14 utilization review case manager jobs at 7 companies in Washington
2mo
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Utilization Review RN
Portland or Washington or Alaska or California or Montana or New Mexico or Texas
$50-$78/hr HybridPart Time, Full Time
5+ YOEBachelor's degree in nursing, or associate degree with 2+ years related experience; Oregon RN license; five years acute adult medical-surgical, utilization review, or case management experience.
1mo
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
5d
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RN Case Manager
New Orleans or Colorado or California or Hawaii or Illinois or Maine or Maryland or Massachusetts or Minnesota or New Jersey or New York or Vermont or Washington or District of Columbia
OnsiteFull Time
Graduate of an accredited nursing school with a current RN license and American Heart Association BLS. Hospital discharge planning, case management, or utilization review experience and CCM or ACM certification are preferred.
1mo
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required; CCM/HCQM preferred.
Microsoft Office, Microsoft Word, Microsoft Outlook, InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System
3d
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Case Manager / Certified Wound Care Nurse (LPN or RN)
Poulsbo, Washington, United States
$37-$48/hr OnsiteFull Time
2+ YOECurrent Washington RN or LPN license, associate degree in nursing, CPR certification, and nursing experience preferred. Case management, care coordination, utilization review, or wound care experience strongly preferred; CWCN preferred.
1w
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Care Manager RN - Case Management
Walla Walla, Washington, United States
$47-$73/hr OnsitePart Time
2+ YOEAssociate's degree in nursing, Washington RN license, 2 years acute care experience, and 1 year care management or utilization review experience, or successful completion of an approved orientation program.
2mo
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Care Manager RN - Case Management
Walla Walla, Washington, United States
$47-$73/hr OnsiteFull Time
2+ YOEAssociate's degree or nursing diploma, Washington RN license, 2 years acute-care experience, and 1 year care management or utilization review experience; nursing bachelor's degree and specialty certification preferred.
TIPS program
1w
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Care Manager RN - Case Management
Walla Walla, Washington, United States
$47-$73/hr OnsitePart Time
2+ YOEAssociate's nursing degree, Washington RN license, 2 years acute medical-surgical or inpatient experience, and 1 year care management or utilization review experience; bachelor's nursing degree and specialty certification preferred.
3w
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Care Manager RN - Accountable Care
Seattle or King County
$53-$83/hr HybridFull Time
2+ YOEWashington RN license required; 2 years of clinical experience in utilization review or case management preferred. Bachelor's degree in nursing and Certified Case Manager credential preferred.
1mo
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RN, Care Manager
Coupeville, Washington, United States
$42-$75/hr OnsiteFull Time
3+ YOEActive Washington RN license, current BLS, minimum 3 years RN experience and 2 years in utilization review/case management, experience with MCG or InterQual preferred, ability to document clinical summaries and manage denials.
MCG, InterQual, Microsoft Teams
1w
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RN - Care Manager
Olympia, Washington, United States
$48-$94/hr OnsitePart Time
2+ YOEAssociate's degree in nursing, Washington RN license, 2 years acute care experience, and 1 year care management or utilization review experience, or completion of the TIPS or Case Management Orientation Program.
3w
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Care Manager RN - Accountable Care
Seattle, Washington, United States
$53-$83/hr HybridFull Time
2+ YOEWashington RN license required, 2 years clinical experience preferred, CCM preferred, bachelor's in nursing preferred, experience in utilization review/case management, strong communication and clinical coordination skills.
2w
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Clinical Appeals Coordinator
Oregon or Kansas or Wisconsin or Arizona or South Dakota or North Dakota or Washington or Nevada or Montana or Idaho or New Mexico or Utah or Iowa or Wyoming or Colorado or Missouri or Texas or Minnesota
$34-$61/hr RemoteFull Time
4+ YOERN with 4+ years of clinical nursing or case management experience, or LPN/LVN with 5+ years; applicable state license required. Managed care or utilization review experience preferred.
NCQA
2mo
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Clinical Document Integrity Specialist - Part Time - Remote (Mooresville, NC, US, 28117)
Mooresville or Alabama or Arizona or California or Colorado or Connecticut or Delaware or Florida or Georgia or Hawaii or Illinois or Indiana or Iowa or Kentucky or Louisiana or Maine or Maryland or Massachusetts or Michigan or Missouri or Montana or New Hampshire or New Jersey or New York or North Carolina or Ohio or Oregon or Pennsylvania or South Carolina or Tennessee or Texas or Virginia or Washington or District of Columbia
RemotePart Time
3+ YOEBSN/PA/NP/Doctorate in a medically related field required; 3+ years progressive acute care experience; prior case management/utilization review preferred; licensed as RN/PA/NP/MD preferred; CCDS/CCS/CDIP preferred; strong communication, critical thinking, and computer skills.
ICD-9, ICD-10, PCS, DRG, SOI/ROM, CDI database, AHIMA Practice Brief