Utilization Management Nurse
Community Health Plan of Washington
Community Health Plan of Washington is seeking a Level I Utilization Management Clinician to perform utilization review for medical or behavioral health requests, coordinating with care teams to ensure timely access to appropriate services. The role requires an RN or LPN license, a bachelor’s degree or equivalent experience, and at least two years of clinical practice. Travel to local hospitals is required and collaboration with providers is essential. #J-18808-Ljbffr
- ...an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or behavioral... ...Education Preferred Technical/other training or better in Nursing. Licenses & Certifications Required RN LPN Equal...SuggestedFull timeTemporary workPart timeWork at officeLocal areaTrial periodAll shiftsFlexible hours
- ...and consultation. May refer specific cases to the Physician Utilization Management Advisors (PUMA).Excellent fact finding, interpersonal communication... ..., social work, ancillary services, and patient care nurses/units.Has a proactive approach to reduce readmissions, length...SuggestedPermanent employmentFull timeRemote workRelocation packageFlexible hoursWeekend workWeekday work
- ...Utilization Management Discharge Nurse The Utilization Management Discharge Nurse uses the nursing process and nursing expertise in using review criteria to determine medical necessity for inpatient admissions and continued stays. This nurse will collaborate with patients...Suggested
- ...A leading healthcare organization is seeking a Care Manager RN for a remote role primarily serving the state of Washington. This per diem position involves crucial utilization management activities, ensuring compliance with payer requirements and regulations. Candidates...SuggestedHourly payDaily paidRemote workDay shift
$65.86 - $76.15 per hour
...Utilization Review Nurse III - Washington StatePrimary Location Renton, Washington Employee Status: Regular Schedule Full-time Scheduled Weekly... ...Clinical UR/UM Prior Utilization Review/Utilization Management RN Work Experience Highly Preferred! Must Live In Washington...SuggestedFull timeWork experience placementLive inLocal areaWork from homeFlexible hoursShift work$43 - $46 per hour
...Description Job title - Addiction Treatment Nurse, RN Location - Renton Clinic and Mobile... ...through patient care and medication management. The RN is responsible and accountable for... ..., and provide patient education. Utilize verbal and physical de-escalation techniques...Full timeWork at officeLocal areaFlexible hoursShift workRotating shiftWeekend work$46.97 per hour
Job Description REGISTERED NURSE (RN). Work Schedule 100% FTE, M - F, no weekends OR... ...procedures, cardiac surgery, arrhythmia management and electrophysiology, interventional cardiology... ...monitoring, programming and management Utilize strong analytical skills, meticulous...Hourly payFull timeTemporary workWork at officeRemote workRelocation packageShift workDay shift- The Utilization Management Discharge Nurse at the Department of Veterans Affairs uses the nursing process to determine medical necessity for inpatient admissions and continued stays, coordinating with patients, families, caregivers, and the treatment team to ensure safe...
- ...Nurse Auditor Portland, OR Exp 5-7 years This position can be located in Tacoma... .... Strong organizational and time management skills with the ability to manage workload... ...guidelines, and accepted standards of care. Utilizes evidence-based criteria that...Work at officeRemote work
- ...Public Health Nurse/Nurse Case ManagerThe Tuberculosis (TB) Program is seeking to fill one full-time Public Health Nurse/Nurse Case Manager. Public Health Nurse (PHN) provides case management services to patients with active or latent disease, care coordination, referral...Hourly payFull timeContract workWork experience placementWork at officeMonday to FridayNight shift
- ...NursePuget Sound Pain Clinic is seeking a dedicated Licensed Practical Nurse (LPN) or Registered Nurse (RN) to join our ambulatory surgery... ...relief and improve their quality of life through advanced pain management therapies.Why Join Us?Consistent Monday–Thursday schedule (7am–...
$62.9 - $99.31 per hour
...Providence is calling for Clinical Program Manager RN - North Division Clinical Programs -... ...Clinical Program Manager RN supports nursing practice, quality initiatives, and clinical... ...-based nursing and clinical practices, utilizing established standards, research findings...Minimum wageFull timeLocal areaShift work$46.97 per hour
...Registered Nurse (RN)University of Washington Medical Center - Montlake's Heart Institute Electrophysiology (EP) has an outstanding... ...diagnostic imaging tests and procedures, cardiac surgery, arrhythmia management and electrophysiology, interventional cardiology, structural...Full timeTemporary workWork at officeRemote workRelocation packageShift workDay shift- ...Comprehensive EyeCare Partners is one of the nation’s largest vision care management service organization. CompEye is focused on providing best-in-... ...the patient experience.Position SummaryAs a Registered Nurse you will assist in the organization and daily function of the...Night shiftWeekend work
$26.41 - $59.21 per hour
...JOB DESCRIPTION Job Summary Provides support for care management/care coordination activities and collaborates with multidisciplinary... ...of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice...Hourly payWork experience placementWork at officeLocal area$44.88 per hour
...United States Base Pay $44.88 / Hour Job Category Nursing Employee Type Non-Exempt Required Degree 2 Year Degree Manage Others No Summary: The Registered Nurse (RN)... ...person, on the phone, or through the patient portal utilizing protocols, guidelines and standards set by...Full timeWork at officeRemote workShift workWeekend work$75.9k - $113.84k
...state where the employee will be working Minimum of one (1) year nursing experience; hospice or hospital experience preferred Previous... ...work in a team environment and intervene appropriately Ability to manage multiple priorities simultaneously and effectively handle the...Local areaImmediate startRelocation packageNight shift$63 - $88 per hour
Become a part of our caring community As a CenterWell Home Health nurse, reporting to the Clinical Manager, you will provide personalized, one-on-one care that helps patients regain independence in the comfort of their homes. Working with a dedicated team of physicians...Weekly payFull timeTemporary workApprenticeship- ...one of the nations largest vision care management service organization. CompEye is focused... ...Position Summary Our Licensed Practical Nurse (LPN) assist in the organization and... ...Demonstrates knowledge of aseptic technique. Utilizes aseptic technique and infection control...
$46.97 per hour
...Registered Nurse Opportunity at Harborview Medical Center Harborview Medical Center has an outstanding opportunity for an experienced Registered Nurse to join our Care Management Team. Work Schedule: ~80% FTE (4 days a week) ~ Day shift Department Description...Hourly payFull timeTemporary workWork at officeImmediate startRelocation packageShift workDay shift- ...~9 paid holidays a year, including 2 personal holidays ~ Reimbursement for professional licensure The Registered Nurse - Care Management plans, organizes, and provides nursing services to clinic patients in conjunction with clinic providers. This position works...Relocation packageMonday to Friday
$50 - $62.05 per hour
...Registered Nurse Come and work with us!! We are hiring a Registered Nurse to work with our at home patients. This position offers... ...Careage is a leading provider of senior-focused construction, management, and health care services throughout the United States. They are...Full timeMonday to FridayNight shiftWeekend work$51.43 - $79.84 per hour
...Description - This is a remote role. You MUST live in the state of Washington (WA) to be considered. Care Manager RN, Per diem / On call, Day shift. The Utilization Review (UR) Nurse has a strong clinical background blended with knowledge and skills in Utilization Management (UM...Daily paidLive inRemote workShift workDay shift- All Jobs > FEMA Registered Nurse - Full Time DOCS Health is seeking a Full-Time Registered Nurse to support FEMA (Federal Emergency Management Agency) to provide vital medical support to FEMA personnel at the FEMA Headquarters Washington, D.C. office health clinic. This...Full timeWork at officeLocal areaMonday to Friday
$85 per hour
...courthouse or awaiting trial etc. Wide variety of inmates this nurse will care for. They have 24/7 nursing care available for triage... ...as well as routine medical care for inmates. Lots of diabetes management, wound care, chronic illness care etc. The nurse will have a security...Local areaShift work- ...Healthcare Staffing is seeking a part-time Registered Nurse I to provide medical case management for public-sector workers’ compensation and return-to... ...involves clinical assessment, care coordination, utilization review, and documentation to support safe, timely return...Part time
- UW Medical Center - Northwest is seeking a Part-time Nurse Care Coordinator to support the Care Management team in Seattle. The role focuses on coordinating patient flow, ensuring timely discharge, and collaborating with the interdisciplinary team to align care plans. The...Part time
- ...difference in our success!**The Registered Nurse (RN) provides quality nursing care via... ...needs of Hospice House patients* Ability to manage the emotional stress of working with and... ..., patients, families, and supervisors; utilizes positive approaches when working with others...Daily paidContract workLocal areaImmediate startFlexible hoursNight shift
- ...Development - Veterans Affairs Supportive Housing (HUDVASH) Registered Nurse (RN) focus is on individual growth and development in practice with increased levels of self‑direction. Provides patient management, care coordination, and discharge/disposition planning for...Permanent employmentTemporary workImmediate startRemote workRelocation packageMonday to Friday
- ...Infusion Solutions is seeking a Home Health Infusion Registered Nurse to support patients in the Olympia WA. Consideration will be given... ..., OR areas. This PRN opportunity offers the flexibility to manage your own schedule while meeting the needs of patients throughout...ReliefWork at officeWeekend work
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