- Seattle Children's (Seattle, WA)
- …Research Institute. Lead, implement, and provide personnel management, fiscal analysis, review and reporting, compliance with appropriate regulations, and grant pre- ... License. **Preferred** Master's degree in Nursing or Advanced Registered Nurse Practitioner. Database management skills. Supervisory experience/skills. Past or… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. The **Care Coordinator** - **Clinical Appeals** performs prospective review (benefit advisory/ prior authorization) admission, concurrent, and retrospective ... **Pacific Time** **What you'll do:** + Performs medical necessity review that includes inpatient review , concurrent ...experience (REQUIRED) + Current State Licensure as a registered nurse (REQUIRED) + Three (3) years of clinical experience… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …about once every quarter.** **What you will do:** + Performs medical necessity review that includes inpatient review , concurrent review , benefits ... (4) years' work experience **(Required)** + Current State Licensure as a registered nurse where licensing is required by State law **(Required)** + Three (3) years… more
- Elevance Health (Seattle, WA)
- ** Nurse Reviewer I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... rotating weekends.** **New Grads are encouraged to apply!** The ** Nurse Reviewer I** will be responsible for...that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or… more
- Molina Healthcare (Bellevue, WA)
- …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical claim and internal ... appeals review activities - ensuring alignment with applicable state and...equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …rehabilitation service-lines. Responsibilities Duties include but are not limited to: Review pre and post procedure instructions with patient/family Provide IV ... conscious sedation VA offers a comprehensive total rewards package: VA Nurse Total RewardsPay: Competitive salary, regular salary increases, potential for… more
- DESC (Seattle, WA)
- Per Diem Registered Nurse (RN) - CSC & ORCA Center Seattle, WA (http://maps.google.com/maps?q=1600+South+Lane+Street+Seattle+WA+USA+98144) *Medical Apply Job Type ... and regionally as an innovator in developing solutions to homelessness. **Applicant Review Process:** Please note: Due to the high volume of applications, our… more
- Battelle Memorial Institute (Tacoma, WA)
- …Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer, ... and their families, ensuring comprehensive support for those who serve. As a Nurse Case Manager, you will contribute to impactful research and analytics that drive… 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 ...and follow-up as outlined in policies and procedures. + Review departmental supply requisitions, oversee records and reports. Track… more
- EvergreenHealth Monroe (Monroe, WA)
- …semi-rural acute care hospital has a fantastic opportunity for an experienced REGISTERED NURSE to fill a position in our Emergency Department Unit. Working together, ... objectives, policies, and procedures of the hospital and the Washington State Nurse Practice Act. Demonstrates knowledge and skills required to respond rapidly to… more
- Chenega Corporation (Seattle, WA)
- **Summary** **CHENEGA TRI-SERVICES, LLC.** Seattle, WA. The ** Nurse Practitioner** shall perform medical histories, physical examinations, and reviews of required ... medical histories on applicants for the Armed Forces + Review of required medical tests and documents pertaining to...from a program accredited by the American Academy of Nurse Practitioners Certificate Program (ANPCP) or the American Nurses… more
- Sunrise Senior Living (Bellevue, WA)
- …NAME** Sunrise of Bellevue **Job ID** 2025-228848 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being of our residents ... Resident Assessment/Evaluation process in accordance with state/provincial regulatory requirements + Review Physician Reports of all new residents as directed by… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Total Rewards of a Allied Health… more
- Ageless Mens Health (Bonney Lake, WA)
- …training, compliance, and financial performance. + Conduct new patient consultations, review medical histories, and perform physical assessments. + Order, review ... blood pressure management, preventive screenings, lab work, and common illness management. + Review and sign off on patient charts, lab results, and documentation in… more
- Elevance Health (Seattle, WA)
- **Telephonic Nurse Case Manager II** **Sign on Bonus: $2000.** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of ... in different states; therefore, Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management within the… 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 days ... opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records...Skills, Qualifications, and Experiences:** + Fraud and Abuse experienced Nurse with a CPC are highly desired. For candidates… more
- Virginia Mason Franciscan Health (Puyallup, WA)
- …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 weekends ... individual goals and follow-up as outlined in policies and procedures. + Review departmental supply requisitions, oversee records and reports. Track and analyze … more
- University of Washington (Seattle, WA)
- …Care, Perinatal, Perioperative, Emergency Department, or outpatient or procedural areas, please review the postings on the website and apply to those positions when ... specific requirements + BLS required + Active license to practice as a registered nurse in the State of Washington required by start date **ABOUT UW MEDICAL… more
- The Cigna Group (Seattle, WA)
- …proposition. + Supports achievement of business growth targets including prospective review , request for proposal, finalist meeting and newclient onboarding. + ... persistence targets includingmedicalcost driver analysis and action, complex case review , referral and engagement, account renewal consultation and recommendations… more
- Swedish Health Services (Seattle, WA)
- …you the chance to focus on what really matters - our patients.** The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed ... **Description** **Utilization Review RN @ Swedish Medical Center** **Part time...reimbursement requirements of commercial and government payers. The UR nurse is responsible for performing admission, concurrent and retrospective… more
