Clinical Utilization Review Nurse

3 weeks ago


Everett, Washington, United States Providence St. Joseph Health Full time

As a Clinical Utilization Review Nurse at Providence St. Joseph Health, you will oversee the management and review of patient care delivery while in the hospital. This role requires clinical expertise and the ability to provide reviews and denial appeals where appropriate, either during admission or post-discharge.

Our caregivers are invaluable, and we are committed to providing a culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect.

Key qualifications for this role include a Bachelor's Degree in Nursing (BSN) and a Washington Registered Nurse License. Experience as an RN in an acute care setting within the last 5 years or recent Utilization Management experience is also required.

Preferred qualifications include Utilization review or case management experience, as well as experience with Interqual or Milliman Criteria.

We offer best-in-class benefits and foster an inclusive workplace where diversity is valued, and everyone is essential, heard, and respected.

Join our team and be part of a comprehensive health care organization that serves more people, advances best practices, and continues our more than 100-year tradition of serving the poor and vulnerable.



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