Utilization Review Nurse jobs in Seattle, WA

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RN Care Coordinator - Utilization Management
Utilization review or case management experience. Providence is calling a Registered Nurse Care Coordinator- Utilization Management to the Utilization...
Concurrent Review Nurse I (Behavioral Health)
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Care Manager

Overlake Medical Center - 88 reviews - Bellevue, WA 98004 (Downtown area)
Current Washington State license as a Registered Nurse required. Provide concurrent insurance reviews and manage concurrent appeals....

Care Manager

HEALTHCARE MANAGEMENT ADMIN - Bellevue, WA
Knowledge of Case Management and Utilization Review processes preferred. Current Registered Nurse clinical license or equivalent....

Director of Nursing (DON)

Agape Recruiting, Inc. - Seattle, WA
$120,000 - $135,000 a year
Assists in preparation of documentation of Medicare records for presentation to Utilization Review Committee to include participation in Infection Control,...
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SR. APPLICATIONS ANALYST

University of Washington Medical Center - 726 reviews - Seattle, WA
You will be responsible for supporting physicians, nurses, and ancillary staff members in the utilization of multiple clinical information systems that impact...

Case Management Liaison Nurse - RN - Nursing Home Services

Kaiser Permanente - 5,879 reviews - Seattle, WA
Telephonic Case Management, acute or payor-based Utilization Review. Experience with health plans, telephonic case management, utilization review, hospitals,...

Registered Nurse Care Coordinator Utilization Management

Providence Health & Services - 970 reviews - Everett, WA 98203 (View Ridge-Madison area)
Utilization review or case management experience. We are seeking a Care Coordinator Utilization Management to oversee utilization management and review of...

RN Manager - Care Management Full-time Highline Medical Cent...

CHI-Franciscan Highline Medical Center - 54 reviews - Burien, WA   +1 location
Major decisions are subject to the review and approval of higher-level management. Active Washington State license as a Registered Nurse (or attainment within...

RN - Denials and Appeals Nurse

Morgan Stephens - 2 reviews - Bothell, WA
Document clinical review note. Experience with Medicare criteria and utilization or case management. Utilizing research and analytic skills to review CMS...
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Ancillary Services Manager I - Clinic Administered Medicatio...

Kaiser Permanente - 5,879 reviews - Seattle, WA
Conducts monthly/quarterly attendance reviews. (f) WA State DOH license in Physical or Occupational Therapy (g) HT (ASCP) or HTL (ASCP), (h) Current Washington...

Nurse Manager - Adult Psych AMC

Multicare Health System - 99 reviews - Auburn, WA
Current license as a Registered Nurse in the State of Washington. Major decisions are subject to the review and approval of the Clinical Director....
RN - Clinical Documentation Specialist
Current Registered Nurse (RN) license in Washington State. Providence is calling an experienced Registered Nurse Clinical Documentation Specialist (1.0 FTE,...
Utilization Review Nurse
Registered nurse required. Under the direction of the Manager of Utilization Management (UM), the UM Nurse is responsible for the facilitation and coordination...
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Registered Nurse Care Coordinator Utilization Management
Utilization review or case management experience. We are seeking a Care Coordinator Utilization Management to oversee utilization management and review of...