Utilization Review Nurse jobs in Seattle, WA

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Prior Authorization Nurse II
Centene Corporation - 703 reviews - Tacoma, WA 98417
Participate in utilization management committees and work on special projects related to utilization management as needed....
Registered Nurse Care Coordinator Utilization Management
Utilization review or case management experience. Provide education and leadership to physicians, nurses, discharge planners and utilization review specialists...
Desired Experience: Discharge Planning, RN, Case Management
Clinical Manager
Surgery Center of Silverdale, LLC - Silverdale, WA 98383
Reviews data regarding room utilization, turnaround times, late starts, etc., to assure efficient operating of department....
Desired Experience: BLS Certification, PALS Certification, RN, ACLS Certification
Easily apply
Utilization Management Representative I/II - Seattle, WA - P...
Anthem, Inc. - 2,807 reviews - Seattle, WA 98104
Refers cases requiring clinical review to a Nurse reviewer. Utilization Management Representative I/II - Seattle, WA - PS2800....
Desired Experience: Triage

RN Care Coordinator - Utilization Management

Providence Health & Services - 1,114 reviews - Everett, WA 98203 (View Ridge-Madison area)
Utilization review or case management experience. Providence is calling a Registered Nurse Care Coordinator- Utilization Management to the Utilization...
Desired Experience: Discharge Planning, RN, Case Management

Utilization Management Representative I/II - Seattle, WA - P...

Anthem, Inc. - 2,807 reviews - Seattle, WA 98104 (First Hill area)
Refers cases requiring clinical review to a Nurse reviewer. Utilization Management Representative I/II - Seattle, WA - PS2800....
Desired Experience: Triage

Supv, Care Review Prior Authorization (Nurse)

Molina Healthcare - 786 reviews - Bothell, WA
Utilization Management Certification (CPHM). Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program....
Desired Experience: Triage

ASSISTANT NURSE MANAGER (RN3)/EDUCATION LEAD

University of Washington Medical Center - 800 reviews - Seattle, WA
$5,592 - $10,260 a month
ASSISTANT NURSE MANAGER (RN3)/EDUCATION LEAD. Reviews and processes requests from staff for time off appropriately....
Desired Experience: Discharge Planning

Clinical Care Manager, LPN - Not Remote Eligible

Community Health Plan Of Washington - 35 reviews - Seattle, WA 98101 (Downtown area)
Current, unrestricted license in the state of Washington as a licensed practical nurse (LPN) required. Performs assessment reviews of assigned members to ensure...
Desired Experience: NCQA Standards, Case Management

Registered Nurse Care Coordinator Utilization Management

Providence Health & Services - 1,114 reviews - Everett, WA 98203 (View Ridge-Madison area)
Utilization review or case management experience. Provide education and leadership to physicians, nurses, discharge planners and utilization review specialists...
Desired Experience: Discharge Planning, RN, Case Management

RN Case Manager - Purchased Referred Care

Alaska Native Tribal Health Consortium - 49 reviews - Seattle, WA
Maintains communication with utilization review, case management and social services departments in the non-IHS hospitals....
Desired Experience: Discharge Planning, RN, Case Management, BLS Certification
Easily apply

RN - Clinical Documentation Specialist

Providence Health & Services - 1,114 reviews - Everett, WA 98203 (View Ridge-Madison area)
Current Registered Nurse (RN) license in Washington State. Providence is calling an experienced Registered Nurse Clinical Documentation Specialist (1.0 FTE,...
Desired Experience: RN

Specialist, Medical Necessity Claims Reviewer

Molina Healthcare - 786 reviews - Bothell, WA
3 years clinical nursing experience, including 1 year Utilization Review and/or Medical Claims Review experience....
Desired Experience: RN

Nurse Billing Auditor

Overlake Medical Center - 99 reviews - Bellevue, WA 98004 (Downtown area)
Working knowledge of Case Management, Discharge Planning, Appeals Management, Clinical Documentation Improvement, and/or Utilization Review preferred....
Desired Experience: Discharge Planning, Case Management, RN, Clinical Documentation Improvement
Utilization Management Nurse
UTILIZATION MANAGEMENT NURSE – Seattle or Spokane Location*. Registered nurse required. Under the direction of the Manager of Utilization Management (UM), the...
Desired Experience: Discharge Planning, RN
Easily apply
Concurrent Review Nurse (Signing Bonus & Flex Scheduling)
Centene Corporation - 703 reviews - Tacoma, WA 98417
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
Desired Experience: Discharge Planning, RN
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