• Utilization Review Nurse

    University of Washington (Seattle, WA)
    Req #: 236354 Department: UW MEDICAL CENTER - UTILIZATION MANAGEMENT Job Location Detail: Position supports both UW Medical Center campuses Posting Date: ... POSITION QUALIFICATIONS** + 3 years of work experience in utilization management + 5 years of nursing...and training + Active licensure to practice as a Registered Nurse in Washington State required by… more
    University of Washington (01/22/25)
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  • Registered Nurse - Acute Care…

    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 care ... 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 (01/18/25)
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  • Registered Nurse (Critical Care)…

    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 ... education, orientation, competencies and providing quality improvement and outcomes utilization consultation. Demonstrates leadership in delivering and improving holistic… more
    Veterans Affairs, Veterans Health Administration (01/05/25)
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  • Registered Nurse I or II (PACT)

    Sea Mar Community Health Centers (Vancouver, WA)
    …for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Registered Nurse I or II (PACT) - Posting #26785 Hourly Rate: $34.63 - ... $39.72 Position Summary: Full time Registered Nurse position available for our Behavioral...standing orders. + Facilitates emergency referrals according to the utilization management guidelines when the referral coordinator… more
    Sea Mar Community Health Centers (11/27/24)
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  • Utilization Management RN - Usfhp

    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
    Pacific Medical Centers (01/23/25)
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  • RN / Registered Nurse - Outpatient…

    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 (12/10/24)
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  • Utilization Review RN

    Swedish Health Services (Seattle, WA)
    …strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. ... **Description** ** Utilization Review RN** **Full time 1 FTE** **Day...an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years Med/Surg… more
    Swedish Health Services (01/16/25)
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  • RN - Utilization Review *DAYS

    Providence (Olympia, WA)
    …a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. ... 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 more
    Providence (01/22/25)
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  • RN / Registered Nurse - Outpatient…

    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
    University of Washington (12/25/24)
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  • Med-Surg Registered Nurse - RN

    Virginia Mason Franciscan Health (Tacoma, WA)
    …One year of related work experience is preferred. Current State Licensure as a Registered Nurse is required. Basic Life Support required. **Pay Range** $42.50 - ... (EBP) through standards, resources, and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians, patients,… more
    Virginia Mason Franciscan Health (12/26/24)
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  • Registered Nurse Outpatient…

    Virginia Mason Franciscan Health (Seattle, WA)
    …region. **Responsibilities** The Outpatient Clinic RN coordinates and facilitates quality management of a broad based outpatient population across the continuum of ... severe or complex their needs. The dimensions of a nurse 's practice are driven by the needs of the...nurses that function as Outpatient Clinic RN reflects the utilization of the nursing process through an integration of… more
    Virginia Mason Franciscan Health (11/27/24)
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  • Mgr Utilization Review RN

    Baylor Scott & White Health (Olympia, WA)
    …of staff, resource management , and budget control. Departments involved are Utilization Management , Case Management , and Disease Management . ... Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
    Baylor Scott & White Health (01/23/25)
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  • Utilization Review RN

    Providence (Everett, WA)
    **Description** Oversee utilization management and review of patients care delivery while in the hospital and provide clinical reviews and denial appeals where ... with the Human Resources leader. + Upon hire: Washington Registered Nurse License + Experience as an...care setting within the last 5 years, OR recent Utilization Management experience **Preferred Qualifications:** + … more
    Providence (01/22/25)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Olympia, WA)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
    Centene Corporation (01/10/25)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Bonney Lake, WA)
    …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
    Fresenius Medical Center (01/17/25)
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  • Field Family Nurse Practitioner

    Molina Healthcare (Vancouver, WA)
    …+ Current unrestricted driver's license **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home ... program for new Grads* *Molina Student Loan Repayment program available for Nurse Practitioners* **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse more
    Molina Healthcare (12/05/24)
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  • Field Family Nurse Practitioner…

    Molina Healthcare (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 (01/21/25)
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  • Nurse Practitioner (PMHNP) Yakima

    Molina Healthcare (Aberdeen, WA)
    …+ Current unrestricted driver's license **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home ... **JOB DESCRIPTION** **Job Summary** The Nurse Practitioner Psychiatric-Mental Health (PMHNP) will work primarily in non-clinical settings and provide medical care to… more
    Molina Healthcare (01/08/25)
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  • Occupational Health Nurse

    Energy Northwest (Richland, WA)
    …Five years of nursing experience and an active state license to practice as a registered nurse or licensed practical nurse in Washington State is required. ... healthcare providers and services. Responsible for assuring the appropriate access and utilization of healthcare services: + Evaluate and treat all injuries and… more
    Energy Northwest (11/13/24)
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  • Medical Claim Review Nurse (RN)

    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 (01/21/25)
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