Top 45 Nurse case manager Jobs in Sedro Woolley Wa

Staff Nurse - Case Manager
Skagit Regional Health —Mount Vernon, WA
- $40.54 - $73.92 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Quick Apply
Population Health Care Manager Nurse
Skagit Regional Health —Mount Vernon, WA
- $39.86 - $59.79 an hour
- Part-time
- Spanish
- Nursing
- RN License
- Disability insurance
- Health insurance
Quick Apply
Case Manager I (MSW/RN) Cascade Select
Community Health Plan of Washington —Washington State
- $78,960 - $122,390 a year
- Full-time
- Remote
- Acute care
- Bilingual
- LMFT
- Paid jury duty
- Health savings account
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Staff Nurse Case Manager
Skagit Regional Health —Mount Vernon, WA
- $40.54 - $73.92 an hour
- Per diem
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
RN Care Manager in Outpatient Family Medicine
Unity Care NW —Bellingham, WA
- $40.25 - $58.33 an hour
- 8 hour shift
- Microsoft Word
- Spanish
- Nursing
- Paid jury duty
- Health savings account
Home Health Registered Nurse
Signature Healthcare at Home - Everett —Burlington, WA
- $50 - $55 an hour
- Full-time
- CPR Certification
- Nursing
- RN License
- Mileage reimbursement
- Paid holidays
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Licensed Clinician
SUNRISE SERVICES INC —Oak Harbor, WA
- $31.50 - $36.52 an hour
- Part-time
- LMFT
- Clean driving record
- Mid-level
- Health savings account
- AD&D insurance
Mental Health Professional Clinician - Associates
SUNRISE SERVICES INC —Oak Harbor, WA
- $25.00 - $30.14 an hour
- Mid-level
- Office
- Outpatient experience
- Health savings account
- AD&D insurance
Certified Coder
Skagit Regional Health —Mount Vernon, WA
- $37.72 - $50.59 an hour
- Overtime
- Hybrid work
- Background check
- Anatomy knowledge
- Microsoft Excel
- Disability insurance
- Health insurance
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Hematology Oncology Nurse Practitioner NP
Clinical Management Consultants —La Conner, WA
- $124,270 - $138,050 a year
- Full-time
- Outpatient experience
- Clinic
- Outpatient
- Health insurance
- Dental insurance
Mental Health Professional Clinician - Associates
SUNRISE SERVICES INC —Mount Vernon, WA
- $25.00 - $30.14 an hour
- Mid-level
- Office
- Outpatient experience
- Health savings account
- AD&D insurance
2d
Mental Health Professional Clinician - Associates
SUNRISE SERVICES INC —Bellingham, WA
- $25.00 - $30.14 an hour
- Mid-level
- Office
- Outpatient experience
- Health savings account
- AD&D insurance
2d
Registered Nurse - Part-Time
Lake Whatcom Center —Bellingham, WA
- From $43.45 an hour
- Overtime
- Background check
- Nursing
- Clean driving record
- Health insurance
- Dental insurance
Quick Apply
21h
Home Health Registered Nurse
Eden Home Health —Oak Harbor, WA
- $48 - $58 an hour
- Full-time
- CPR Certification
- Nursing
- Management
- Continuing education credits
- Paid holidays
Quick Apply
19h
HOST Intensive Case Manager
Evergreen Recovery Centers —Burlington, WA
- $26 - $30 an hour
- Full-time
- Addiction Medicine
- Adults
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Resident Care Manager (RN)
Anacortes of Cascadia LLC —Anacortes, WA
- $45 - $55 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Opportunities for advancement
Quick Apply
Nurse Practitioner or Physician Assistant - Primary Care
Unity Care NW —Bellingham, WA
- $127,754 - $191,630 a year
- Full-time
- Nursing
- Primary Care
- Mid-level
- Paid jury duty
- Health savings account
Nurse Practitioner or Physician Assistant to Serve Unhoused Patients
Unity Care NW —Bellingham, WA
- $127,754 - $159,702 a year
- Full-time
- Microsoft Word
- Nursing
- Microsoft Outlook
- Paid jury duty
- Health savings account
Nurse Practitioner ARNP
Nooksack Indian Tribe —Deming, WA
- $67 - $74 an hour
- Full-time
- Nursing
- PALS Certification
- Pass drug screening
Hospice Aide
Skagit Regional Health —Mount Vernon, WA
- $24.89 - $36.09 an hour
- Full-time
- Skilled nursing facility
- BLS Certification
- High school diploma or GED
- Disability insurance
- Health insurance
6d

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Staff Nurse - Case Manager

Skagit Regional Health -
Mount Vernon, WA

Quick Apply

Job Details

Full-time
$40.54 - $73.92 an hour

Benefits

401(a)
457(b)
Disability insurance
Health insurance
Paid time off
Vision insurance

Qualifications

RN License
Bachelor of Science in Nursing

Full Job Description

Case Management SVH
Per Diem - Days Variable
Base Wage $40.54 to $73.92
Location: Skagit Valley Hospital

The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

Other information:

Job Summary
The position involves coordination of services to improve and maintain quality patient care and to ensure appropriate utilization of healthcare resources. Serves as a liaison between the hospital, providers, and external payers on issues related to intensity of service and severity of illness for patients. Ensures the timely and seamless transition of patients through medically appropriate levels of care. Conducts patient status and medical necessity reviews at the time of hospital admission and also concurrently throughout the stay. Reviews are documented in designated systems according to standard. In collaboration with physicians, promptly addresses documentation discrepancies. .

Essential Functions
Conducts and documents medical necessity reviews that demonstrate delivery of reasonable, necessary, and appropriate (according to evidence-based clinical standards of practice) patient care.

Collaborates with contracted resources for external medical necessity reviews and audits.

Documents Changes of Status (COS) and completes supporting paperwork.

Performs readmission assessments utilizing indicated focus study.

Assists with insurance requests for clinical reviews and continued stay authorizations.

Provides physician education on medical necessity criteria.

Participates in medical necessity audits.

Assists with non-Medicare appeals research and preparation of written correspondence.

Facilitates Medicare discharge appeal process through contracted Quality Improvement Organization (QIO).

Participates in family care conferences as needed.

Captures potentially avoidable days (PADs) and documents in designated system.

Collaborates with physicians, nursing, social work, and other disciplines, departments, payers, and agencies to eliminate barriers to an efficient transition through the care continuum.

Collaborates with discharge planning team, and assists in the facilitation of discharges as needed.

Supports Population Health initiatives through patient outreach activities as assigned.

Adheres to regulatory agency guidelines/requirements governing patient notification (ie Important Message from Medicare, Medicare Outpatient Observation Notice, Hospital-Issued Notice of Non-coverage).

Complies with all SRH Policies and Procedures.

Performs other duties as assigned by Manager or Designee.

Education
BSN required unless a Certified Case Manager (CCM), or 2 years equivalent experience.

Experience/Training
Minimum three (3) years clinical practice experience required. Previous utilization review experience strongly desired. Experience using medical necessity screening criteria preferred.

License/Certifications
Current Washington State RN License required. Certified Case Manager (CCM) or Certified Professional in Healthcare Management (CPHM) preferred.

Other Skills
Excellent communication, organizational and interpersonal skills. Ability to work independently and manage time and decisions. Proficiency with standard software applications including spreadsheets and word processing. Knowledge of healthcare law and regulations related to acute care and the immediate post-acute continuum helpful.

Physical Demands and Work Environment
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus. This position involves repetitive tasks such as typing, sitting, answering phones, and interacting with computers and computer systems, and also requires standing and walking for extended periods.

Skagit Regional Health offers a comprehensive benefit package including medical, dental, vision, 457b/401a (retirement), long term disability, and paid time off to all employees holding an FTE of 20 or more hours per week. Eligible employees also receive sick time pay.

#INDRNS

Pay: $40.54 - $73.92 per hour

Work Location: In person

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Refine Your Search

nurse case manager jobs in sedro woolley wa

Staff Nurse - Case Manager

Population Health Care Manager Nurse

Case Manager I (MSW/RN) Cascade Select

Staff Nurse Case Manager

RN Care Manager in Outpatient Family Medicine

Home Health Registered Nurse

Licensed Clinician

Mental Health Professional Clinician - Associates

Certified Coder

Hematology Oncology Nurse Practitioner NP

Mental Health Professional Clinician - Associates

Mental Health Professional Clinician - Associates

Registered Nurse - Part-Time

Home Health Registered Nurse

HOST Intensive Case Manager

Resident Care Manager (RN)

Nurse Practitioner or Physician Assistant - Primary Care

Nurse Practitioner or Physician Assistant to Serve Unhoused Patients

Nurse Practitioner ARNP

Hospice Aide

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