. Required Qualifications: Upon hire: Washington Registered Nurse License. 5 years Clinical experience. Utilization review/case management..., appropriate utilization of health care resource. Nurse Case Manager manages, directs, and coordinates the entire spectrum of care...
Description Care Manager RN - Emergency Department @ Swedish First Hill Full time Night Shift Fantastic... effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical...
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 a well-developed knowledge and skills in Utilization Management (UM), medical necessity...
environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical... or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements...
Licensure required. 3 years of clinical (direct patient care) experience. 3 years of utilization review (or other medical...Comagine Health is seeking candidates for a Senior Clinical Reviewer for External Quality Review (EQR) Services...
Description Care Manager RN @ Swedish First Hill Part time 0.5 FTE Day Shift The nurse case manager coordinates... effective utilization and monitoring of healthcare resources and assumes a leadership role to achieve desired clinical...
Job Category: Care Management Job Description: Care Manager RN - Emergency Department @ Swedish First Hill Full..., to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role...
of hiring if located within hospital Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used... clinical experience Current licensure as a Registered Nurse in the state of Washington (RN-WA) BLS required within 3 months...
annual Inter-rater reliability test for Utilization Review product(s) used We deliver inspired people to do meaningful... Nurse in the state of Washington (RN-WA) BLS required within 3 months of hiring if located within hospital Ability to pass...
or Utilization Review Certification - Highly Preferred Benefits: Medical, dental, and vision on day one Weekly pay Direct...Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs...
or Utilization Review Certification - Highly Preferred Benefits: Medical, dental, and vision on day one Weekly pay Direct...Specialty: RN Case Management Job Details: Responsible for coordinating medical care, and matching patient needs...
Job Category: Care Management Job Description: Care Manager RN @ Swedish First Hill Part time 0.5 FTE Day Shift..., to improve patient care through effective utilization and monitoring of healthcare resources and assumes a leadership role...
years Clinical experience. Utilization review/case management. Preferred Qualifications: Bachelor's Degree Nursing... in order to assure cost effective, appropriate utilization of health care resource. Nurse Case Manager manages, directs...
continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies... of care and cost effectiveness through the integration of functions of case management, utilization review and management...
utilization Develops and implements clinic-specific customer service, human resource, and financial goals & objectives consistent... to all relevant standards (e.g., CMS, UNOS/OPTN, JCAHO/Joint Commission, state-level regulations) Develop, review, and enforce...
utilization Develops and implements clinic-specific customer service, human resource, and financial goals & objectives consistent... to all relevant standards (e.g., CMS, UNOS/OPTN, JCAHO/Joint Commission, state-level regulations) Develop, review, and enforce...
environment. About the Role Assists with and coordinates care management activities under the direction of an RN or LICSW... and utilization. Develops plans of care with appropriate member centric interventions. Provides behavioral health support...
or previous hospital case management or utilization review experience Current or previous case management or utilization review... Washington State RN license. National certification in case management must be obtained within three years (3) of employment...
quality of care and efficient utilization of available healthcare resources, facilities and services and collaboration... with community programs and agencies for effective utilization of social services in the community. This role encompasses the...