Utilization Review Nurse jobs in Seattle, WA

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MDS Coordinator - RN - Various Shifts
Manage the Utilization Review (UR) process. Review patient care plans for appropriate goals, problems, approaches, and revisions based on nursing needs....
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Registered Nurse -Behavioral Medicine 1.0 FTE
+ Current Washington State Registered Nurse License\. + Recommend care plan for high risk patients in the outpatient setting including communication with...
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Nurse Care Advocate
Landmark Health - 2 reviews - Federal Way, WA 98003
1-2 years of utilization management experience a must. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care...
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Nurse Care Manager

Landmark Health - 2 reviews - Federal Way, WA
1-2 years of utilization management experience a must. These teams are led by Physicians, Nurse Practitioners, and Physician Assistants, with supporting care...

Supervisor, Care Review Prior Authorization, LPN

Molina Healthcare - 307 reviews - Bothell, WA
Utilization Management Certification (CPHM). Completes staff quality audit reviews. Licensed Practical Nurse (LPN) license in good standing....

Medical Director

Molina Healthcare - 307 reviews - Bothell, WA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Registered Nurse / RN

TalentCare LLC - Seattle, WA
Additional Registered Nurse responsibilities will be:. 1-2 years of utilization management experience a must *....

Care Review Clinician, Prior Authorization, LPN

Molina Healthcare - 307 reviews - Bothell, WA
Completion of an accredited Registered Nurse (RN) OR Licensed Practical Nurse (LPN) Program. Utilization Management Certification (CPHM)....

Hospital Liaison/Mental Health Clinician

Kitsap Mental Health Services - 11 reviews - Bremerton, WA 98311
Monitor community hospital census to avoid over utilization. Submit quarterly reports summarizing inpatient utilization at community hospitals to RSN....

Care Management Coordinator

CareNational Healthcare Services - Lynnwood, WA
$17 an hour
The position primarily supports Medical Management functions related to Case Management, Utilization Review, and/or Quality Improvement activities....
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Nurse Care Manager

TalentCare LLC - Seattle, WA
Review medical information collected *. Registered Nurse (RN) License, BSN preferred *. Nurse Care Manager or similar experience desired *....

Director of Nursing (Skilled Nursing)

The Clinical Recruiter - Seattle, WA
Implement and monitor medical Utilization Review functions and requirements for entire medical department in compliance with established company policies and...

Psychiatric Nurse Care Manager

TalentCare LLC - Seattle, WA
Review medical information collected *. Registered Nurse (RN) License, BSN preferred *. 1-2 years of utilization management experience a must *....
Nurse / RN, Manager of Clinical Services - Healthcare
Brookdale - Seattle, WA
Review electronically submitted documentation and provide feedback to clinicians regarding deficiencies or OASIS corrections to ensure the medical records...
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MDS Coordinator RN (AVA) - Day
Avamere Health Services - 51 reviews - Shoreline, WA 98177
Manage the Utilization Review (UR) process. MDS Coordinator, Registered Nurse RN:. Review patient care plans for appropriate goals, problems, approaches, and...
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