- Humana (Olympia, WA)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Molina Healthcare (WA)
- … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
- Fresenius Medical Center (Vancouver, WA)
- …of time, and for specific additional duties, as assigned by the Program Manager . The Inpatient Services Charge Nurse ensures appropriate provision of Acute ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...performing Acute treatments as needed or directed by Program manager . Assumes the provision of quality patient care to… more
- CVS Health (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 with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Whidbey General Hospital (Coupeville, WA)
- …health, Hospice, skilled nursing, anti-biotic regime, etc. The RN - Care Manager follows the hospital's Case Management / Utilization Plan that integrates ... regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an...resource utilization , the discharge planning and appeal/denial management . The RN - Care Manager… more
- Swedish Health Services (Seattle, WA)
- …remote role. You MUST live in the state of Washington (WA) to be considered_** **Care Manager RN ** **Per diem / On call** **Day shift** The Utilization ... background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient...(BSN) from an accredited school of nursing. + Washington Registered Nurse License upon hire. + 3… more
- PeaceHealth (Vancouver, WA)
- … department in the following role: + .6 FTE evening shift RN Case Manager + Provide case management in the Emergency department + Work three 8-hour shifts ... Certified Case Manager Skills + Discharge planning, case management , quality assurance/quality improvement, clinical documentation and/or utilization … more
- Kadlec (Richland, WA)
- …care. Has the overall accountability for the integrated responsibilities of case management ; utilization management , discharge planning, facilitation and ... **Description** ** RN Care Manager - Kadlec Regional...an accredited school of nursing. + Upon hire: Washington Registered Nurse License **Preferred qualifications:** + Bachelor's… more
- Providence (Olympia, WA)
- …payment.** The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation… more
- Providence (Everett, WA)
- …extraordinary!The Inpatient Registered Nurse ( RN ) Care Manager provides professional, comprehensive, patient centric care management services for at ... Accountabilities include assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation… more
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