- Molina Healthcare (Bothell, WA)
- …and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/ utilization review , and/or other utilization management ... leadership skills. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) in good standing. + Must have… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …(2) years of acute hospital clinical experience + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 months ... on bonus available for qualified candidates The Care Coordinator RN is responsible for overseeing the progression of care...+ Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's… more
- Virginia Mason Franciscan Health (Burien, WA)
- …experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington ( RN -WA). + BLS required within 3 ... to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required… more
- Genesis Healthcare (Everett, WA)
- …years of recent clinical nursing experience is required.*Prior experience in utilization review , case management or discharge planning required.*Valid driver's ... grade, location, and length of service. The Care Coordinator RN is responsible for the promotion of quality, cost-effective...within the nursing center that contribute to high resource utilization and monitors changes in status that could lead… more
- Amergis (Everett, WA)
- …and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making ... Pay Rate: $ 53 an hour The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …do meaningful work. **Qualifications** BSN in Nursing preferred. + Current licensure as a Registered Nurse in the state of Washington required. + At least three ... in Emergency Medicine, Critical Care or Telemetry. Knowledge of utilization review desirable. We are an equal opportunity/affirmative action employer. **Pay… more
- Pacific Medical Centers (Seattle, WA)
- …Registered Nurse License + 5 years Clinical experience + Utilization review /case management **Preferred Qualifications:** + Bachelor's Degree in Nursing + ... Care patient in order to assure cost effective, appropriate utilization of health care resource. Nurse Case...effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire… more
- Pacific Medical Centers (Seattle, WA)
- …**Required Qualifications:** + Nursing (must be RN ) and + Upon hire: Washington Registered Nurse License + Upon hire: National Provider BLS - American Heart ... utilization management yearly goals. The Supervisor Care Management RN demonstrates Pacific Medical Centers' core values of integrity, compassion, stewardship… more
- Elevance Health (Seattle, WA)
- **Wound Care UM RN ** **Location:** Remote, within 50 miles of a pulse point **Hours:** An 8 hour shift Monday - Friday between the hours of 8 am - 7 pm CST. A proud ... of care for the people we serve. The **Wound Care UM RN ** is responsible for performing pre-certification certification and/or authorization activities for Home… more
- Amergis (Snoqualmie, WA)
- …in Snoqualmie, WA + May Start for 13wks + 5x8hr Days, M-F The RN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ... + Documents patient case information within a database system + Performs chart review /audits monthly or as needed + Participates in monthly case conferences by… more
- Elevance Health (Seattle, WA)
- ** Nurse Reviewer I** **Location:** Within 50 miles of a pulse point in the following states: + California + Washington + Nevada **Shift** : An 8-hour shift from 9:30 ... am - 6 pm **P** **ST** The ** Nurse Reviewer I** is responsible for conducting preauthorization, out...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more