Per Diem Utilization Review Nurse – Pre-Service (WA/ID)

Kaiser Permanente; Spokane (WA); On-site; USD 69,000 - 96,000; Part time

Job summary

Kaiser Permanente in Spokane, WA is seeking a Per Diem Utilization Review Nurse III to apply advanced clinical knowledge in medical necessity determinations and discharge planning. The role requires WA or Compact RN licensure and a strong background in utilization review within a managed care setting.

The position supports collaboration with physicians and care teams, overseeing reviews and coordinating referrals while adhering to state and federal guidelines. Per diem hours are Mon–Sun, 8am–5pm.

Qualifications

• Bachelor's Degree in Nursing and minimum three (3) years of experience in direct patient care, utilization review/management, or discharge planning.
• Registered Nurse License (Washington) or Compact License required at hire.

Responsibilities

• Consult on medical necessity, level of care, and duration of treatment for moderately complex reviews.
• Collaborate with health care team to assist in discharge planning and referrals.
• Apply evidence-based guidelines and regulatory knowledge to utilization decisions.
• Support education and training initiatives for staff on utilization management.

Skills

Attention to Detail

Communication

Critical Thinking

Problem Solving

Teamwork

Education

Bachelor's Degree in Nursing

Job description

Kaiser Permanente in Spokane, WA is seeking a Per Diem Utilization Review Nurse III to apply advanced clinical knowledge in medical necessity determinations and discharge planning. The role requires WA or Compact RN licensure and a strong background in utilization review within a managed care setting.

The position supports collaboration with physicians and care teams, overseeing reviews and coordinating referrals while adhering to state and federal guidelines. Per diem hours are Mon–Sun, 8am–5pm.