Utilization Management RN I — Remote & Growth Opportunities

Healthcare Management Administrators; Bellevue (WA); Hybrid; USD 83,000 - 99,000; Full time

Benefits offered by this job

Generous total rewards package

Flexible schedules

401(k) retirement plan with company match

Wellness incentives

Job summary

A healthcare management organization is seeking a Utilization Management Nurse to oversee health service utilization while collaborating with external entities. This role requires an active LPN/RN license, and candidates should have clinical experience and proficiency in electronic health records. The organization promotes work-life balance and offers a comprehensive benefits package including remote work options.

Qualifications

• 1-3+ years of clinical nursing experience.
• Knowledge of Utilization Review processes preferred.
• Behavioral health experience preferred.

Responsibilities

• Collaborate with external entities for case specifics.
• Provide monitoring of member utilization.
• Evaluate services requested to meet health care needs.

Skills

Strong problem solving and critical thinking skills

Excellent, client-facing verbal and written communication skills

Proficiency with Electronic Health Records

Education

Associate's degree or equivalent professional experience

Active LPN/RN clinical license required

Tools

Microsoft Office applications (Outlook, Word, DOSS)

Job description

A healthcare management organization is seeking a Utilization Management Nurse to oversee health service utilization while collaborating with external entities. This role requires an active LPN/RN license, and candidates should have clinical experience and proficiency in electronic health records. The organization promotes work-life balance and offers a comprehensive benefits package including remote work options.