- Battelle Memorial Institute (Tacoma, WA)
- …two years' nursing experience + Current, full, active, and unrestricted license as a Registered Nurse in any US State, the District of Columbia, Guam, Puerto ... (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support...data relevant to primary health assessments including a detailed medical history to develop time sensitive treatment plans which… more
- 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
- Molina Healthcare (Tacoma, 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
- Cognizant (Olympia, WA)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...the medical necessity determinations to the Health Plan/ Medical Director based on the review of… 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 (Tacoma, 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
- BioLife Plasma Services (Lacey, WA)
- …requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse ( RN ), Nurse Practitioner (NP) or ... the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to...eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of… more
- Molina Healthcare (Tacoma, 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 (Tacoma, 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
- Centene Corporation (Olympia, WA)
- …other duties as assigned + Complies with all policies and standards **We are seeking a Registered Nurse ( RN ) or a Licensed Practical Nurse (LPN) to ... RN **or** an LPN + Experience with clinical review processes + Familiarity with the InterQual criteria system...Practical Nurse - State Licensure required + RN - Registered Nurse -… more
- Molina Healthcare (Tacoma, 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 (Tacoma, 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 (Tacoma, WA)
- …of Virginia Mason Franciscan Health, is currently seeking a full time Supervisor, Clinic Nurse , RN for our Franciscan Heart and Vascular Clinic in Tacoma, WA. ... We are seeking an experienced and dedicated nurse supervisor to lead our team of ...met. **Essential Duties:** + Coordinate with the Clinic Manager, Medical Director and other staff to set appropriate goals… more
- Molina Healthcare (Tacoma, 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 (Puyallup, WA)
- …part of Virginia Mason Franciscan Health, is currently seeking a full time Supervisor, Clinic Nurse , RN for our Franciscan Urgent Care Clinic in Puyallup, WA. No ... 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 (Tacoma, 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 (Tacoma, 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
