- 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
- 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
- Swedish Health Services (Seattle, WA)
- …** Utilization Review RN ** **Full time 1 FTE** **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....an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years Med/Surg… 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 ... cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, directs, and coordinates the entire spectrum… more
- Molina Healthcare (Vancouver, WA)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… 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 ... an RN + Minimum of two years current experience as an RN in utilization review , case management and/or discharge planning in a hospital inpatient acute… more
- Providence (Centralia, WA)
- **Description** The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, ... qualifications:** + Associate Degree Nursing. + Upon hire: Washington Registered Nurse License + 3 years Medical-surgical...+ 1-year Recent acute care experience. + Quality and/or utilization review and/or case management experience. +… 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,...Utilization Review / Utilization Management. + 3...Utilization Review / Utilization Management. + 3 years within area… 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
- Virginia Mason Franciscan Health (Seattle, WA)
- …Nursing field in lieu of 1 year experience. + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 months of ... located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing… 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
- Virginia Mason Franciscan Health (Federal Way, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required… 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 (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...effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire… more
- Virginia Mason Franciscan Health (Gig Harbor, WA)
- …2) developing/overseeing a regional length-of-stay multi-disciplinary team (eg care management, utilization review , finance, etc.); and 3) working with ... Center model for ensuring the timely, efficient and cost-effective utilization of bed resources on a regional basis. Work...CHI-FH facilities. Job duties require the services of a Registered Nurse who, based on training and… more