- Swedish Health Services (Seattle, WA)
- **Description** ** Utilization RN** **Per diem** **Remote Day shift** The Utilization Review (UR) Nurse has a strong clinical background blended with a ... well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by… more
- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... Bachelor's Degree Nursing Or + Associate's Degree Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or Discharge planning **Why… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …in peer review and performance improvement as assigned. + Participates in utilization review of medical records as assigned. + Responsible for the ... ill or injured. Most registered nurses (RNs) work as part of a team that includes doctors and therapists....their families how to perform necessary procedures. A Registered Nurse administers skilled nursing care to patients on an… more
- Fresenius Medical Center (Bonney Lake, WA)
- …while maintaining clinical operations. As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans ... looking for, and you want to be a vital part of the future of healthcare, apply today. **PRINCIPAL...+ Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. +… more
- Molina Healthcare (Spokane, WA)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource… more
- Providence (Centralia, WA)
- **Description** The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in ... + Associate Degree Nursing. + Upon hire: Washington Registered Nurse License + 3 years Medical-surgical (or comparable acute...+ 1-year Recent acute care experience. + Quality and/or utilization review and/or case management experience. +… more
- Evolent (Olympia, WA)
- …be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be divided into ... for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for utilization … more
- Swedish Health Services (Seattle, WA)
- …you the chance to focus on what really matters - our patients.** The nurse case manager coordinates the care and service of selected patient populations through the ... and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to… 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 ... **Become a part of our caring community and help us...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- Providence (Olympia, WA)
- …time **Job Shift:** Multiple shifts available **Career Track:** Nursing **Department:** 3030 UTILIZATION REVIEW WA PSPH OLYMPIA MAIN 2ND FLOOR QUALITY OFFICES ... and external to the organization, to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role to… more