- Premera Blue Cross (Mountlake Terrace, WA)
- …years' work experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years of clinical experience (REQUIRED) + ... our Healthsource blog: https://healthsource.premera.com/ . The **Care Coordinator** - ** Clinical Appeals ** performs prospective review (benefit advisory/ prior… more
- Molina Healthcare (Tacoma, WA)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal appeals clinical processes - ensuring that ... to provide quality and cost-effective member care. Candidates with UM and Appeals experience are highly preferred...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Swedish Health Services (Seattle, WA)
- …Upon hire: Washington Registered Nurse License + 3 years Registered nursing experience in the clinical setting. **Preferred Qualifications:** + Upon ... **Description** **Utilization Review RN @ Swedish Medical Center** **Part time 0.7...really matters - our patients.** The Utilization Review (UR) Nurse has a strong clinical background blended… more
- Molina Healthcare (Vancouver, 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 ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review,...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… 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 ... Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying that services are… more
- Whidbey General Hospital (Coupeville, WA)
- JOB SUMMARY Are you a flexible, self-motivated RN who thrives in a collaborative, fast-paced environment? At WhidbeyHealth, our Care Managers play a vital role in ... at the right time-we'd love to meet you! The RN - Care Manager is a health care professional...Manager will lead an assessment to identify the patient's clinical needs to be accommodated and constructs a care… more
