PNW PACE 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. 8:00am-4:30pm FTE: _, Shift: _, Schedule: _ 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 employees 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” for several years running 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 $98,218.00 - $174,637.00 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’s roots in the Pacific Northwest go back to 1882, with the founding of Tacoma’s first hospital. Over the years, we’ve grown from a Tacoma-centric, hospital-based organization into the largest, community-based, locally governed health system in the state of Washington. MultiCare's comprehensive system of health includes more than 300 primary, urgent, pediatric and specialty care locations across Washington, Idaho and Oregon, as well as 13 hospitals. We welcome patients from the entire Pacific Northwest region and our 20,000-plus team members — including employees, providers and volunteers — proudly care for the communities we serve. Without a doubt, our organization has changed over the years. But what has never changed, throughout our long history, has been our dedication to the health and wellness of the people of the Pacific Northwest. Guided by our mission, vision and values, we are on a continuous journey to deliver the services that our communities need, and to ensure access to those services, now and in the future. 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. MultiCare provides equal employment opportunity to all employees and job applicants. We do not tolerate discrimination or harassment based on race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an external job applicant who requires reasonable accommodation in the job application process, please contact the Employee Resource Center (ERC) at 253-403-6947 and we will assist you with submitting a ticket to initiate your request for accommodation. If you are a current employee, you can submit an ERC ticket or call the ERC for assistance.

Salary : $98,218 - $174,637