Care Coordinator - Retrospective RN Blue Cross and Blue Shield AssociationCare Coordinator - Retrospective RNTelecommuter, WA$80,200–$125,600 / yearThe incumbent partners with Medical Directors and other Premera Departments such as FEP, National Account Liaisons, Health Care Services and Claims to ensure appropriate cost-effective care by applying their clinical knowledge and critical thinking skills to assess the medical necessity of inpatient admissions, outpatient services and procedures, benefit application and provider out of network requests. What you will do: Performs medical necessity review that includes inpatient review, concurrent review, benefit advisory/prior authorization, retrospective, out of network, and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, member eligibility, benefits, and contracts.
NewSocial Services - LCSW (Licensed Clinical Social Worker) BesticaSocial Services - LCSW (Licensed Clinical Social Worker)Olympia, WANurse to patient ratio varies 1:4-6, depending on unit acuity Per Manager, clinician must have experience in the US, Canadian experience alone will not qualify and to please redirect Check with Manager before offering any 48 hr/week contracts. It isn t the same as leading a full size unit, but it does include core charge duties such as managing staffing needs, bed flow, and general coordination.
Supervisor, Appeals Centene Corporation GroupSupervisor, AppealsWA$75,300–$135,400 / yearEducates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers. Preferred Experience: 3 - 5 years of direct work experience and knowledge of the appeals process and utilization management principles in managed care/MCO environments is preferred.
RN - Oncology - Various Shifts Providence St. Joseph HealthRN - Oncology - Various ShiftsOlympia, WATogether, 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. 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.
RN - Medical Telemetry - DAYS Providence St. Joseph HealthRN - Medical Telemetry - DAYSOlympia, WATogether, 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. 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.
RN - Progressive Care - NIGHTS Providence St. Joseph HealthRN - Progressive Care - NIGHTSOlympia, WATogether, 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. 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.
RN - Neuro - Various FTE/Shifts Providence St. Joseph HealthRN - Neuro - Various FTE/ShiftsOlympia, WATogether, 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. 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.
Clinic RN - Cardiology Providence St. Joseph HealthClinic RN - CardiologyOlympia, WATogether, 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. The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan.
RN - Emergency Services Providence St. Joseph HealthRN - Emergency ServicesCentralia, WATogether, 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. 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.
RN - Emergency Services Providence Health & ServicesRN - Emergency ServicesCentralia, WARequsition ID: 453295 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Night Career Track: Nursing Department: 3033 EMERGENCY SVCS MAIN Address: WA Centralia 914 S Scheuber Rd Work Location: Centralia Hospital-Centralia Workplace Type: On-site Pay Range: $47.64 - $93.74 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.
RN - Surgical Acute Providence St. Joseph HealthRN - Surgical AcuteOlympia, WATogether, 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. Peter Hospital As a Providence caregiver, you'll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care.
RN - Cardiovascular ICU Providence St. Joseph HealthRN - Cardiovascular ICUOlympia, WATogether, 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. 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.
RN - Quality Assurance Providence Health & ServicesRN - Quality AssuranceOlympia, WARequsition ID: 454626 Company: Providence Jobs Job Category: Clinical Quality Job Function: Quality/Process Improvements Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 3030 QUALITY ASSURANCE WA PSPH OLYMPIA MAIN 2ND FLOOR QUALITY OFFICES 02 127 Address: WA Olympia 413 Lilly Rd NE Work Location: Providence St Peter Hospital-Olympia Workplace Type: On-site Pay Range: $50.14 - $77.83 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.
NewRN - Labor and Delivery Providence Health & ServicesRN - Labor and DeliveryOlympia, WA$47.69–$94.06 / hourRequsition ID: 458963 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Night Career Track: Nursing Department: 3030 LABOR AND DELIVERY SVC Address: WA Olympia 413 Lilly Rd NE Work Location: Providence St Peter Hospital-Olympia Workplace Type: On-site Pay Range: $47.69 - $94.06 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.
RN NICU getMed StaffingRN NICUTacoma, WATraveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. GetMed Staffing is searching for a strong NICU RN to assist our traveler-friendly client.
RN PICU getMed StaffingRN PICUTacoma, WATraveling with GetMed Staffing offers the unique opportunity to gain diverse experiences, both personally and professionally. GetMed Staffing is searching for a strong PICU RN to assist our traveler-friendly client.
RN or LPN Grifols SARN or LPNTacoma, WA$32–$35 / hourEducated and currently certified/licensed in the state of employment and according to state requirements as either a Registered Nurse, Licensed Practical Nurse, Licensed Vocation Nurse and Current CPR certification required. Third Party Agency and Recruiter Notice: Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseTacoma, WARemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Payment Integrity Nurse I Cambia Health Solutions IncPayment Integrity Nurse ITacoma, WARemote$73,230.90–$99,077.10 / yearAs a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post service review of claims in prepayment, post payment or audit capacity to ensure appropriate clinical review, reimbursement of claims and accuracy of coding. Excellent computer skills and proficiency working software programs (i.e. Microsoft Word, Excel, and PowerPoint); learn new processes and systems quickly.
RN - Pediatrics - NIGHTS Providence St. Joseph HealthRN - Pediatrics - NIGHTSOlympia, WATogether, 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. 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.