- Virginia Mason Franciscan Health (Tacoma, WA)
- …and analytical professional passionate about improving patient care through effective peer review processes? Virginia Mason Franciscan Health is seeking ... a dedicated Medical Staff Peer Review Specialist to support our medical...the requisite job knowledge/abilities. Licensure/Certification: Current licensure as a Registered Nurse by the Washington State Nursing… more
- Fresenius Medical Center (Bonney Lake, WA)
- …come together for professional and personal development, discussion, activities, and peer support. Our diverse workforce and culture encourage opportunity, equity, ... auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic… more
- CVS Health (Olympia, WA)
- …+ 3+ years of clinical experience in a healthcare setting. + 2+ years as a Registered Nurse ( RN ) or License Practical Nurse / License Vocational ... + Author and revise internal policies and contribute to peer review of others. + Mentor peers...Nurse . + Active, current, and unrestricted RN /LVP/LPN license in the state of residence. + Proficiency… more
- Whidbey General Hospital (Coupeville, WA)
- …patients, families, coworkers, medical staff, and other hospital personnel (see attached Peer Review ). + Maintains confidentiality and patient's right to ... to the age and developmental level of the patient. The Emergency Department Staff RN is accountable for the provision of quality patient care. The Staff RN… more
- Molina Healthcare (WA)
- ….** JOB DESCRIPTION Job Summary Provides support for member clinical service review processes specific to behavioral health. Responsible for verifying that services ... to evaluate effectiveness and treatment efficacy. * May provide peer to peer consultation BHT in-network providers...At least 2 years of experience with inpatient concurrent review , prior authorization and managed care; Acute care hospital… more
- ERP International (Oak Harbor, WA)
- …with that of other individuals performing similar services. Participate in peer review and performance improvement activities. Practice aseptic techniques ... Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. * Perform… more
- Whidbey General Hospital (Coupeville, WA)
- …and background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead ... concerning medical necessity, status orders, appropriate level of care, peer -to- peer involvement, etc.). + Collaborates with payers,...+ Minimum of two years current experience as an RN in utilization review , case management and/or… more
- Evolent (Olympia, WA)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… more
- General Dynamics Information Technology (Lakewood, WA)
- …Center. + Current RN license; full, active, and unrestricted license as a Registered Nurse in one of any US State, the District of Columbia, Guam, ... 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… more
- Highmark Health (Olympia, WA)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member… more