• Utilization Management Nurse

    CenterWell (Olympia, WA)
    …community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed ... medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent… more
    CenterWell (11/13/25)
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  • Clinical Review Nurse - Concurrent…

    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
    Centene Corporation (11/15/25)
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  • Disease Management Nurse - Remote

    Sharecare (Olympia, WA)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (10/22/25)
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  • Transplant Care Nurse ( Remote )

    Highmark Health (Olympia, WA)
    …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and… more
    Highmark Health (11/06/25)
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  • UM Behavioral Health Nurse

    Humana (Olympia, WA)
    …timeframe **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license, with no disciplinary action ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes...Complete medical record reviews + Assess discharge plans + Review and extract information from claims + Complete documentation… more
    Humana (11/15/25)
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  • Nurse Case Manager

    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...professional parameters + Knowledge and skill in using pre-established utilization review criteria to recognize and report… more
    Battelle Memorial Institute (11/04/25)
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  • Director, Organ Optimization

    LifeCenter Northwest (Bellevue, WA)
    …availability, evening, and weekend work. EDUCATION, EXPERIENCE & JOB REQUIREMENTS + Registered Nurse , Physician's Assistant, or other relevant health care ... protocols aimed at optimizing organ function and increasing organ utilization . + Routinely reviews performance metrics and recommends...as well as other business environments, which may include remote work in a home office setting, if applicable… more
    LifeCenter Northwest (09/20/25)
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  • Data Management Lead

    Parexel (Olympia, WA)
    **Job Title:** Data Management Lead (Medical Affairs) - Oncology **Location:** Fully Remote (US based) Must be able to accommodate West Coast hours. **About Us:** At ... practices like version control and literate programming. + BSN, RN , RPh, Pharm D, PA, MPH, or other applicable...ensure high-quality, compliant data. + Use surveillance tools to review data at an aggregate level, identifying patterns or… more
    Parexel (10/11/25)
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