- Seattle Children's (Seattle, WA)
- …RN License. **Preferred** Master's degree in Nursing or Advanced Registered Nurse Practitioner. Database management skills. Supervisory experience/skills. ... Research Institute. Lead, implement, and provide personnel management, fiscal analysis, review and reporting, compliance with appropriate regulations, and grant pre-… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …or four (4) years' work experience **(Required)** + Current State Licensure as a registered nurse where licensing is required by State law **(Required)** + Three ... rotating Saturday shift about once every quarter.** **What you will do:** + Performs medical necessity review that includes inpatient review , concurrent … more
- Premera Blue Cross (Mountlake Terrace, WA)
- …or four (4) years' work experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years of clinical experience (REQUIRED) + ... 8:00 AM to 5:00 PM **Pacific Time** **What you'll do:** + Performs medical necessity review that includes inpatient review , concurrent review , benefit… more
- Molina Healthcare (Bellevue, WA)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Fresenius Medical Center (Fircrest, WA)
- …to give back by participating in philanthropy and community outreach programs. **Staff Registered Nurse ** This is an exceptional opportunity to succeed with a ... **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to...of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality… more
- University of Washington (Seattle, WA)
- …have additional specific requirements + BLS required + Active license to practice as a registered nurse in the State of Washington required by start date **ABOUT ... **UW Medical Center-Montlake** has outstanding opportunities for **experienced acute care Registered Nurses** . Current inpatient acute care RN openings may… more
- EvergreenHealth Monroe (Monroe, WA)
- …CERTIFICATION/LICENSURE Graduate of an accredited school of nursing, and current Washington State Registered Nurse ( RN ) license. Requires current Basic Life ... a small semi-rural acute care hospital has a fantastic opportunity for an experienced REGISTERED NURSE to fill a position in our Emergency Department Unit.… more
- Surgery Care Affiliates (Poulsbo, WA)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… 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 ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Elevance Health (Seattle, WA)
- …states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most complex or challenging ... ** Medical Management Nurse ** **Location Virtual: This...in multiple states. **Preferred Capabilities, Skills and Experiences:** + Medical Management experience is preferred, + Utilization Review… more
- Molina Healthcare (Bellevue, WA)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… 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 ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Bellevue, WA)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Bellevue, WA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Everett, WA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Swedish Health Services (Seattle, WA)
- **Description** **Utilization Review RN @ Swedish Medical Center** **Part time 0.7 FTE** **Evening Shift** **Fantastic benefits and compensation package ... necessity indicators are met. + Provides a clinical review of the medical record to determine...an accredited school of nursing. + Upon hire: Washington Registered Nurse License + 3 years … more
- Molina Healthcare (Bellevue, WA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Virginia Mason Franciscan Health (Federal Way, WA)
- …of Virginia Mason Franciscan Health, is currently seeking a full time Supervisor, Clinic Nurse , RN for our Franciscan Weight Management Clinic in Federal Way, ... the organization are met. **Essential Duties:** + Coordinate with the Clinic Manager, Medical Director and other staff to set appropriate goals for the clinic.… more
- Molina Healthcare (Bellevue, WA)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Bellevue, WA)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
