- Molina Healthcare (WA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... emergency room. Preferred Experience Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review... Care , ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual /… more
- Molina Healthcare (WA)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... JOB DESCRIPTION Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary… more
- Molina Healthcare (Vancouver, 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
- CVS Health (Olympia, WA)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
- Elevance Health (Seattle, WA)
- **Medical Management Clinician Associate** Carelon Post Acute Solutions A proud member of the Elevance Health family of companies, **Carelon Post Acute Solutions** , ... focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve. Candidates** **Must live in within a reasonable… more
- Aveanna Healthcare (Vancouver, WA)
- …enhance the level of clinical expertise of staff to provide safe and quality nursing care for our patients + Review physicians' orders and update the plans of ... Healthcare is one of the nation's largest home health care companies in the United States and growing! We... Case Manager: + Must have good standing license ( RN ) in the state in which the clinician… more
- Elevance Health (Seattle, WA)
- RN - Utilization / Medical Management Nurse...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any ... 6pm PST. Rotating Weekends and holidays. The **Medical Management Nurse ** is responsible for review of the...Care , ER, Telemetry, etc. strongly preferred. + Utilization management/ review within managed care or hospital strongly… more