UW Medicine - Northwest Hospital & Medical Center

  • Utilization Management Nurse

    Posted Date 7 months ago(12/19/2018 12:44 PM)
    Full Time
    8712 Care Management
    1st, Days
    Job Location
    New Grads?
  • Overview

    Join our award-winning team at UW Medicine - Northwest Hospital & Medical Center.  We're proud of the acclaim we've received for our excellence in patient care and safety. Among the local, regional and national recognition we've received are:

    • The Distinguished Hospital for Clinical Excellence Award
    • The Emergency Medicine Excellence Award
    • This is the second consecutive year Northwest Hospital has achieved both the Spine Surgery Excellence Award and a ranking among the top 10 percent in the nation for spine surgery.
    • The Stroke Care Excellence Award
    • Winner of the Health Grades Distinguished Hospital Award for Patient Safety for the last three years in a row, we’re also one of the safest places to get care – among the top 5% in the country.

    UW Medicine includes Harborview Medical Center, UW Medical Center, Northwest Hospital & Medical Center, Valley Medical Center, UW Neighborhood Clinics, UW Physicians, UW School of Medicine and Airlift Northwest. 


    Northwest Hospital & Medical Center is a full-service, non-profit community hospital, offering comprehensive medical, surgical and therapeutic services.  With 281 beds, more than 1900 employees and a world-class medical staff, we provide innovative, technologically advanced care on a patient-friendly, easy-access campus just north of Seattle. 


    Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty. 


    As a UW Medicine - Northwest Hospital & Medical Center employee, you will enjoy generous benefits and work/life programs.


    We’re interested in learning more about you and appreciate your taking the time to apply online. UW Medicine - Northwest Hospital & Medical Center is committed to employing a diverse workforce. EOE


    UW Medicine – Northwest Hospital and Medical Center is an Affirmative Action/Equal Opportunity Employer. We welcome job applications from qualified individuals without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, gender identity, pregnancy, marital status, physical or mental disability, or any other protected characteristic. Minorities, women, disabled persons, and veterans are encouraged to apply.


    The goal of the Utilization Management (UM) Nurse is to ensure delivery of optimal care for the patient while promoting fiscal responsibility.


    The UM Nurse establishes and maintains an efficient, cost effective care management process by determining the medical necessity and financial liability for patients all hospitalized patients. The UM Nurse communicates this information with the interdisciplinary team to ensure compliance with regulatory requirements, policies and procedures, and quality patient care for the duration of the hospitalization. The UM Nurse is responsible for maintaining the knowledge and skill set related to utilization review, care coordination, and performance improvement.


    Works in a manner which supports the mission and vision of Care Management at Northwest Hospital and Medical Center.  Ensures that daily operations, procedures and standards of care are maintained in accordance with hospital and JACHO guidelines.


    Education Background

    • Bachelor of Science in Nursing required.  Master’s degree preferred.


    • Registered Nurse with current Washington State license.
    • Case Management certification preferred.

    Work Experience

    • Five years in acute care setting.  A minimum of three years previous experience in utilization management required.  Knowledge of medical screening criteria required, previous experience with InterQual and/or Milliman preferred.

    Special Training/Skills

    • Able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit(s)/department.
    • Ability to demonstrate the knowledge and skills necessary to provide care appropriate to the age of patients served on the assigned unit/department.
    • Ability to flex to assist other department members as needed.
    • Psychiatric assessment skills at a level consistent with social work job assignment.
    • Ability to handle a fluctuating workload.
    • Ability to communicate clearly in English (verbal and written) with all stakeholders (staff members, clinicians, practitioners and the general public.
    • Computer skills consistent with electronic charting and referral system

    Physical Abilities

    Physical demand Level: Sedentary

    In an 8-hour workday, must be able to-

    Lift / Carry 10 pounds occasionally


    As required, must be able to-

    Sit, Stand, Walk, Bend, Squat, Kneel, Crawl, Climb and Reach above shoulders

    Push and Pull

    Perform fine motor functions

    Must possess functional vision, hearing, and speech in order to communicate effectively with clients, client advocates, and staff.


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