- Humana (Olympia, WA)
- …part of our caring community and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and ... receives guidance where needed. Follows established guidelines and procedures. The SNF Utilization Management Nurse uses clinical knowledge, communication… more
- Humana (Olympia, WA)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Zurich NA (Olympia, WA)
- …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience + 5 or ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
- Veterans Affairs, Veterans Health Administration (Spokane, WA)
- Summary The Registered Nurse (Integrated Care Management ) within the Office of Integrated Veteran Care (IVC) functions as an advisor, administrator, educator, ... outcomes for Veteran healthcare Providing guidance and oversight of national program management to ensure proper resource utilization . Providing the Veteran's… more
- Veterans Affairs, Veterans Health Administration (Tacoma, WA)
- Summary The VA Puget Sound Healthcare System is recruiting for a staff nurse to perform duties with the Community Living Center at the American Lake VA hospital in ... of licensed vocational nurses/nursing assistants, as appropriate to the setting. The nurse will assist in directing the provision of nursing education, orientation,… more
- Evolent (Olympia, WA)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and client policies and ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...and regulations. * Practices and maintains the principles of utilization management and appeals management … more
- Molina Healthcare (Bremerton, WA)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... are most receptive including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and… more
- Molina Healthcare (Tacoma, WA)
- …Chief Medical Officer on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long-Term Services & Supports issues. + ... as may be required. + Serves as a clinical resource for Utilization Management , Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. +… more
- University of Washington (Seattle, WA)
- …**UW Medical Center-Northwest** has an outstanding opportunity for an **Emergency Department Nurse Manager** . **WORK SCHEDULE** + 100% FTE + Primarily day shifts ... DEPARTMENT** + We are seeking a dynamic and experienced ** Nurse Manager** to lead our 22-bed Emergency Department. +...best practices + Monitor patient flow, throughput, and resource utilization to maintain efficiency in a fast-paced environment +… more
- Sharecare (Olympia, WA)
- …total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised… more