- 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
- Evolent (Olympia, WA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the… more
- Evolent (Olympia, WA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Vascular Surgey is responsible for support and ... with the Director of UM to ensure client satisfaction. + Perform all peer clinical review activities while located in a state or territory of the United States. +… more
- PeaceHealth (Vancouver, WA)
- …wherever you are._** PeaceHealth is looking for a skilled and motivated **Registered Nurse Utilization Management (UM) Reviewer ** to join our dedicated team in ... weekends and holidays._ **Why You'll Love This Role** As a Utilization Management Reviewer at PeaceHealth, you will play a key part in supporting safe, high-quality,… more
- PeaceHealth (Vancouver, WA)
- …wherever you are._** PeaceHealth is looking for a skilled and motivated **Registered Nurse Utilization Management (UM) Reviewer ** to join our dedicated team in ... in your nursing career. **Why You'll Love This Role** As a Utilization Management Reviewer at PeaceHealth, you will play a key part in supporting safe, high-quality,… more
- Molina Healthcare (Spokane, WA)
- …**Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory ... and reports quality of care issues. + Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review , appropriate… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... Record. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,...Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… more
- General Dynamics Information Technology (Lakewood, WA)
- …Yes **Job Description:** Seize your opportunity to make a personal impact as Nurse Case Manager supporting mission critical work on an exciting program. GDIT is ... skills, and grow a rewarding career. At GDIT, people are our differentiator. As a Nurse Case Manager supporting our customer, you will help ensure today is safe and… more
- Veterans Affairs, Veterans Health Administration (Mount Vernon, 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 VA Careers - Licensed Practical … more
- Gentiva (Liberty Lake, WA)
- …Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice ... per hospice policy and regulatory requirements. + Communicate clinical findings, review treatment plans, lab results, diagnostics, and medications with certifying… more
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