- Novo Nordisk Inc. (Seattle, WA)
- …include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized ... sites; ensuring effective coordination and facilitation of studies to ensure timely review , initiation, and completion, as well as publication of study results.… more
- Elevance Health (Seattle, WA)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- EvergreenHealth Monroe (Monroe, WA)
- …semi-rural acute care hospital has a fantastic opportunity for an experienced REGISTERED NURSE to fill a position in our Emergency Department Unit. Working together, ... objectives, policies, and procedures of the hospital and the Washington State Nurse Practice Act. Demonstrates knowledge and skills required to respond rapidly to… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This position will support the Wound… more
- Chenega Corporation (Seattle, WA)
- **Summary** **CHENEGA TRI-SERVICES, LLC.** Seattle, WA. The ** Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of required ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… more
- Sunrise Senior Living (Bellevue, WA)
- …NAME** Sunrise of Bellevue **Job ID** 2025-228848 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… more
- Molina Healthcare (Everett, WA)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... experience in the specific programs supported by the plan such as utilization review , medical claims review , long-term services and supports (LTSS), or other… more
- Elevance Health (Seattle, WA)
- **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Surgery Care Affiliates (Bellevue, WA)
- …you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp PACU. + Promote the mission, vision, and values of SCA . + ... to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing...with other disciplines as needed. + Participate in quality review and performance improvement projects. + Participate in the… more
- University of Washington (Seattle, WA)
- …Care, Perinatal, Perioperative, Emergency Department, or outpatient or procedural areas, please review the postings on the website and apply to those positions when ... specific requirements + BLS required + Active license to practice as a registered nurse in the State of Washington required by start date **ABOUT UW MEDICAL… more
- Molina Healthcare (Everett, WA)
- For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high ... on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job SummaryProvides support for clinical member… more
- Molina Healthcare (Bothell, WA)
- JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes. Responsible for verifying ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (Everett, WA)
- JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (Everett, WA)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (Everett, WA)
- JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary ... 2 years experience, including experience in hospital acute care, inpatient review , prior authorization, managed care, or equivalent combination of relevant education… more
- Molina Healthcare (Everett, WA)
- …meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
- University of Washington (Seattle, WA)
- …the work of their Occupational Health Nurses (OHN), Advanced Registered Nurse Practitioner (ARNP), Patient Services Lead, and ancillary/temporary staff. This manager ... accounting/billing processes for the clinic, including contributing toward monthly transaction review and monthly billing processes in partnership with EH&S finance… more
- LifeCenter Northwest (Bellevue, WA)
- …positions or industries can be successful in this position: Intensive Care Unit Registered Nurse (ICU RN), Emergency Room RN, OR RN, Flight Nurse and Paramedic, ... RN, House Supervisor, Cardiac Cath Lab, NICU, PICU, SICU, MICU, SDU or PCU, PACU, Nurse Practitioner (ARNP), and Physician Assistant (PA). What you will do: + Work a… more
- Molina Healthcare (Everett, WA)
- …and medical records to document relevant findings of a post pay clinical review . This position manages documents and prioritizes case load to ensure timely turn ... guidelines, internal policies, and contract requirements. This position completes a medical review to facilitate a referral to law enforcement or for payment… more
- Sunrise Senior Living (Bellevue, WA)
- …services by administering medication and treatments in a safe organized manner. + Review , read, notate, and initial the electronic health record to document and ... + Receive medication updates from Resident Care Director (RCD) or Wellness Nurse . + Administer, assist with, and observe medications and treatments for each… more
