Top 20 Utilization review nurse Jobs in Seattle Wa

Clinical Documentation Specialist
Valley Medical Center —Renton, WA
- $94,894 - $142,341 a year
- Full-time
- Nursing
- RN License
- Hospital
RN / Registered Nurse - Infusion Coordinator
University of Washington —Seattle, WA
- $46.97 - $86.17 an hour
- 8 hour shift
- Acute care
- Nursing
- RN License
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
RN Manager - Case Management
Valley Medical Center —Renton, WA
- From $47.48 an hour
- Full-time
- Acute care
- Background check
- Nursing
- Free parking
- Health insurance
Quick Apply
Resident Care Manager/Admissions
Belmont Terrace —Bremerton, WA
- $95,000 - $110,000 a year
- Full-time
- Background check
- Vital signs
- RN License
- Health insurance
- Dental insurance
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
14d
Case Manager
Clarity Healthcare —Seattle, WA
- $21.50 - $28.00 an hour
- Full-time
- Hospital
- HIPAA
- Mid-level
- Health insurance
Quick Apply
Field Case Manager RN - Seattle, WA
Optum —Seattle, WA
- $60,200 - $107,400 a year
- Full-time
- Microsoft Word
- Spanish
- Nursing
Quick Apply
RN Clinical Liaison
myLaurel —Seattle, WA
- $100,000 - $105,000 a year
- Full-time
- RN License
- Hospital
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
10d
Psychiatric Nurse Practitioner - ARNP Eating Disorders
Opal Food and Body Wisdom —Seattle, WA
- $62.21 - $90.00 an hour
- Part-time
- Hybrid work
- Nursing
- Psychiatry
- 11+ years
- Health insurance
- Paid time off
Quick Apply
Case Manager / Certified Wound Care Nurse (LPN or RN)
Martha & Mary —Poulsbo, WA
- $36.50 - $48.49 an hour
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Paid holidays
- Health insurance
Quick Apply
2d
Psychiatric Mental Health Nurse Practitioner
Kitsap Mental Health Services —Bremerton, WA
- $129,272 - $164,840 a year
- Weekends as needed
- Nursing
- Psychiatry
- RN License
- Disability insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Registered Nurse - Clinical Nurse Coordinator - Issaquah Clinic
Fred Hutchinson Cancer Center —Seattle, WA
Must have current Washington State Registered Nurse (RN) license or current NLC multistate license (MSL); and MSL primary state of residence must be updated to…
$47.64 - $88.19 an hour
RN / Registered Nurse - Infusion Coordinator
University of Washington —Seattle, WA
Coordinate infusion scheduling in alignment with therapy timing, clinical urgency, and capacity. The RN Coordinator will also provide direct clinical support in…
$46.97 - $86.17 an hour

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
12d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
3d

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in seattle wa

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near seattle wa

Licensed Practical Nurse jobs in Bremerton, WA

Wound Care Nurse jobs in Poulsbo, WA

Clinical Liaison jobs in Seattle, WA

Case Manager jobs in Seattle, WA

Family Nurse Practitioner jobs in Bellevue, WA

Psychiatric Nurse Practitioner jobs in Seattle, WA

Psychiatric-mental Health Nurse Practitioner jobs in Bremerton, WA

Licensed Practical Nurse jobs in Burlington, VT

Licensed Practical Nurse jobs in Hollywood, FL

Pre Licensed Therapist jobs in California

Licensed Practical Nurse jobs in Olathe, KS

Licensed Practical Nurse jobs in Newark, NJ

Nurse Visa Sponsorship jobs in New Jersey

Licensed Practical Nurse jobs in Cedar City, UT

School Nurse jobs in Yonkers, NY

Wound Care Nurse jobs in Joliet, IL

Foster Care Families jobs in Georgia

Psychiatric Nurse Practitioner jobs in West Virginia

Wound Care Nurse jobs in Atlanta, GA

Wound Care Nurse jobs in Victoria, TX

Clinical Documentation Specialist

Valley Medical Center -
Renton, WA

Apply Now

Job Details

Full-time
$94,894 - $142,341 a year

Qualifications

RN License

Full Job Description

Job Title:
Clinical Documentation Specialist
Req:
2026-0294
Location:
VMC Main Campus
Department:
Health Information Mgmt
Shift:
Days
Type:
Full Time
FTE:
1
Hours:
City State:
Renton, WA
Salary Range:
Min $94,894 - Max $142,341/annual DOE

Job Description:

VALLEY MEDICAL CENTER

JOB DESCRIPTION

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands, and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the organization.

TITLE: Clinical Documentation Specialist RN

JOB OVERVIEW: The Clinical Documentation Specialist position facilitates accurate documentation for severity of illness and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, and nursing staff. Active participation in team meetings and education of staff in the documentation improvement process is a key role.

DEPARTMENT: Health Information Management

HOURS OF WORK: Days Monday - Friday.

RESPONSIBLE TO: Manager, Clinical Documentation Improvement

PREREQUISITES:

Current unrestricted WA State Registered Nurse license, required.

Bachelor's degree in Nursing, preferred.

Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review

Pass a pre-hire Clinical Exam with a minimum score of 70%

Effective communication with Providers

QUALIFICATIONS:

Knowledge of hospital clinical practice standards for physicians and other health care providers.

Knowledge of ancillary service departments, quality control and safety standards.

Critical thinking, problem solving and deductive reasoning skills.

Familiarity with health care audit and research design.

Knowledge of Pathophysiology and Disease process.

Functional knowledge of DRG coding systems.

Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies.

Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities.

Meet productivity guidelines.

Ability to learn/develop the skills necessary to perform and meet goal standards

Organizational, analytical, writing, and interpersonal skills

Dependable, self-directed, and pleasant

Critical thinking, problem solving and deductive reasoning skills

Knowledge of Pathophysiology and Disease Process

Basic Computer skills - familiarity with Windows based software programs

Knowledge of regulatory environment

Understand and support documentation strategies (upon completion of training)

Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)

UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:

See Generic Job Description for Administrative Partner.

PERFORMANCE RESPONSIBILITIES:

A. Generic Job Functions: See Generic Job Description for Administrative Partner.

B. Essential Responsibilities and Competencies

Reviews EMR for completeness and accuracy for severity of illness and quality using the documentation strategies.

Accurate and timely record review.

Recognize opportunities for documentation improvement.

Initiates severity worksheet for inpatients.

Formulate clinically credible documentation clarifications.

Request documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety.

Effective and appropriate communication with physicians.

Timely follow up on all cases and resolution of those with clinical documentation clarifications.

Communicates with HIM staff and resolves discrepancies.

Accurate input of data for reconciliation of case.

Provide necessary information and education to physicians and staff to facilitate the appropriate documentation goals.

Identify any barriers to completion of documentation goals with appropriate interventions.

Review of regulations and coding guidelines through seminars, meetings, and materials.

In cooperation with the director of PFS/HIM, present education sessions to physicians and other VMC providers regarding documentation regulations and chart audit findings.

Maintains confidentiality of all accessible patient financial or medical records information.

Demonstrates the awareness of the importance of cost containment for the department. Provide suggestions regarding process or quality improvement opportunities to department manager.

Other duties as assigned to facilitate accurate, timely patient account management.

Date Created: 5/18, updated 7/22

Grade: NC11

FLSA: E

Cost Center: 8490

Job Qualifications:

PREREQUISITES:

Current unrestricted WA State Registered Nurse license, required.

Bachelor's degree in Nursing, preferred.

Minimum five years recent clinical experience as an RN working in an acute care setting or with experience in Utilization Review

Pass a pre-hire Clinical Exam with a minimum score of 70%

Effective communication with Providers

QUALIFICATIONS:

Knowledge of hospital clinical practice standards for physicians and other health care providers.

Knowledge of ancillary service departments, quality control and safety standards.

Critical thinking, problem solving and deductive reasoning skills.

Familiarity with health care audit and research design.

Knowledge of Pathophysiology and Disease process.

Functional knowledge of DRG coding systems.

Working experience with Utilization Review activities and general knowledge of JCAHO, PRO, HCFA, and other regulatory bodies.

Knowledge of third-party payer review, reimbursement systems and utilization monitoring requirements for acute care facilities.

Meet productivity guidelines.

Ability to learn/develop the skills necessary to perform and meet goal standards

Organizational, analytical, writing, and interpersonal skills

Dependable, self-directed, and pleasant

Critical thinking, problem solving and deductive reasoning skills

Knowledge of Pathophysiology and Disease Process

Basic Computer skills - familiarity with Windows based software programs

Knowledge of regulatory environment

Understand and support documentation strategies (upon completion of training)

Knowledge of Core Measure and Patient Safety Indicators (upon completion of training)

Apply Now

Refine Your Search

utilization review nurse jobs in seattle wa

Clinical Documentation Specialist

RN / Registered Nurse - Infusion Coordinator

Family Nurse Practitioner (PRN, Part time)

RN Manager - Case Management

Resident Care Manager/Admissions

Care Manager (Registered Nurse/RN)

Case Manager

Field Case Manager RN - Seattle, WA

RN Clinical Liaison

Psychiatric Nurse Practitioner - ARNP Eating Disorders

Case Manager / Certified Wound Care Nurse (LPN or RN)

Psychiatric Mental Health Nurse Practitioner

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in seattle wa

Explore jobs in more locations

Job Title:

Req:

Location:

Department:

Shift:

Type:

FTE:

Hours:

City State:

Salary Range:

Job Seeker Tools

Employer Tools

Browse

Stay Connected