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Utilization Review RN

Swedish Health Services

Seattle, WA
1 day ago
$51.43 - $79.84

Job Description

Join Swedish Health Services as a Utilization Review RN, where you'll leverage your clinical expertise to enhance patient care through effective utilization management. This remote role offers flexibility and the opportunity to make a significant impact in patient outcomes.

Key Responsibilities

  • Perform admission, concurrent, and retrospective Utilization Review (UR) related reviews
  • Determine appropriate admission status based on regulatory and reimbursement requirements
  • Participate in process improvement initiatives
  • Collaborate with multiple departments and multi-disciplinary staff

Required Qualifications

  • Bachelor's Degree in Nursing (BSN)
  • Washington Registered Nurse License upon hire
  • 3 years of Registered nursing experience in a clinical setting

Preferred Qualifications

  • ACM or CCM certification upon hire
  • 1 year of Case management experience

Benefits & Perks

Comprehensive benefits package including medical, dental, vision401(k) Savings Plan with employer matchingPaid time off benefits including parental leave, vacations, and holidaysLife and disability insurance