- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- …recruiting for one Registered Nurse to perform patient flow utilization management duties at the VA hospital in Seattle, Washington. Responsibilities The ... Utilization Management (UM) Nurse uses... Utilization Management (UM) Nurse uses the nursing process...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Olympia, WA)
- …both verbal and written **Required Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active ... current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- CVS Health (Olympia, WA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse (RN) with at least 1...using a keyboard. **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CVS Health (Olympia, WA)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...in **Oncology** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Sharecare (Olympia, WA)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting...disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations… more
- Humana (Olympia, WA)
- …+ Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time ... + Expertise on NCQA accreditation standards, especially related to Utilization Management and/or Behavioral Health; MED-Deeming accreditation standards… more
- Providence (Olympia, WA)
- …a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. ... of the department.** **Required qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of...Degree Or Associate's Degree Nursing + 3 years of Utilization Review, Care Management , Quality Management… more
- Fresenius Medical Center (Renton, WA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- Evolent (Olympia, WA)
- …As a Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference ... Clinical Reviewers are supported by Field Medical Directors (MDs) in the utilization management determination process. + Reviews charts and analyzes clinical… more
- Molina Healthcare (Bremerton, WA)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Molina Healthcare (Tacoma, WA)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- University of Washington (Seattle, WA)
- …disaster response, and surge capacity **REQUIREMENTS** + Current licensure to practice as a Registered Nurse in Washington State + Bachelor's Degree in Nursing + ... **UW Medical Center-Northwest** has an outstanding opportunity for an **Emergency Department Nurse Manager** . **WORK SCHEDULE** + 100% FTE + Primarily day shifts… more
- Lincoln Financial (Olympia, WA)
- …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position...Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's… more
- Providence (Olympia, WA)
- …resource management , customer relations and operational standards which include case management , utilization management and transition of care. Provides ... **Required Qualifications:** + Bachelor's Degree in Nursing + Washington Registered Nurse License upon hire + 10...years management level experience. + Experience in utilization management , case management , discharge… more
- Providence (Olympia, WA)
- …that meet required qualifications and conditions for payment.** The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation… more
- CenterWell (Tacoma, WA)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and ... acute hospital clinical experience + Current licensure as a Registered Nurse in the state of Washington...multiple stakeholders + Professional communication skills. + Understand how utilization management and case management … more
- Virginia Mason Franciscan Health (Seattle, WA)
- **Responsibilities** The Director of Perioperative Services is a Registered Nurse (RN) leader responsible for the overall strategic direction, operational ... utilization of OR time. + Works with Materials Management to ensure appropriate inventory levels of supplies and...the degree requirement. Licensure/Certification: . Current licensure as a Registered Nurse by the Washington State Board… more
- Virginia Mason Franciscan Health (Burien, WA)
- **Responsibilities** **Job Requirements** We are looking for a responsible and compassionate Registered Nurse with top-notch clinical skills, a caring attitude, ... or the critical care residency program **License/Certification** + Current licensure as a Registered Nurse issued by the Washington State Board of Nursing… more
- Virginia Mason Franciscan Health (Tacoma, WA)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... of nursing experience. **Licensure and Certifications:** Required + Current licensure as a Registered Nurse in the state of Washington (RN-WA). + BLS required… more