Average salary: $102,900 /yearly
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$85k - $108k
...to something important, find out more about us at: How YOU will make a Difference: The Medical Claims Review Nurse provides monitoring of member utilization and claim patterns using clinical nursing knowledge and coding expertise to oversee the accuracy of claims...SuggestedFull timeTemporary workWork at officeRemote workFlexible hours$50 - $75.01 per hour
...to this job. Other information: Job Summary The Peer Review Coordinator assists with activities of the CPE (Committee for... ...events pertinent to medical care and other clinical situations. Utilizes expert clinical knowledge of medical disease processes and medical...SuggestedDaily paidWork at officeSkagit Regional Health
Washington State5 days ago- ...range of behavioral health problems. As a part of our continued success and growth, we are seeking qualified applicants for a Utilization Review Manager. Position Description The Utilization Manager is responsible for directing and overseeing the Utilization Program...SuggestedLocal area
$55k - $65k
.... Full Time WA, US 3 days ago Requisition ID: 1338 Salary Range: $55,000.00 To $65,000.00 Annually POSITION SUMMARY: The Utilization Review Coordinator is responsible for communicating substance abuse and mental health clinical information to managed care/insurance...SuggestedFull timeFor contractors$51.43 - $79.84 per hour
...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), medical...SuggestedDaily paidLive inRemote workShift workDay shift- Washington Permanente Medical Group in Renton, WA seeks a Clinical Reviewer to adjudicate coverage requests using established criteria and... ...or family medicine and Washington licensure; knowledge of utilization management and quality programs is preferred. #J-18808-Ljbffr...Suggested
- Sunshine Behavioral Health is seeking a Utilization Review Coordinator in Washington state. The role focuses on communicating clinical information to managed care and payer services to obtain authorizations for treatment. The candidate should have UR experience, knowledge...Suggested
- ...Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale. Key...SuggestedRemote jobWork from home
- Molina Healthcare is seeking an RN to support clinical member services review and assessment processes. You will verify services are medically necessary, align with guidelines, and ensure desired outcomes through integrated care. The role contributes to strategy for quality...Suggested
- A national healthcare staffing firm is seeking an experienced RN for a clinical role in Tacoma, WA. This position involves reviewing care requests and coordinating member care with a focus on discharge planning. Candidates should have at least 2 years of inpatient hospital...SuggestedFlexible hours
$44.88 per hour
...patients in person, on the phone, or through the patient portal utilizing protocols, guidelines and standards set by Allegro Pediatrics.... ...Plan with employer matching Anniversary bonus Annual performance review bonus License renewals reimbursement Birthday/anniversary...SuggestedFull timeWork at officeRemote workShift workWeekend work$20 - $26.75 per hour
...clients. Uncovers clients’ needs by asking the right questions; utilizes need-based selling. Reports on results will be recorded and... ...pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...SuggestedLocal areaMonday to FridayFlexible hours$81.14k - $129.01k
...intervention services as a traditional mental health provider utilizing the collaborative care model approach to support access for patients... ...to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...SuggestedHourly payFull timePart timeLocal areaFlexible hours$21 - $23 per hour
...priorities, SOPs, and work instructions accurately. * Use computer systems to enter and review production information, work orders, quantities, and other required documentation. * Utilize Microsoft Office applications, including Excel, to support production activities. *...SuggestedFull timeWork at officeWorldwideAfternoon shift- ...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 should possess a BSN and a...SuggestedRemote jobHourly payDaily paidDay shift
- ...Troubleshoots operational malfunctions and analyzes system performance utilizing aircrew debrief data, Technical Orders, schematic and wiring... ...(TCTO) and/or modifications on new or existing equipment. Reviews and analyzes maintenance data; determines if criteria are sufficient...
- Kaiser Permanente is seeking an Utilization Review Nurse III in Washington state. You will apply advanced clinical and regulatory knowledge to assess medical necessity, level of care, and treatment duration for moderately complex reviews, coordinating with care teams and...
- ...recruitment practices. Please be advised that Eliassen Group utilizes artificial intelligence (AI) tools as part of its initial application... ...different ways, including but not limited to, assistance in reviewing application materials to help identify candidates whose...Hourly payContract workLocal areaNight shift
- ...coordinates manufacturing processes on the Production Floor Reviews project instructions and blueprints to obtain test... ...information for management decisions Analyzes and plans work force utilization, equipment and workspace requirements for maximum efficiency....Permanent employmentFull timeFor contractorsWork at officeShift work
- ...Troubleshoots operational malfunctions and analyzes system performance utilizing aircrew debrief data, Technical Orders, schematic and wiring... ...(TCTO) and/or modifications on new or existing equipment. Reviews and analyzes maintenance data; determines if criteria are sufficient...Contract workWork at officeTrial periodRelocation packageShift workAfternoon shift
$2,275.3 per month
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...Weekly payLocal areaShift work$2,275.3 per month
...Job Overview TLC Nursing Associates, Inc. is seeking an experienced Registered Nurse (RN) – Utilization Review to assess the medical necessity, efficiency, and appropriateness of healthcare services. This role involves reviewing patient care plans, ensuring compliance...Weekly payShift work$36.9 - $69.95 per hour
...Utilization Review Registered Nurse, (RN) - Care Management, Per Diem, Variable Shift Island Health is seeking an experienced Utilization Review Registered Nurse for our hospital in Anacortes, WA. Work Schedule: 0.1 FTE / 0 hours per week - Additional information...Daily paidZero hours contractFlexible hoursShift work- ** UTILIZATION REVIEW NURSE III - WASHINGTON STATE - PRE-SERVICE CLINICAL UR/UM ** ** PRIOR UTILIZATION REVIEW/UTILIZATION MANAGEMENT RN WORK EXPERIENCE HIGHLY PREFERRED! ** ** MUST LIVE IN WASHINGTON OR IDAHO, COMMUTABLE DISTANCE TO KAISER PERMANENTE WASHINGTON MEDICAL...Temporary workWork experience placementLive inLocal area
$99k - $166k
...Addressing patient concerns, issues, and questions including the review of patient satisfaction surveys. • Developing and... ...Corporate initiatives, policies and procedures to facility staff. • Utilizes knowledge of FMCNA and FMS services and products to contribute...Full timeTemporary workWork experience placementWork at office$52k - $70k
...Facilitate engaging individual and group therapy sessions, utilizing evidence-based practices such as Cognitive Behavioral Therapy... ...and reasons for wanting to join our team. We look forward to reviewing your application and hopefully welcoming you to Radiant Prime...Remote jobFull timeRadiant Prime Rehabilitation and Behavioral Counseling
Washington State18 days ago$56.4k - $95.9k
...Timely preparation of project close out reconciliations; Reviews, with assistance, executed Work Orders and Change Orders for bonus... ...budgets, cost rates, cost and expense forecasting, monthly utilization, headcount, revenue backlog analysis, and/or gross profit for...Contract workWork at officeFlexible hours$40 - $55 per hour
...Job Description Job Description Join Our Team at R-2 Contractors! R-2 Contractors is seeking an experienced and motivated Utility-Scale Concrete Foreman to lead field crews performing concrete foundation construction on utility-scale power, renewable energy, transmission...Hourly payFull timeFor contractorsFor subcontractorWork at officeLocal areaShift workR-2 Contractors
Spokane, WA2 days ago- ...community grows! The City of Bothell is looking for a Development Review Supervisor to lead a talented team, guide complex development... .... Provide technical leadership and subject matter expertise in utilities, civil engineering, and project management. Supports and...For contractorsFlexible hours
- ...Plan (CMP/SMP): Assesses site processes. Conducts Source Document Review of appropriate site source documents and medical records.... ..., driving query resolution to closure within agreed timelines. Utilizes available hardware and software to support the effective conduct...Contract workInterim roleLocal areaImmediate startRemote workFlexible hours
