Top 53 Utilization review Jobs in Kent, Wa

Transitions of Care Liaison Nurse
Kaiser Permanente —Renton, WA
- $48.57 - $81.90 an hour
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
13d
State Hospital Liaison
Community Health Plan of Washington —Seattle, WA
- $85,390 - $134,060 a year
- Full-time
- Nursing
- RN License
- Hospital
- Paid jury duty
- Health savings account
Quick Apply
Registered Nurse - Utilization Management Discharge Nurse
US Veterans Health Administration —Seattle, WA
- $87,285 - $161,201 a year
- Weekends as needed
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
11d
Patient Authorization and Referral Representative - USFHP
Pacific Medical Centers —Seattle, WA
- $22.62 - $35.22 an hour
- Full-time
- Mid-level
- Office
- Fair chance
- Paid parental leave
- Paid holidays
UMRN-Hybrid
Spectrum Healthcare Resources —Bremerton, WA
- 8 hour shift
- Hybrid work
- Nursing
- RN License
- Mid-level
- 401(k)
- Paid time off
Quick Apply
3d
Manager, Transitions of Care
Overlake Medical Center and Clinics —Bellevue, WA
- $111,155 - $177,840 a year
- Day shift
- Nursing
- RN License
- Hospital
- Tuition reimbursement
- Employee assistance program
DEVELOPMENTAL DISABILITIES PROGRAM SUPERVISOR - OPEN UNTIL FILLED
Kitsap County, WA —Port Orchard, WA
- $99,071.79 - $126,744.82 a year
- Full-time
- Mid-level
- Supervising experience
- Bachelor's degree
- Wellness program
- AD&D insurance
3d
Senior Provider Network Contract Specialist - USFHP
Pacific Medical Centers —Renton, WA
- $39.45 - $61.24 an hour
- Full-time
- Hybrid work
- 5 years
- Office
- Bachelor's degree
- Paid parental leave
- Paid holidays
Care Manager Assistant - LPN
Life Care Center of Port Orchard —Port Orchard, WA
- $40.43 - $45.27 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Customer service
- Continuing education credits
- Health savings account
Quick Apply
11d
PRIMARY THERAPIST
THIRA HEALTH —Bellevue, WA
- $34 - $50 an hour
- Weekends as needed
- LMFT
- HIPAA
- Inpatient
Quick Apply
Care Manager Assistant - LPN
Life Care Center of Port Orchard —Port Orchard, WA
- $40.43 - $45.27 an hour
- Full-time
- Nursing
- Skilled nursing facility
- Customer service
- Continuing education credits
- Health savings account
Quick Apply
8d
Care Manager (Registered Nurse/RN)
Life Care Center of Port Orchard —Port Orchard, WA
- $47 - $55 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Continuing education credits
- Health savings account
Quick Apply
Care Manager (Registered Nurse/RN)
Life Care Center of Port Orchard —Port Orchard, WA
- $47 - $55 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- Continuing education credits
- Health savings account
Quick Apply
Family Nurse Practitioner (PRN, Part time)
Thira Health —Bellevue, WA
- $65 - $80 an hour
- Temporary
- Nursing
- Medication administration
- Psychiatry
- Paid parental leave
- AD&D insurance
Quick Apply
Primary Therapist
Thira Health —Bellevue, WA
- $34 - $50 an hour
- Weekends as needed
- LMFT
- Adults
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Director of Recovery Place Kent
Valley Cities Behavioral Health Care —Kent, WA
- $108,958 - $147,764 a year
- Full-time
- LMFT
- Nursing
- Current TB test
Quick Apply
Admissions Director.
820 NW 95th Street Operations LLC —Seattle, WA
- $72,800 - $82,784 a year
- Skilled nursing facility
- Marketing
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Admissions Director
Linden Grove Health Care CTR —Puyallup, WA
- $80,000 - $90,000 a year
- Skilled nursing facility
- Mid-level
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Care Manager RN - Accountable Care
Pacific Medical Centers —Seattle, WA
- $52.59 - $83.03 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
14d
MEIHSS Director-Muckleshoot Elders In-Home Support Services
Muckleshoot Indian Tribe —Auburn, WA
- Contract
- Nursing
- RN License
- Basic math

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utilization review jobs near kent, wa

Transitions of Care Liaison Nurse

Kaiser Permanente -
Renton, WA

Quick Apply

Job Details

Full-time
$48.57 - $81.90 an hour
13 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
401(k) matching

Qualifications

Collaborate with healthcare professionals
Nursing
RN License
Bachelor of Science
BLS Certification
Experience working with individuals with chronic illnesses
Evidence-based practice
Bachelor's degree
Medical treatment knowledge
Bachelor of Science in Nursing
Multidisciplinary team collaboration for treatment planning

Full Job Description

Transitions of Care Liaison Nurse – Spokane WA - Prior Case Management Experience A Significant Plus!

** Must Live Within Commutable Distance of Spokane - Onsite Work Location Kaiser Riverfront Clinic - Spokane **

Phone/Computer-Based Work - Variable Weekdays – Alternating Weekends Sat/Sun – Holiday, Rotated Among Team

Available Shift Times:: 8:00a - 5:00p / 8:30a - 5:30p / 9:00a - 6:00p

Job Summary

Position Involves (But Not Limited To): Calling members that have recently been discharged from the hospital setting to perform a medication review and assessment, as well as following the member for up to 30 days for check-ins as needed. Transitions of Care Liaison Nurse will assist with making sure the member has everything that they need to transition to home setting, assisting in reducing the need for hospital re-admissions.

Duties

Ensures patients referred to case management meet established case management criteria
Assess all patients referred for case management to determine physical, mental, financial, psychosocial status, utilizing comprehensive, standardized criteria to identify existing and potential needs
Develop patient centered case management plan based on assessments and including patient goals, objectives, and outcomes with specific time frames (long/short term)
Evaluate ability and availability of designated caregiver(s) to provide patient support
Coordinate and implement interventions using evidence based guidelines
Recommend additional services to PCP as determined in the case management plan
Conduct ongoing assessment of progress against original goals. Continuously update needed services.
Maintain ongoing communication with patient/family and care team.
Acts as an advocate for patient care needs. Documents all responses of patient to case management interventions.
Collaborates with other health care professionals regarding the plan of care, variances in plan implementation, achieved outcomes or expected outcomes
Monitor and evaluate short and long term patient responses to therapeutic intervention
Directs and guides the plan of care to result in a seamless continuum of care
Facilitates as needed, referrals for home health care, long term care, hospice, and other care facilities or services
Participation in care conferences to provide problem solving for patients with complex care needs (limited basis). Collects needed data needed to evaluate the effects of care coordination on quality outcomes, fiscal parameters, patient satisfaction and systems improvement. Understands and utilizes health plan requirements and patient benefits in making care management decisions.
Assists patient to understand and comply with their medical treatment plan
Supports patient education and activation through referral to specific chronic illness classes, group visits or community resources.

Experience

Minimum three (3) years of recent RN medical/surgical/ambulatory clinical experience
Bachelors degree
Registered Nurse License (Washington) required at hire OR Compact License: Registered Nurse required at hire
Basic Life Support required at hire
Case Manager Certificate within 36 months of hire

Additional Requirements:

Effective, independent nursing judgment and skills, and use of evidence based clinical decision making criteria.
Knowledge in management of chronic disease process, nursing process and collaborative care planning.
Demonstrated skill and experience in effectively collaborating with care team members.

Preferred Qualifications:

Minimum two (2) years of RN experience in utilization review, ambulatory case management, care coordination or disease management.
Bachelors of science in Nursing
Minimum two (2) years of RN experience in ambulatory case management, care coordination or disease management

Pay: $48.57 - $81.90 per hour

Benefits:

401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off

Application Question(s):

Do you have at least three (3) years of recent RN medical/surgical/ambulatory clinical experience ?
Do you have at least two (2) years of RN experience in ambulatory case management, care coordination or disease management?

Education:

Bachelor's (Required)

License/Certification:

Registered Nurse License (Washington) (Required)
BLS Certification (Required)

Work Location: In person

Quick Apply

Refine Your Search

utilization review jobs in kent, wa

Transitions of Care Liaison Nurse

State Hospital Liaison

Registered Nurse - Utilization Management Discharge Nurse

Patient Authorization and Referral Representative - USFHP

UMRN-Hybrid

Manager, Transitions of Care

DEVELOPMENTAL DISABILITIES PROGRAM SUPERVISOR - OPEN UNTIL FILLED

Senior Provider Network Contract Specialist - USFHP

Care Manager Assistant - LPN

PRIMARY THERAPIST

Care Manager Assistant - LPN

Care Manager (Registered Nurse/RN)

Care Manager (Registered Nurse/RN)

Family Nurse Practitioner (PRN, Part time)

Primary Therapist

Director of Recovery Place Kent

Admissions Director.

Admissions Director

Care Manager RN - Accountable Care

MEIHSS Director-Muckleshoot Elders In-Home Support Services

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