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Utilization Review RN: Evening Impact & Compliance

Job in Mount Rainier, Prince George's County, Maryland, 20712, USA
Listing for: Providence Health and Services
Part Time position
Listed on 2026-08-05
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 70000 - 109000 USD Yearly USD 70000.00 109000.00 YEAR
Job Description & How to Apply Below

Providence Health and Services is seeking a part-time Utilization Review RN at Swedish Medical Center in Seattle. The role focuses on determining admission status and medical necessity, performing UR reviews, and supporting multidisciplinary teams.

The UR nurse will collaborate with case management, providers, and payer teams to optimize reimbursement and ensure compliance with regulations. A BSN and WA RN license are required, with CCM/ACM certifications and case management experience preferred.

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