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Utilization review nurse Jobs in Spokane, WA

Last updated: 1 day ago
  • Promoted
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesWashington, Spokane
We are an equal employment opportunity employer.All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, prote...Show moreLast updated: 1 day ago
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Travel Nurse RN - Med Surg - $2,491 per week

Travel Nurse RN - Med Surg - $2,491 per week

Nurse FirstDecatur Island, WA, US
$2,491.00 weekly
Full-time
Nurse First is seeking a travel nurse RN Med Surg for a travel nursing job in Mount Vernon, Washington.Job Description & Requirements Specialty : Med Surg Discipline : RN Duration : 13 weeks 36 hours ...Show moreLast updated: 5 days ago
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Travel Nurse - Registered Nurse - Corrections

Travel Nurse - Registered Nurse - Corrections

Axis Medical StaffingAirway Heights, WA, US
Full-time
Axis Medical Staffing is seeking an experienced Corrections Registered Nurse for an exciting Travel Nursing job in Airway Heights, WA. Shift : Inquire Start Date : 04 / 01 / 2025 Duration : 13 weeks.We Don...Show moreLast updated: 30+ days ago
Manager Utilization Management RN, Prior Authorization •Remote •

Manager Utilization Management RN, Prior Authorization •Remote •

ProvidenceWA, United States
Remote
Full-time
Providence Health Plan caregivers are not simply valued – they’re invaluable.Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mu...Show moreLast updated: 30+ days ago
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SCHOOL NURSE, REGISTERED NURSE

SCHOOL NURSE, REGISTERED NURSE

Elevation HealthcareWA, United States
Full-time
We are looking for a full time registered nurse for a school based position near.This opportunity is available for the remainder of the. Compensation for this position is lucrative and negotiable an...Show moreLast updated: 5 days ago
Utilization Behavioral Health Professional

Utilization Behavioral Health Professional

HumanaRemote, Washington
Remote
Full-time
Humana”) offers competitive benefits that support whole-person well-being.Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while...Show moreLast updated: 30+ days ago
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BEHAVIORAL HEALTH UTILIZATION MANAGEMENT CLINICIAN I - MHP OR SUDP

BEHAVIORAL HEALTH UTILIZATION MANAGEMENT CLINICIAN I - MHP OR SUDP

CHPWWA, United States
Full-time
This position is fully remote within Washington State only.Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce.All qualified applican...Show moreLast updated: 2 days ago
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REGISTERED NURSE - DIALYSIS NURSE

REGISTERED NURSE - DIALYSIS NURSE

PSKC-BremertonWA, United States
Full-time
Registered Nurse - Dialysis Nurse.Ink Staffing is currently seeking compassionate Dialysis Nurse for positions in Bremerton, Washington for a 40 Hrs. Day Shift, 06 : 00 : 00-16 : 00 : 00, 10.The ideal candi...Show moreLast updated: 2 days ago
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Travel Nurse RN - Case Manager, Utilization Review - $2,160 per week

Travel Nurse RN - Case Manager, Utilization Review - $2,160 per week

Medical SolutionsWashington, US
$2,160.00 weekly
Full-time
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Washington, District of Columbia. Job Description & Requirements.We’re seeking talented he...Show moreLast updated: 2 days ago
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Medical Claim Review Nurse (RN)

Medical Claim Review Nurse (RN)

Molina HealthcareSpokane, WA, US
$26.41–$61.79 hourly
Full-time
Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG / InterQual, state / federal guidelines, bil...Show moreLast updated: 2 days ago
Lead Coordinator - Clinical Review, LPN / RN (Remote)

Lead Coordinator - Clinical Review, LPN / RN (Remote)

MaximusSpokane, US
$31.75 hourly
Remote
Full-time
Description & Requirements Maximus is currently hiring a Lead Coordinator - Clinical Review to support the Independent Medical Review (IMR) program. What You Will Receive : • Work / Life...Show moreLast updated: 18 days ago
The Spokesman-Review is hiring : Summer News Intern in Spokane

The Spokesman-Review is hiring : Summer News Intern in Spokane

The Spokesman-ReviewSpokane, WA, United States
$18.00 hourly
Full-time
Family-owned and operated, The Spokesman-Review is the largest, most utilized, and trusted news and information provider in the Inland Northwest! Our team works cohesively in a supportive environme...Show moreLast updated: 11 days ago
The Spokesman-Review is hiring : Summer News Intern in Spokane

The Spokesman-Review is hiring : Summer News Intern in Spokane

MediabistroSpokane, WA, United States
$18.00 hourly
Full-time
Family-owned and operated, The Spokesman-Review is the largest, most utilized, and trusted news and information provider in the Inland Northwest! Our team works cohesively in a supportive environme...Show moreLast updated: 11 days ago
Utilization Management Nurse

Utilization Management Nurse

Cambia Health SolutionsWashington
$33.80–$55.00 hourly
Remote
Full-time
Work from home within Oregon, Washington, Idaho or Utah .Every day, Cambia’s dedicated team of Nurses are living our mission to make health care easier and lives better. As a member of the Clinical ...Show moreLast updated: 30+ days ago
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NURSE : LICENSED PROFESSIONAL NURSE / LICENSED VOCATIONAL NURSE - SKILLED NURSING

NURSE : LICENSED PROFESSIONAL NURSE / LICENSED VOCATIONAL NURSE - SKILLED NURSING

Lake Ridge Solana AlWA, United States
Full-time
Nurse : Licensed Professional Nurse / Licensed Vocational Nurse.Nurse : Licensed Professional Nurse / Licensed Vocational Nurse - Skilled Nursing. TinkBird is a comprehensive healthcare recruiting and job p...Show moreLast updated: 1 day ago
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UTILIZATION MANAGEMENT RN - USFHP

UTILIZATION MANAGEMENT RN - USFHP

Providence Health & ServicesWA, United States
Full-time
Coordinates care for Pacific Medical Centers' Managed Care patient in order to assure cost effective, appropriate utilization of health care resource. Utilization Nurse / Case Manager manages, direc...Show moreLast updated: 2 days ago
Nurse Medical Management II - Utilization Management

Nurse Medical Management II - Utilization Management

Elevance HealthWashington
$72,080.00–$129,744.00 yearly
Full-time
This is a virtual position, but candidates must reside within 50 miles of an Elevance Health Pulse Point.Nurse Medical Management II - Utilization Management. Ensures medically appropriate, high qua...Show moreLast updated: 30+ days ago
Medical Director, Utilization Management

Medical Director, Utilization Management

Devoted HealthWashington
Remote
Full-time
This position interacts with utilization management, clinical management, pharmacy, network management, data analytics, legal, finance as well as other health plan departments.As a Medical Director...Show moreLast updated: 30+ days ago
Quality Review Supervisor - Work from home

Quality Review Supervisor - Work from home

Millennium Information ServicesWashington, Spokane
1 day ago
Job description

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, disability status, protected veteran status or any other characteristic protected by law.  Description

Job Type : Full-time

Work Location : Remote with possible periodic travel to our office in Itasca, IL.

Overview

We are seeking a detail-oriented and experienced Quality Review Supervisor to oversee a QV team in our Quality Review Department. The ideal candidate will have strong communication skills, an eye for detail, and a deep understanding of property inspection services. This is a work from home position that requires a Windows computer and high-speed internet.

Responsibilities

The Quality Review Supervisor’s primary responsibility is to manage the daily activities of the QV team, providing guidance and support. There are also performance management responsibilities to ensure team members are meeting monthly goals. This includes (but not limited to) managing schedules, hourly production, rejection percentages, and quality standards.

Using Millennium’s proprietary software, the Supervisor manages the QV process which includes reviewing a full inspection report that is comprised of a sketch of the home’s footprint, photos of the home which identifies construction materials, hazards, and client specific questions. Knowledge of sketching and replacement cost programs is a plus.

Compensation

  • We offer comprehensive training and a competitive starting salary and benefit package.

Schedule :  Monday to Friday

Benefits :
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance
  • HOW TO APPLY :

    Interested candidates should apply through the job portal.

    We look forward to meeting you and expanding our team!

    Position Requirements

    Qualifications

  • Bachelor’s Degree or equivalent industry experience
  • Previous supervisory experience a plus
  • Previous experience in the insurance inspections, appraisals, or claims adjusting
  • Well organized and detail oriented
  • Possess excellent oral and written communication skills
  • Adaptable to change and open to new ideas
  • Ability to work independently
  • Intermediate or above computer skills
  • Experience using Microsoft Office Suite : Outlook, Word and Excel
  • Additional information :

    Employment type : Full-time