Utilization Review Nurse jobs in Seattle, WA

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Utilization Management RN - Nationwide Posting
Perform utilization and concurrent review of inpatient cases using Milliman criteria. Experience with utilization review for an insurance company or in a...
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Part-Time MDS Nurse
Shoreline Health and Rehabilitation Center - Seattle, WA 98155
$31 an hour
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 - RN - Correspondence Nurse
Participate in Quality Assurance and Utilization review activities, as directed. Active Registered Nurse (RN) licensure in the state in which the Registered...
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Utilization Management Representative I/II

Anthem, Inc. - 1,773 reviews - Seattle, WA
Refers cases requiring clinical review to a Nurse reviewer. Responsible for coordinating cases for precertification and prior authorization review....

Care Review Clinician, Prior Authorization

Molina Healthcare - 284 reviews - Bothell, WA
Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR a Master's Degree in a...

Utilization Management Nurse - Case Management

Swedish Medical Center - Seattle, WA - 23 reviews - Seattle, WA 98194 (Downtown area)
_The Utilization Management Nurse encompasses a broad knowledge of health care delivery that includes but is not limited to managed care regulations, contract...

Supvervisor, Care Review Prior Authorization

Molina Healthcare - 284 reviews - Bothell, WA
Utilization Management Certification (CPHM). Completes staff quality audit reviews. Licensed Practical Nurse (LPN) license in good standing....

Liaison Nurse - Care Management Team - 20 hrs/week

Group Health Cooperative - 272 reviews - Seattle, WA
2 years RN experience in utilization review, ambulatory case management, care coordination or disease management....

Chief Nurse Clinical Advisor

SEIU 775 Benefits Group - Seattle, WA
Participate in utilization management reviews. Experienced with case management and utilization/concurrent review (a plus)....

Nurse Care Advocate

Landmark Health - Seattle, WA
1-2 years of utilization management experience a must. Reviews medical information collected including medical records and/or performs additional assessment to...

Registered Nurse Case Manager- Utilization Management

Pacific Medical Centers - 13 reviews - Seattle, WA 98194 (Downtown area)
+ Current Washington State Registered Nurse License\. We are seeking a Registered Nurse Case Manager coordinates care for Pacific Medical Centers’ Managed Care...

HCS Clinical Trainer - RN

Molina Healthcare - 284 reviews - Bothell, WA
Records and trends individual and department review results on weekly, monthly, quarterly and annualized basis....

Registered Nurse Care Coordinator- Utilization Management

Providence Health & Services - 653 reviews - Everett, WA 98203 (View Ridge-Madison area)
+ Utilization review or case management experience. We are seeking a compassionate and caring RN Care Coordinator to oversee utilization management and review...
Registered Nurse - Patient Flow (Utilization Management/Disc...
Uses pre-established guidelines and criteria to perform review activities assuring appropriate and timely utilization of hospital services....
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Registered Nurse Case Manager- Utilization Management
+ Current Washington State Registered Nurse License\. We are seeking a Registered Nurse Case Manager coordinates care for Pacific Medical Centers’ Managed Care...
Sponsored by Providence Health & Services

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