RN - Utilization Review
Providence Health Plan Group
Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and reimbursement requirements of commercial and government payers. Utilizes appropriate criteria and interprets the implications of clinical status and the medical treatment plan with current federal regulations/guidelines thereby expediting the billing process, payment and preventing governmental sanction. The UR nurse is responsible for performing comprehensive admission, concurrent and retrospective UR related reviews and functions to ensure that appropriate data is tracked, evaluated and reported. This individual actively participates in process improvement initiatives, working with multiple departments and multi-disciplinary staff. This role requires current and accurate knowledge regarding commercial and government payers as well as accreditation regulations/guidelines/criteria related to UM. Required Qualifications Upon hire: Washington Registered Nurse License. 3 years of Nursing experience. Preferred Qualifications Bachelor's Degree in Nursing Associate's Degree in Nursing 3 years of experience in Utilization Review, Care Management, Quality Management, and/or Discharge planning. Benefits Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission of caring for everyone, especially the most vulnerable in our communities. #J-18808-Ljbffr
$46.3 - $91.32 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing...SuggestedFull timeLocal areaShift workProvidence Health and Services
Tumwater, WA8 days ago$47.69 - $94.06 per hour
...Description The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and...SuggestedMinimum wageFull timeLocal areaShift workProvidence Health and Services
Olympia, WA3 days ago$33.89 - $56.49 per hour
...according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste. Clerical &... ...designated clinical application accurately and in a timely manner. Reviews health care record for completeness and ensures omitted entries...SuggestedHourly payWork experience placementImmediate startFlexible hoursFresenius Medical Care
Olympia, WA4 days ago$38 - $51 per hour
...Select Home Care as a Registered Nurse (RN), where you’ll bring comfort and confidence... ...home health strategies and procedures utilizing community resources as applicable Observes... ...Participates in clinical record/utilization review of medical records and quality assurance...SuggestedWeekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday workTeam Select Home Care
Olympia, WA12 hours ago$46.92k
...Salary: $46,917.00 per person (approximately $180,000 total compensation per couple, including free housing, meals while on duty, utilities, and more) Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance...SuggestedFull timeRelocationRelocation packageFlexible hoursWeekday workMilton Hershey School
Olympia, WA12 days ago- ...subjective and objective medical data. Perform physical examinations, review of systems and current health and prevention indicators to... ...forms for billing, data entry or other reporting requirements utilizing the current Electronic Health Record system. Perform client...Work at officeMonday to FridayShift work
Nisqually Red Wind Casino
Olympia, WA12 hours ago $2,400 - $10,000 per month
...messaging systems, and cloud-based documentation tools This company utilizes E-Verify. ComplexCare Solutions (CCS) is proud to be an equal... ...coding practices Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion...Daily paidLocal areaRemote workComplexCare Solutions
Lacey, WA4 days ago$46.3 - $91.32 per hour
...conditions for payment. The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive,... ...assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions, regulatory...Full timeLocal areaShift workProvidence Health and Services
Olympia, WA8 days ago$96.8k - $150.3k
...at Home with Compassus**Position Summary**The Clinical Liaison RN (Exempt) - PAH is responsible for modeling the Compassus... ...care information/education at meetings with hospital service, utilization review/discharge planners/case managers, patients and patient's families...Full timeCompassus
Olympia, WA4 days ago$1,718 per week
...Oncology RN Location: Olympia, WA Pay: $1718 / Weekly Gross (Estimated pay package. Does not include taxes, insurance, or other deductions that may occur) Job ID: FLV9RJA6 Start Date: 7/14/2026 Shift: 12H Nights (7:00 PM-7:30 AM) Length: 13 Weeks Weekly Hours: 36 Facility...Weekly payTemporary workShift workNight shiftTriage Staffing
Olympia, WA2 days ago$47.69 - $94.06 per hour
...Description The Inpatient Registered Nurse (RN) Care Manager provides professional, comprehensive, patient centric... ...assessment and planning, coordination of care, resource utilization management and/ or review, discharge planning, documentation of interventions,...Daily paidMinimum wagePart timeLocal areaImmediate startShift workProvidence Health and Services
Olympia, WA7 minutes ago$141.39k - $150k
...after-hours call coverage per departmental guidanceMultidisciplinary CollaborationParticipates in multidisciplinary meetings, care reviews and care planningCoordinates care with all members of the delivery teamContributes to the development and improvement of population...Contract workLocal areaRelocationShift workMultiCare Health System, Inc.
Olympia, WA3 days ago- ...measures are being addressed and will do so by doing thorough EHR reviews, working collaboratively with the Chronic Care Coordinators,... ...Reports any abnormal vital signs to the provider immediately. Utilizes aseptic (sterile) technique. Assists with ordering of...ApprenticeshipWork at officeImmediate start
SeaMar Community Health Centers
Lacey, WA1 day ago $40 - $45 per hour
...accuracy of clinical documentation in medical records. What You Will Do: Conduct timely, accurate, and complete documentation reviews for selected inpatient records, addressing inadequate or conflicting documentation. Collaborate with physicians and caregivers...Hourly payDatavant
Olympia, WA12 hours ago- ...medications as prescribed. Collaborate with interdisciplinary support teams including IV teams, physical therapy, and social services. Utilize clinical skills to manage and care for patients with varying diagnoses. Adhere to infection control protocols and ensure patient...Contract workLocal area
Origin Travel Nurses
Olympia, WA3 days ago $46.54 - $72.26 per hour
Description Under the supervision of the FNE/SANE Supervisor and Sexual Assault Clinic Medical Director, with orders when necessary from the Emergency Department Provider, the Forensic Nurse Examiner follows protocols to provide independent, comprehensive care to ...Part timeLocal areaShift workProvidence Health and Services
Olympia, WA8 days ago- ...participate in these DOW sponsored programs. The Utilization Management Behavioral Health Registered Nurse (RN) Intern will report to a manager of the National Medicaid... ...acquired skillsets to complete medical necessity reviews for behavioral health requested services using...For contractorsApprenticeshipInternshipRemote workWork from homeHome officeWeekday work
Humana, Inc.
Olympia, WA4 days ago $40.21 - $80.17 per hour
...dream department Position Summary We’re seeking a float pool staff RN to join our incredible hospital‑based team and support a variety... ...our acute care departments. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a...Contract workRelocationRelocation packageShift workNight shiftWeekend workMultiCare Health System, Inc.
Olympia, WA12 hours ago- ...homelike vibe and a family atmosphere. Stop in for a tour today! As an RN, you are essential to quality resident care. Duties include... ...service plans Know and follow infection control and safety procedures Review, update and communicate resident care documentation. Evaluate...
Regency Pacific
Olympia, WA12 hours ago $40 - $55 per hour
...5.00 Hourly Job Shift: Day Join Our Team As A Registered Nurse (RN) Your Work Matters Actively engage in the health care team, offering... ...conditions continuously throughout their care journey. Utilize the nursing process in alignment with the philosophy, objectives...Hourly payFull timeShift workSouth Sound Behavioral Hospital
Lacey, WA4 days ago$1,040 per week
...healthcare company in the U.S. with an immediate option for this RN position in Olympia, WA. Sign-up here to submit your application... ...WA About the facility State WA City Olympia Check Out These Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel agency...Daily paidContract workImmediate startShift workHost Healthcare
Olympia, WA12 hours ago$39.78 - $45.19 per hour
...-Time Non-Exempt Job Description POSITION: OR Circulating Nurse (RN) DEPARTMENT: ASC REPORTS TO: Charge Nurse JOB SUMMARY: The registered... ...of nursing in improving teaching program for staff members. Review all policies and procedures on a yearly basis. Attend update and...Full timeKids For The Future
Lacey, WA12 hours ago$200k
...Indigo Urgent Care, a MultiCare Company, is the leading urgent care provider in the pacific northwest. With over 400,000 5-star reviews, Indigo is transforming health care through a truly people-centered approach to medicine. Our team is passionate about modernizing...Temporary workPart timeWork at officeWork from homeRelocation packageFlexible hoursShift workWeekend workDay shiftMultiCare Health System
Tumwater, WA2 days ago- ...team. • Monitors patient’s condition, notes changes in status, utilizes judgment and takes appropriate action. • Communicates patient status... ...acute care or community mental health setting for Mental Health RN work assignment. + Preferred - Hospice or Palliative Care...Internship
Compassus
Olympia, WA4 days ago $50 - $57 per hour
...Description Careage Home Health is Hiring a RN for the Olympia area within Pierce/Thurston County!! Come and work with us!! We offer... ...conferences on patients assigned to his/her care. Participates in peer review and Quality Assessment and Performance Improvement as assigned....Full timePart timeWeekend workCareage Inc
Olympia, WA4 days ago$46.35 - $90 per hour
...Day, Schedule: 12 hour shifts, alternating weekends Position Summary We're seeking a staff RN to join our incredible hospital-based team. This is an excellent opportunity to utilize your specialized training, knowledge, and nursing care with a multidisciplinary approach....Contract workLocal areaFlexible hoursShift workWeekend workDay shiftMultiCare Health System, Inc.
Olympia, WA4 days ago$1,950.23 per month
...Travel Offering Nursing Profession RN Specialty L&D Job ID 37068452 Job Title... ...shoulder dystocia, uterine rupture, and neonatal resuscitation, utilizing appropriate protocols and teamwork. Administer medications and...Weekly payImmediate startShift workMission Hospital Asheville
Olympia, WA2 days ago$105.76k - $158.64k
...clinical patient assessment Completes a comprehensive assessment utilizing the palliative care domains of assessment, interprets findings,... ...for other roles you may be interested in. Required Qualifications RN/APRN licensure in state of practice Nurse Practitioner/CNS with...Minimum wageWork experience placementLocal areaStryker
Olympia, WA3 days ago- ...the National Medicaid team as a Behavioral Health Registered Nurse Intern, focusing on clinical reviews and facilitating care coordination. Candidates must hold an active RN license and possess clinical behavioral health experience. This role is fully remote, with a work...InternshipRemote work
Humana
Olympia, WA12 hours ago $59 per hour
...Join to apply for the Per Diem- Medical Surgical Nurse (RN) role at Senior Helpers Base pay range $59.00/hr - $59.00/hr Overview The ADULT MEDICAL SURGICAL REGISTERED NURSE (RN) is a healthcare provider who through education and experience possesses a distinct body of...Daily paidFull timeLocal areaFlexible hoursShift workSenior Helpers
Olympia, WA4 days ago
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