Providence Health & Services Care Coordinator Utilization Management in Everett, Washington


Providence is calling a Care Coordinator Utilization Management to Providence Health & Services in Everett, WA . This is a per diem opporunity.

In this position you will:

  • Oversee utilization management and review of patients care delivery while in the hospital

  • Utilize review processes for payers using medical review criteria

  • Understand of Discharge planning processes

  • Knowledge of Medicare and Medicaid rules

  • Provide insurance payer rules

  • Clinical application of anatomy & physiology

  • Knowledge regarding Best Practices & Quality standards for delivery of medical and surgical care

  • Provide education and leadership to physicians, nurses, discharge planners and utilization review specialists on a variety of issues around utilization and quality of care

  • Maintain patient and employer confidentiality


Required qualifications for this position include:

  • Bachelor’s of Science Degree in Nursing (BSN)

  • Experience as an RN in a acute care setting within the last 5 years or recent Utilization Management experience

  • Current Registered Nurse (RN) license in Washington State

Preferred qualifications for this position include:

  • Utilization review or case management experience

  • Experience with Interqual or Milliman Criteria

  • Care Management, medical insurance or discharge planning

  • UM Certification

  • Case Management Certification

About the hospital you will serve.

Providence Regional Medical Center Everett in Everett, WA is the state’s most award-winning hospital for medical care; having received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row. Our new state-of-the-art 12 story hospital tower and the implementation of an electronic medical records system will significantly enhance our patient’s experience throughout the continuum of care.

The hospital is located in Snohomish County on the Sound and close to the mountains, so outdoor activities such as snow skiing, kayaking, and golfing are at your doorstep. The communities in Snohomish have all the comforts and appeal of small towns, with historical districts, beautiful homes, interesting boutiques, and unique restaurants, yet the city life of Seattle and Bellevue are just 30 minutes south, while the cosmopolitan city of Vancouver, BC lies only 2 hours north.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.

About Us

Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: On Call

Shift: Variable

Job Category: Case Management

Location: Washington-Everett

Req ID: 133015