Utilization Management RN

You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 0.0, Shift: Day, Schedule: Varies Position Summary The Utilization Management (UM) Principal Nurse is responsible for concurrent utilization management activities to a defined MHS Licensed Facility. The licensed facility Principal UM Nurse is a link between the patient, health care team, organization leadership, and payers during the patient’s hospital stay. The Principal facilitates Utilization Review (UR) compliance, and optimal reimbursement through oversight of their assigned licensed facility’s UR process including: accurate admission and continued stay reviews based on CMS regulations, UM criteria, certification and/or authorization, and complete chart documentation. The UM Principal serves a resource for Utilization Management clinical and support staff. This position assists with providing guidance on troubleshooting with complex cases and also assists with daily assignments of UM clinical and support staff to ensure patients are patients receiving timely and accurate reviews. This position participates in a collaborative team approach and works independently, as well as cooperatively and collaboratively with health care staff and management. Work situations require specialized knowledge, judgment and skill and this position requires organization and interpretation of information relating to a wide variety of policies, procedures and programs. Requirements Bachelor's degree in Nursing, or obtained within five (5) years from the initial date of hire; RN with 15 years of service may be considered in lieu of education agreement Advanced Degree in Nursing (MSN, PhD, DNP, ARNP) preferred Current Registered Nurse license in Washington State or Multistate License endorsement (MLS) Five years of clinical experience required; utilization management and/or insurance industry experience preferred Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our caregivers Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes “America’s Best Employers by State” in 2023 Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $47.22 - $83.96 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align. Associated benefit information can be viewed here. MultiCare is a not-for-profit health care organization with more than 20,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho. MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization. Twelve hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washington — Navos Behavioral Health Hospital, Valley Hospital, Yakima Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital. Join our talent network by creating a simple profile with us and we'll see if you're a fit for any current openings! Don't see an opening that fits your current preferences? Create a job alert for the type of job you're looking for, and we'll notify you when one gets posted! Click here to create a Job Alert. If you are a job applicant who requires reasonable accommodation in the job application process, please email us. If you are having issue with completing the job application process, please email us. We do not tolerate discrimination or harassment based on race, color, religion, age, sex, national origin, disability, genetic information, protected veteran, sexual orientation, marital status, genetic information, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

Salary : $47 - $84