registered nurse

registered nurse Seattle, WA

University of Washington
Full Time Seattle, WA 11200 - 8200 USD MONTHLY Today
Job description

Benefits:
As an employee you will enjoy generous benefits and work/life programs. For detailed information on the benefits for this position, click here.


A higher degree of healthcare.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored.

UW Medical Center - Northwest has an outstanding opportunity for a Utilization Review Nurse. The goal of the Utilization Review (UR) Nurse is to ensure delivery of optimal care for the patient while promoting fiscal responsibility. The UR Nurse establishes and maintains an efficient, cost effective care management process by determining the medical necessity and financial liability for patients all hospitalized patients. The UR Nurse communicates this information with the interdisciplinary team to ensure compliance with regulatory requirements, policies and procedures, and quality patient care for the duration of the hospitalization. The UR Nurse is responsible for maintaining the knowledge and skill set related to utilization review, care coordination, and performance improvement, while working in a manner which supports the mission and vision of Care Management at University of Washington Medical Center. The UR Nurse ensures that daily operations, procedures and standards of care are maintained in accordance with hospital and JACHO guidelines.

RESPONSIBILITIES
  • Identify clinical indications for admission
  • Track hospital events and course in order to justify patient admission and continued stay for payer reimbursement
  • Communicate with third party payers regarding patient clinical progress
  • Assess and communicate potential reasons for payer denials and attempts to resolve the denial with the team at the time of identification
  • Participate in activities of identifying high risk vulnerabilities to the organization
  • Use critical thought processes and decision making in monitoring the continuum of care

    SCHEDULE
    This is a remote work position. Full-time days with occasional weekend work requirements.

    REQUIREMENTS
  • Bachelor's Degree in Nursing or equivalent education and training
  • Five years nursing experience in an acute care med-surg setting.
  • A minimum of three years previous experience in utilization management required.
  • Knowledge of medical screening criteria required.
  • Able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit(s)/department.
  • Ability to handle a fluctuating workload
  • Computer skills consistent with electronic charting and referral system

    LEGAL REQUIREMENTS
    Washington State RN license required by start date.

    DESIRED
  • Case Management certification preferred.
  • Previous experience with MCG criteria preferred.

    UW Medicine includes Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine, and Airlift Northwest.

  • Committed to attracting and retaining a diverse staff, the University of Washington will honor your experiences, perspectives and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable and welcoming.

    The University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, national origin, age, protected veteran or disabled status, or genetic information.

    To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected].

    Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.

    COVID-19 VACCINATION REQUIREMENT

    Employees of the University of Washington are required to be fully vaccinated against COVID-19 unless a medical or religious exemption is approved. Being fully vaccinated means that an individual is at least two weeks past their final dose of an authorized COVID-19 vaccine regimen. As a condition of employment, newly hired employees will be required to provide proof of their COVID-19 vaccination. View the Final candidate guide to COVID-19 vaccination requirement webpage for information about the medical or religious exemption process for final candidates.

    Apply Here

    About University of Washington

    CEO: Ana Mari Cauce
    Revenue: $1 to $5 billion (USD)
    Size: 10000+ Employees
    Type: College / University
    Website: https://www.washington.edu
    Year Founded: 1861

    registered nurse
    University of Washington

    https://www.washington.edu
    Seattle, WA
    Ana Mari Cauce
    $1 to $5 billion (USD)
    10000+ Employees
    College / University
    Colleges & Universities
    Education
    1861
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