Swedish beyond three years is contingent upon attaining the BSN degree. + Washington Registered Nurse License upon hire. + 3 years of Registered nursing ... RN @ Swedish Ballard** **Full Time 1 FTE** ** Day Shift** **$10,000 Hiring Bonus and relocation for eligible...focus on what really matters - our patients.** The nurse case manager coordinates the care and service of… more
- Swedish Health Services (Seattle, WA)
- …by Swedish beyond three years is contingent upon attaining the BSN degree + Washington Registered Nurse License upon hire + 3 years registered nursing ... **Description** **Care Manager RN @ Swedish First Hill** **$10,000 Hiring Bonus...package offered by Providence that begin on your first day of employment. Join us, and find out how… more