- 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
- 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
- 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
- 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
- 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
- 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
- Virginia Mason Franciscan Health (Tacoma, WA)
- …of the requisite job knowledge/abilities. Licensure/Certification: Current licensure as a Registered Nurse by the Washington State Nursing Commission. **Where ... review processes? Virginia Mason Franciscan Health is seeking a dedicated Medical Staff Peer Review Specialist to support our medical staff in maintaining… more
- Providence (Olympia, WA)
- …people, we must empower them. **Required Qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of Nursing **Preferred Qualification:** ... **Description** The Utilization Review (UR) Nurse has a strong...with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports… more
- Humana (Olympia, WA)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to ensure… more
- The Cigna Group (Olympia, WA)
- …including medical cost driver analysis and action, complex case review , referral and engagement, account renewal consultation and recommendations to positively ... client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and Advocate, is… more
