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Seattle, Washington $145,000 - $185,000 annually + Signing Bonus and Paid Relocation A leading not-for-profit health network is seeking a highly skilled and compassionate RN Clinical Manager, Women's & Children's Services to lead the Labor and Delivery and Mother Baby units at a prestigious, award-winning hospital in the Seattle area. This is a crucial, full-time role that will not only manage the clinical operations but also inspire and mentor an experienced team of caregivers. The successful candidate will be a visionary leader responsible for ensuring clinical excellence, optimizing patient outcomes, and fostering a supportive, inclusive, and high-quality work environment. * Clinical Leadership: Direct and oversee all clinical and administrative functions of the Labor and Delivery and Mother Baby units, ensuring the delivery of compassionate, evidence-based care 24/7. * Operational Management: Manage a large team of over 80 FTEs, including scheduling, resource allocation, and budget management to meet departmental and organizational goals. * Quality & Safety: Implement and monitor quality improvement initiatives, ensuring compliance with all regulatory standards and maintaining a culture of patient safety. * Staff Development: Recruit, mentor, and evaluate clinical staff, fostering a collaborative and professional environment. Conduct performance reviews and provide continuous feedback to support professional growth. * Interdepartmental Collaboration: Work closely with physicians, other nurse leaders, and ancillary departments to ensure seamless patient care coordination and to advance hospital-wide initiatives. This hospital is a four-time Magnet®-designated facility, a testament to its commitment to nursing excellence. Recognized by Newsweek as one of "America’s Best-In-State Hospitals" and by U.S. News & World Report for its high-quality care, this is an environment that values innovation and clinical distinction. The organization is a proud Equal Opportunity Employer dedicated to diversity and inclusion. The position offers a unique Alternative Work Schedule that provides a hybrid onsite/remote work model for flexibility. Additional benefits include a comprehensive benefits package, eligibility for an annual incentive program, and a generous time-off program. * Education: Bachelor's degree in Nursing (BSN) or in progress. A Master's degree in a related field is preferred. * Licensure: Active and unencumbered Washington Registered Nurse (RN) license. * Certifications: National Provider BLS (American Heart Association) and NRP (Neonatal Resuscitation Program) upon hire. * Experience: * Minimum of three years of recent clinical experience as a hospital RN. * Minimum of three years of direct RN clinical experience in a dedicated Labor and Delivery unit. * Minimum of one year of management experience in a leadership role overseeing clinical staff.

Comagine Health is looking for a remote RN Clinical Reviewer to support our growing team. We work collaboratively with patients, providers, payers, and other stakeholders to reimagine, redesign and implement sustainable improvements in the health care system. In all our engagements and initiatives,

Job Description This position is available fully remote within Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities., • Become an anti-racist organization. The Carceral Transitions Case Manager (CT CM) responsible for pre-release planning and short-term case management of members releasing from city and county jails, Department of Corrections, Juvenile Rehabilitation, and Juvenile Detention facilities, ensuring they are safely and effectively transition back into community settings. Provides short-term case management services for members with highly complex behavioral health, medical, and social conditions. Working within a multi-functional team, the CT CM will connect with members, correctional facility staff, providers, caregivers, contracted vendors, community resources, and health plan partners to assess the member's reentry into the community, identify care needs, and ensure access to appropriate services to achieve positive health outcomes. To be successful in this role, you: • You have background in behavioral health, experience working with diverse populations, or collaborating with justice involved individuals., • You have experience with community resources such as Regional Centers, Medicaid mental health and substance abuse services., • You have a bachelor’s degree or an equivalent combination of education and highly relevant experience required., • Have a current, unrestricted license in the State of Washington as a Registered Nurse, Social Worker, Mental Health Professional required., • Identifies, locates, and determines custody status of Community Health Plan of Washington’s (CHPW) justice involved members. Advocates on behalf of and facilitates coordination of resources required to help justice involved members reach optimum functional levels upon reentry to the community during transition and provides short-term case management., • Works with the city and county jails, Department of Corrections facilities, and Juvenile Rehabilitation facilities and a multi-functional team to connect with providers, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes upon reentry to the community., • Performs the primary functions of assessment, planning, facilitation, and advocacy through collaboration with the member, city and county jails, Department of Corrections, and Juvenile Rehabilitation facilities and other health care resources involved in the member's transition post-release., • Meets with the justice involved members via phone or video conferencing at city and county jails, Department of Corrections, and Juvenile Rehabilitation facilities., • Maintains CM records and documents within the JIVA system., • Telephonic participation in discharge planning meetings and interdisciplinary care conferences, when appropriate and necessary., • Schedule medical, mental health, dental, and/or vision appointments in accordance with the members release date. Schedule transportation to appointments if required., • Communicate with the members pertinent providers to discuss discharge plans and provide update on status., • Coordinate with UM intake coordinators for referral authorizations of services indicated for release to the home setting, transitions to alternate level of care setting, and specialty visits as applicable., • Excellent clinical research and assessment skills., • Ability to work independently., • Strong project and work plan management skills., • Knowledge of business processes and workflows., • Strong analytical skills and critical thinking skills., • Excellent written and verbal communication skills., • Proficiency in Microsoft Office applications., • Ability to travel as necessary., • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency., • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Non-Exempt and is eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • Medical, Prescription, Dental, and Vision, • Telehealth app, • Flexible Spending Accounts, Health Savings Accounts, • Basic Life AD&D, Short and Long-Term Disability, • Voluntary Life, Critical Care, and Long-Term Care Insurance, • 401(k) Retirement and generous employer match, • Employee Assistance Program and Mental Fitness app, • Financial Coaching, Identity Theft Protection, • Time off including PTO accrual starting at 17 days per year., • 40 hours Community Service volunteer time, • 10 standard holidays, 2 floating holidays Sensory*: • Extended periods of sitting, computer use, talking and possibly standing, • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. Qualifications Education Preferred Bachelor’s or better. Licenses & Certifications Preferred LMHC LICSW RN Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Job Description This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the Spokane region (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties). Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities., • Become an anti-racist organization This position works under the general direction of the Supervisor of Care Management and is responsible for the plan’s regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: • Possess a Bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field (required)., • Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR, • Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR, • Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required), • Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR, • Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families., • Have experience with those who have disabilities and knowledge of Child and Families Services., • Have a minimum three (3) years of clinical experience and/or outpatient setting (required)., • Have a case management certification., • Are bilingual., • Have experience in managed care (Medicaid/HCA)., • Have previous experience in using Care Management software applications., • Have knowledge of, and experience with, community resources., • Engages with members, providers and agencies in the assigned region to support field care management services., • Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program., • Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services.Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location., • Assesses, evaluates, plans, implements, and documents the care of members within the organizations’ clinical database system in accordance with organizational policies and procedures., • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided., • Evaluates members’ progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team., • Works within the multi-interdisciplinary care team that collaborates with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes., • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions., • Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned, • Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed., • Participates in clinical case review with internal interdisciplinary team at Care Management Rounds., • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards., • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion., • Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA., • Knowledge of and experience with community and other resources, • Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data, • Organizational, time management, and project management skills, • Ability to handle multiple priorities, • Ability to multi-task and deal with complex assignments on a frequent basis, • Proficiency and experience with Microsoft Office products, • Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers, • Ability to work independently, • Perform all functions of the job with accuracy, attention to detail and within established timeframes. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency, • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. At this time, we are offering a $3,000.00 sign-on bonus for this opening. CHPW offers the following benefits for Full and Part-time employees and their dependents: • Medical, Prescription, Dental, and Vision, • Telehealth app, • Flexible Spending Accounts, Health Savings Accounts, • Basic Life AD&D, Short and Long-Term Disability, • Voluntary Life, Critical Care, and Long-Term Care Insurance, • 401(k) Retirement and generous employer match, • Employee Assistance Program and Mental Fitness app, • Financial Coaching, Identity Theft Protection, • Time off including PTO accrual starting at 17 days per year, • 40 hours Community Service volunteer time, • 10 standard holidays, 2 floating holidays Sensory*: • Extended periods of sitting, computer use, talking, and possibly standing Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Job Description This position is a hybrid of remote from home and field work. The candidate will need to reside in and travel throughout the North Sound region (Snohomish, Skagit, Whatcom, San Juan and Island counties). Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities. This position works under the general direction of the Supervisor of Care Management and is responsible for the plan’s regional field care management and coordination programs and processes. The Regional Field Case Manager will provide care management services for CHPW members with short term, long term, stable, unstable, and predictable course of illness. The Regional Field Case Manager resides within the assigned region to effectively coordinate care between members, providers and community resources. This role also provides care management services for CHPW members with highly complex medical/behavioral and social conditions where advocacy and coordination are required. This role represents CHPW in the community to provide education on care management programs and provide in-person support for members. The Regional Field Case Manager coordinates with internal and external partners to support members, providers and initiatives in the assigned region. To be successful in this role, you: • Possess a Bachelor’s degree in nursing or a master’s degree in social work and/or a related behavior health field (required)., • Have a current, unrestricted license in the state of Washington as a registered nurse (RN) (required) OR, • Have a current, unrestricted license in the State of Washington as a Social Worker (LSWAA, LSWAIC) (required) OR, • Current, unrestricted license in the State of Washington as a Mental health Counselor (LMHC), Mental Health Professional (LMHP), or Marriage and Family Therapist (LMFT) (required), • Have a minimum of one (1) year case management experience; home health or discharge planning experience; or a combination of education and experience which provides an equivalent background required OR, • Have a minimum of one (1) year in an acute care, facility-based medical or behavioral health experience and/or outpatient psychiatric and substance abuse disorder treatment experience, required; or equivalent combination of education and experience and/or working with children and families., • Have experience with those who have disabilities and knowledge of Child and Families Services., • Have a minimum three (3) years of clinical experience and/or outpatient setting (required)., • Have a case management certification., • Are bilingual., • Have experience in managed care (Medicaid/HCA)., • Have previous experience in using Care Management software applications., • Have knowledge of, and experience with, community resources., • Engages with members, providers and agencies in the assigned region to support field care management services., • Provides face-to-face visits to members where telephonic care management is a barrier, to foster effective participation in the care management program., • Identify and partner with emergency response services or other programs in a community that support members who are high utilizers of medical/behavioral health services. Field case management can include meeting members in acute care, emergency room, adult family home, Inpatient behavioral health facilities, shelters, community health centers, members home or member preferred location., • Assesses, evaluates, plans, implements, and documents the care of members within the organizations’ clinical database system in accordance with organizational policies and procedures., • Implements the plan of care through direct member care, coordination, and delegation of the activities of the health care team. Promotes continuity of care by accurately and completely communicating to health care team the status of members for whom care is provided., • Evaluates members’ progress towards goals, identify potential barriers, assists members in navigating the healthcare system and expected outcomes in collaboration with member and the interdisciplinary care team., • Works within the multi-interdisciplinary care team that collaborates with providers, members, caregivers, contracted vendors, community resources, and health plan partners to assess the member's health status, identify care needs and ensure access to appropriate services to achieve positive health outcomes., • Advocates on behalf of members and facilitates coordination of resources required to help members reach optimum functional levels and autonomy within the constraints of their disease conditions., • Represents CHPW Care Management Department in the community to provide education on care management programs and collaborate with providers and community partners. Leads regional based projects as assigned, • Participates in external care conferences and other d/c planning activities that may be needed to prevent a readmission as needed., • Participates in clinical case review with internal interdisciplinary team at Care Management Rounds., • Employees are expected to report to work as scheduled, participate in all assigned meetings, and meet established performance and accountability standards., • Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion., • Knowledge of regulatory and certification requirements and their impact on the organization such as CMS, HCA, HEDIS, CAHPS, and NCQA., • Knowledge of and experience with community and other resources, • Analytical skills and the ability to interpret, evaluate and formulate action plans based upon data, • Organizational, time management, and project management skills, • Ability to handle multiple priorities, • Ability to multi-task and deal with complex assignments on a frequent basis, • Proficiency and experience with Microsoft Office products, • Written and verbal communication skills; able to communicate with and collaborate effectively with internal departments, physicians and allied health care providers, • Ability to work independently, • Perform all functions of the job with accuracy, attention to detail and within established timeframes. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency, • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Exempt and is not eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • Medical, Prescription, Dental, and Vision, • Telehealth app, • Flexible Spending Accounts, Health Savings Accounts, • Basic Life AD&D, Short and Long-Term Disability, • Voluntary Life, Critical Care, and Long-Term Care Insurance, • 401(k) Retirement and generous employer match, • Employee Assistance Program and Mental Fitness app, • Financial Coaching, Identity Theft Protection, • Time off including PTO accrual starting at 17 days per year, • 40 hours Community Service volunteer time, • 10 standard holidays, 2 floating holidays Sensory*: • Extended periods of sitting, computer use, talking, and possibly standing Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation. *Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. *The above is intended to describe the general content of and the requirements for satisfactory performance in this position. It is not to be construed as an exhaustive statement of the duties, responsibilities, or requirements of this position. Job descriptions may be updated or changed to reflect business needs.

Job Description This position is available fully remote in Washington state. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: • Strive to apply an equity lens to all our work., • Reduce health disparities. The Level I Utilization Management Clinician performs utilization review for medical or behavioral health requests using utilization review criteria, technologies, and tools. Identifies, coordinates, and implements high quality, cost-effective alternatives when appropriate to the patient’s condition. Supports physician decision-making, working collaboratively with all members of the health care team, the patient, the patient’s family, co-workers, and internal and external customers to achieve optimal patient outcomes. Ensures members have timely access to care and supports during transitions between levels of care. Understands and effectively communicates requirements and follows Community Health Plan of Washington (CHPW) policies and procedures. To be successful in this role, you: • Have a bachelor’s degree in a relevant field or an equivalent combination of education and highly relevant experience., • Have a current, unrestricted license as an RN or LPN., • Have at least two years clinical experience in either a physical health or behavioral health setting., • Conduct review of hospital notification or prior authorization care requests against established clinical guidelines and health plan policies., • Collaborate with facilities to perform discharge planning., • Provide coordination support to members transitioning between care settings or returning home from a hospitalization. Identifies member needs and provides support to ensure necessary services are available during the transition period., • Collaborates with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes., • Identifies, coordinates, and ensures high quality care and appropriate care by focusing on supporting access to care and services across the continuum of care in accordance with the patient’s medical needs., • Identify potentially unnecessary services and/or delivery settings and recommends appropriate alternatives., • Identifies and determines medical necessity of out of network (OON) requests for services., • Assures referrals are complete and enrollment/eligibility benefits verified, prior to authorizing care., • Delivers timely written notification to patient or family members and communicates with members of the health care team., • Prepare cases that do not meet medical necessity or criteria for medical director review., • Communicate effectively with medical director regarding identified variances within the case against criteria utilized for medical review., • Regularly communicates with the UM Manager, Medical Director, physician advisor/reviewer and primary care physician for support, problem resolution and notification of decertification and appeals., • Using established screening tools, identify candidates and recommend enrollment into care management and disease management programs., • Identify quality of care issues and report for investigation per CHPW's policy., • Participates as part of the care management team; works collaboratively with all department staff., • Reporting to work on time and for all scheduled shifts is essential to this position., • Ability to effectively manage and maintain quality standards for high volume of authorization., • Ability to work independently., • Effective written and verbal communication skills; able to communicate with and collaborate effectively with physicians and allied health care providers., • Knowledge in criteria set, including MCG, InterQual, ASAM, and LOCUS preferred., • Ability to multi-task and deal with complex assignments with competing priorities on a frequent basis., • Perform all functions of the job with accuracy, attention to detail and within established timeframes., • Effective analytical skills and the ability to interpret, evaluate and formulate action plans based upon data., • Experience in care management workflow systems., • Flexibility and willingness to work in a matrix-management environment., • Demonstrated organizational, time management, and project management skills., • Demonstrated proficiency and experience with Microsoft Office products., • Ability to present in a group setting., • Willingness to be part of a collaborative and dynamic clinical development team. As part of our hiring process, the following criteria must be met: • Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency., • Vaccination requirement (CHPW offers a process for medical or religious exemptions) The position is FLSA Non-Exempt and is eligible for overtime and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: • Medical, Prescription, Dental, and Vision, • Telehealth app, • Flexible Spending Accounts, Health Savings Accounts, • Basic Life AD&D, Short and Long-Term Disability, • Voluntary Life, Critical Care, and Long-Term Care Insurance, • 401(k) Retirement and generous employer match, • Employee Assistance Program and Mental Fitness app, • Financial Coaching, Identity Theft Protection, • Time off including PTO accrual starting at 17 days per year., • 40 hours Community Service volunteer time, • 10 standard holidays, 2 floating holidays Sensory*: • Extended periods of sitting, computer use, talking and possibly standing, • Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion, • Frequent torso/back static position; occasional stooping, bending, and twisting. Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.

Job Description RN Clinical Manager, Women's & Children's Services Seattle, Washington $145,000 - $185,000 annually + Signing Bonus and Paid Relocation Job Summary A leading not-for-profit health network is seeking a highly skilled and compassionate RN Clinical Manager, Women's & Children's Services to lead the Labor and Delivery and Mother Baby units at a prestigious, award-winning hospital in the Seattle area. This is a crucial, full-time role that will not only manage the clinical operations but also inspire and mentor an experienced team of caregivers. The successful candidate will be a visionary leader responsible for ensuring clinical excellence, optimizing patient outcomes, and fostering a supportive, inclusive, and high-quality work environment. Key Responsibilities • Clinical Leadership: Direct and oversee all clinical and administrative functions of the Labor and Delivery and Mother Baby units, ensuring the delivery of compassionate, evidence-based care 24/7., • Operational Management: Manage a large team of over 80 FTEs, including scheduling, resource allocation, and budget management to meet departmental and organizational goals., • Quality & Safety: Implement and monitor quality improvement initiatives, ensuring compliance with all regulatory standards and maintaining a culture of patient safety., • Staff Development: Recruit, mentor, and evaluate clinical staff, fostering a collaborative and professional environment. Conduct performance reviews and provide continuous feedback to support professional growth., • Interdepartmental Collaboration: Work closely with physicians, other nurse leaders, and ancillary departments to ensure seamless patient care coordination and to advance hospital-wide initiatives. Work Environment & Culture This hospital is a four-time Magnet®-designated facility, a testament to its commitment to nursing excellence. Recognized by Newsweek as one of "America's Best-In-State Hospitals" and by U.S. News & World Report for its high-quality care, this is an environment that values innovation and clinical distinction. The organization is a proud Equal Opportunity Employer dedicated to diversity and inclusion. The position offers a unique Alternative Work Schedule that provides a hybrid onsite/remote work model for flexibility. Additional benefits include a comprehensive benefits package, eligibility for an annual incentive program, and a generous time-off program. Qualifications • Education: Bachelor's degree in Nursing (BSN) or in progress. A Master's degree in a related field is preferred., • Licensure: Active and unencumbered Washington Registered Nurse (RN) license., • Certifications: National Provider BLS (American Heart Association) and NRP (Neonatal Resuscitation Program) upon hire., • Experience:, • Minimum of three years of recent clinical experience as a hospital RN., • Minimum of three years of direct RN clinical experience in a dedicated Labor and Delivery unit., • Minimum of one year of management experience in a leadership role overseeing clinical staff.

Job Description MDS Coordinator (RN) Status: Full-Time Wage: $50 - $63/hour - depending on experience Location: Avamere Rehab of Burien - 1031 SW 130th St, Burien 98146 Apply at Teamavamere.com This is not a remote or hybrid position At Avamere, we believe in taking care of our employees. We offer a comprehensive benefits package that includes: • Health Insurance: Comprehensive medical, dental, and vision plans. Low individual and family deductible., • 401 (k) Plan: After 90 days of employment, with matching program., • Paid Time Off (PTO): Accrue up to 4 weeks PTO per year, 6 holidays and accrued sick leave., • EAP Canopy with unlimited telehealth mental health visits., • Continuing Education and Higher Education Reimbursement., • Generous employee referral bonus program., • Flexible Spending Accounts & CERA: Medical FSA, Dependent Care FSA and CERA (Commuter Expense Reimbursement Account)., • Professional Development: Opportunities for growth and development within the company. Responsibilities: • Review patient care plans for appropriate goals, problems, approaches, and revisions based on nursing needs., • Ensure all personnel involved in providing care to the patients are aware of their care plans., • Schedule and facilitate care plan conferences., • Monitor and guide the completion of PPS and OBRA assessments., • Manage the Utilization Review (UR) process., • Oversee MAR’s treatment, flow sheets and physician's orders., • Must possess a nursing degree from an accredited college or university., • Must possess a current, unencumbered, active license to practice as an RN in this state., • MDS Certification preferred., • Knowledgeable and experienced in the RAI process, CAAs, RUG categories and MDS 3.0., • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations and guidelines that pertain to nursing care facilities., • Must chart nurses’ notes in an informative and descriptive manner that reflects the care provided to the resident and resident’s response to care., • Experience with Electronic Medical Records and computer documentation systems., • Maintain confidentiality of all resident care information in accordance with HIPAA guidelines., • Must speak, read, and write English fluently #clinical95

The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are reevaluated in alignment with applicable federal and state regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Candidates

JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes. We are seeking a candidate with a WA state RN licensure and critical care experience, i. Remote position preferably in Washington State.

Remote position Essential Job Duties - Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. To all current Molina employees: If you are interested in applying for this position, please apply through the I

JOB DESCRIPTION Job Summary The Care Review Clinician (RN) provides support for clinical member services review assessment processes. We are seeking a candidate with a WA state RN licensure and critical care experience, i. Remote position preferably in Washington State.