Top 19 Utilization review Jobs in Centralia Wa

RN - Utilization Review
Providence —Centralia, WA
- $50.14 - $77.83 an hour
- Day shift
- Nursing
- RN License
- Hospital
- Paid parental leave
- Paid holidays
2d
Behavioral Health Utilization Management Clinician I (RN)
Community Health Plan of Washington —Olympia, WA
- $35.92 - $55.67 an hour
- Full-time
- Nursing
- RN License
- Hospital
- Paid jury duty
- Health savings account
Quick Apply
RN Care Coordinator Lewis County
Optum —Centralia, WA
- $58,300 - $114,300 a year
- Full-time
- Nursing
- Vital signs
- RN License
Quick Apply
Financial Counselor
South Sound Behavioral Hospital —Lacey, WA
- $23 - $26 an hour
- Overtime
- High school diploma or GED
- 1 year
- Entry level
- Free parking
- Paid holidays
Quick Apply
Occupational Therapist - PRN
South Creek Post Acute —Centralia, WA
- $48 - $62 an hour
- Part-time
- CPR Certification
- Skilled nursing facility
- Management
Quick Apply
14d
Physician
Nisqually Indian Tribe —Olympia, WA
- From $300,000 a year
- Full-time
- Medicine
- Pass drug screening
- Primary Care
- Paid holidays
- Relocation assistance
Quick Apply
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
14d

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Integration Health —Tacoma, WA
Presents a positive image of themselves, Integration Health and of the hospital in all personal, video conference and telephone interactions.
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RN - Utilization Review

Providence -
Centralia, WA

Apply Now

Job Details

Per diem
$50.14 - $77.83 an hour
2 days ago

Benefits

Paid parental leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
Parental leave
Vision insurance
401(k) matching
Opportunities for advancement
Life insurance

Qualifications

Nursing
RN License
Associate's degree
Associate Degree in Nursing
Nursing

Full Job Description

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.

Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Centralia Hospital and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

Associate's Degree in Nursing.
Upon hire: Washington Registered Nurse License.
3 years in Nursing.

Preferred Qualifications:

Bachelor's Degree in Nursing.
3 years Utilization Review, Care Management, Quality Management, and/or Discharge planning.

Why Join Providence?

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.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Pacific Northwest since 1856 when Mother Joseph and four other Sisters of Providence arrived in Vancouver, Washington Territory. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In western Washington, Providence provides care throughout the greater Puget Sound from Snohomish County to Lewis County.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 451445
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Per-Diem
Job Shift: Day
Career Track: Nursing
Department: 3033 UTILIZATION REVIEW WA PCH CENTRALIA HOSPITAL
Address: WA Centralia 914 S Scheuber Rd
Work Location: Centralia Hospital-Centralia
Workplace Type: On-site
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Apply Now

Refine Your Search

utilization review jobs in centralia wa

RN - Utilization Review

Behavioral Health Utilization Management Clinician I (RN)

RN Care Coordinator Lewis County

Financial Counselor

Occupational Therapist - PRN

Physician

Appeals Professional III (Licensed Clinician)

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