Utilization Review Manager - Home Care jobs in Washington

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Care Manager RN-Utilization
  • Providence
  • Centralia, WA OTHER
  • Description

    Care Manager RN-Utilization - Centralia Hospital-Centralia(HR)

    SCHEDULE: Three 8hr shifts per week which include at minimum 2 weekend days per month. 8-4:30pm

    $10,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment.

    The Utilization Review RN provides assessment and analytical support to concurrent and retrospective quality and utilization activities, in accordance with the Providence Hospital Quality and Utilization Plans, Medicare regulations, The Joint Commission regulations, guidelines and direction received from Administration and the Medical Staff. Works as a catalyst to promote coordination of care, continuity of care in the achievement of consistent and/or expected clinical conditions and is a patient advocate in utilization of efficient resource management.

    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 Degree Nursing.

    • Upon hire: Washington Registered Nurse License

    • 3 years Medical-surgical (or comparable acute care) nursing experience.

    Preferred qualifications:

    • Bachelor's Degree Nursing or health-related field. Or equivalent educ/experience

    • 1-year Recent acute care experience.

    • Quality and/or utilization review and/or case management experience.

    • Microsoft Office (Word and Excel) experience.

    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.

    Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern Hire system.

    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.

    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.

    Check out our benefits page for more information about our Benefits and Rewards.

    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.

    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.

    We are committed to cultural diversity and equal employment for all individuals. It is our policy to recruit, hire, promote, compensate, transfer, train, retain, terminate, and make all other employment-related decisions without regard to race, color, religious creed (including religious dress and grooming practices), national origin (including certain language use restrictions), ancestry, disability (mental and physical including HIV and AIDS), medical condition (including cancer and genetic characteristics), genetic information, marital status, age, sex (which includes pregnancy, childbirth, breastfeeding and related medical conditions), gender, gender identity, gender expression, sexual orientation, genetic information, and military and veteran status or any other applicable legally protected status. We will also provide reasonable accommodation to known physical or mental limitations of an otherwise qualified caregiver or applicant for employment, unless the accommodation would impose undue hardship on the operation of our business.

    We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. We expect that all workforce members in our community will act in ways which reflect a commitment to and accountability for, racial and social justice and equality in the workplace. As such, we will maintain a workplace free of discrimination and harassment based on any applicable legally protected status. We also expect that all workforce members will maintain a positive workplace free from any unacceptable conduct which creates an intimidating, hostile, or offensive work environment.

    Requsition ID: 213293
    Company: Providence Jobs
    Job Category: Care Management
    Job Function: Clinical Care
    Job Schedule: Part time
    Job Shift: Variable
    Career Track: Nursing
    Department: 3033 UTILIZATION REVIEW WA PCH CENTRALIA HOSPITAL
    Address: WA Centralia 914 S Scheuber Rd
    Pay Range: $44.34 - $71.60
    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.
    Check out our benefits page for more information about our Benefits and Rewards.

    Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate 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.

  • 6 Days Ago

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Care Manager RN-Utilization
  • Providence
  • Centralia, WA OTHER
  • Description Care Manager RN-Utilization - Centralia Hospital-Centralia(HR) SCHEDULE: Three 8hr shifts per week which include at minimum 2 weekend days per month. 8-4:30pm $10,000 hiring bonus for elig...
  • 6 Days Ago

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Medical Director - Utilization Review
  • Max Populi, LLC
  • Bellingham, WA FULL_TIME
  • Seeking a Physician Advisor/Medical Director Utilization Review for a Level II Trauma Center and well established hospital serving 255 beds and averaging 15000 inpatient visits yearly. Position locate...
  • 18 Days Ago

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Utilization Review RN
  • Providence
  • Olympia, WA OTHER
  • DescriptionThe 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 dete...
  • 20 Days Ago

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RN - Utilization Review
  • Providence Health
  • Olympia, WA FULL_TIME
  • 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 det...
  • 4 Days Ago

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Director of Utilization Review
  • Springstone, Inc.
  • Vancouver, WA FULL_TIME
  • Overview Rainier Springs is a 72-bed behavioral hospital located in Vancouver, WA. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents, and their ...
  • 5 Days Ago

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Utility Manager
  • DSJ Global
  • St Louis, MO
  • We are seeking a highly skilled and experienced Utility Manager to oversee the operation and maintenance of utility syst...
  • 4/24/2024 12:00:00 AM

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Utility Management Director
  • Hunt Mh Shared Services Llc
  • Tulsa, OK
  • Hunt MH Shared Services LLC Utility Management Director Seattle , Washington Apply Now DescriptionA Brief OverviewThe Ut...
  • 4/24/2024 12:00:00 AM

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Utilities Manager
  • Insight Global
  • We recognize that our success depends on the quality of the people we hire. We are currently seeking highly talented ind...
  • 4/23/2024 12:00:00 AM

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Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 4/22/2024 12:00:00 AM

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Utility Manager
  • Prairie Band Potawatomi Nation
  • Mayetta, KS
  • Tier: 2 Department: Administration Supervisor: General Manager of Tribal Operations Location: 16281 Q Road, Mayetta KS 6...
  • 4/21/2024 12:00:00 AM

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Director of Utilization Management
  • Village Care
  • New York, NY
  • Exciting Opportunity for experienced RN Utilization Management Leaders! As a Full Time Director of Utilization Managemen...
  • 4/21/2024 12:00:00 AM

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Utilization Management Manager
  • Medasource
  • Fresno, CA
  • Job Title: Utilization Management Manager Location: Fresno, California (travel reimbursement if needed) Start Date: ASAP...
  • 4/21/2024 12:00:00 AM

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Utility Management Director
  • Hunt
  • Honolulu, HI
  • A Brief Overview The Utility Management Director is responsible for providing leadership, direction and guidance as it p...
  • 4/21/2024 12:00:00 AM

Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$82,209 to $104,810