- Providence (Olympia, WA)
- **Description** The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization ... of the department.** **Required qualifications:** + Upon hire: Washington Registered Nurse License + 3 years of...Degree Or Associate's Degree Nursing + 3 years of Utilization Review , Care Management, Quality Management, and/or… more
- Veterans Affairs, Veterans Health Administration (Seattle, WA)
- Summary The VA Puget Sound Healthcare System is recruiting for one Registered Nurse to perform patient flow utilization management duties at the VA hospital ... in Seattle, Washington. Responsibilities The Utilization Management (UM) Nurse uses the nursing...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (Seattle, WA)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of… more
- Molina Healthcare (Vancouver, WA)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... care/medical experience. R **equired License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. MULTI… more
- Whidbey General Hospital (Coupeville, WA)
- …background to assure compliance with CMS Conditions of Participation regarding Utilization Review and Discharge Planning. The RN - Care Manager will lead an ... an RN + Minimum of two years current experience as an RN in utilization review , case management and/or discharge planning in a hospital inpatient acute… more
- CVS Health (Olympia, WA)
- …care. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. - A Registered Nurse that holds an active, unrestricted...lower levels of care. - 1+ years' experience in Utilization Review . - CCM and/or other URAC… more
- CVS Health (Olympia, WA)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... in a hospital setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- PeaceHealth (Vancouver, WA)
- …Preferred: 1 year Surgical patient population experience Credentials + Required: WA State Registered Nurse License + Required Upon Hire: Basic Life Support ... teach. (Required) + Knowledge of discharge planning, health care reimbursement, utilization review processes and Medicare admission status/classification level.… more
- Muckleshoot Indian Tribe (Auburn, WA)
- …also instruct patients and their families how to perform necessary procedures. A Registered Nurse administers skilled nursing care to patients on an intermittent ... and performance improvement as assigned. + Participates in utilization review of medical records as assigned....Licenses or Certifications Required Current and valid Washington State Registered Nurse licensure. A current and valid… more
- CenterWell (Everett, WA)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
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