Utilization Review RN
About The Position
The Utilization Review (UR) Nurse has a strong clinical background blended with a well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and reimbursement requirements of commercial and government payers. Providence caregivers are not simply valued – they’re invaluable. Join our team at Swedish Shared Services 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.
Requirements
- Bachelor's Degree in Nursing degree (BSN) from an accredited school of nursing.
- Upon hire: Washington Registered Nurse License
- 3 years of Registered nursing experience in the clinical setting.
Nice To Haves
- Upon hire: ACM or CCM certification
- 1 year of Case management experience.
Benefits
- 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 improving the health and wellbeing of each patient we serve.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
