- Evolent (Olympia, WA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Molina Healthcare (Spokane, WA)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... Michigan RN license is required. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Fresenius Medical Center (Bonney Lake, WA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- The Cigna Group (Olympia, WA)
- …outcomes, client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and ... including medical cost driver analysis and action, complex case review , referral and engagement, account renewal consultation, and recommendations to positively… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- …transformation. Seeks out educational opportunities. Accurately documenting and retrieving patient/ clinical information using electronic medical record. Reports ... medication and reporting to team RN. Assist in other clinical areas within medical specialties as needed....patient information. Completed work should need only a general review by a registered nurse (RN) or… more
- Fresenius Medical Center (Spokane, WA)
- …_Charge Nurse Guidance_ recommendations and oversee all dialysis related medical and emergency functions. + Communicates with the physician and other members ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...accordance with the TAP scheduling tool. + Maintain and review the daily TAP tool for all hospitals/facilities under… more
- Veterans Affairs, Veterans Health Administration (Wenatchee, WA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... identification and intervention of individual patients and cohorts. Assures that clinical care provided meets all timelines and required documentation for the… more
- Fresenius Medical Center (Tacoma, WA)
- …and your career._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here is your opportunity to make profound connections ... diverse experiences and challenging career opportunities. When you join the Fresenius Medical Care team you'll be welcomed into a company that is built… more
- Gentiva (Pullman, WA)
- …(LCD) criteria per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- General Dynamics Information Technology (Lakewood, WA)
- …**Job Family:** Healthcare Services **Skills:** Care Planning,Company Policies, Medical Information,Regulatory Requirements,Treatment Plans **Experience:** 2 + years ... Seize your opportunity to make a personal impact as Nurse Case Manager supporting mission critical work on an...of professional health nursing principles, practices, and procedures in clinical settings to analyze the full scope of problems… more