- Assured Home Health (Tualatin, OR)
- We are hiring a Patient Care Manager with Home Health experience, to support our Tualatin, OR area patients. Salary base on full-time employment and max ... home for your career here. As a Patient Care Manager , you can expect: opportunities to get closer to...updates the visit frequency, as appropriate, when the oncall RN takes supplemental verbal orders which alter frequency going… more
- Community Health Plan of Washington (Eugene, OR)
- …organization. * Create an equitable work environment. About the Role The Level I Utilization Management Clinician performs utilization review for medical or ... experience. * Have a current, unrestricted license as an RN or LPN. * Have at least two years...or behavioral health setting. * Have previous experience in Utilization Management and Managed Care, preferred. Essential… more
- Providence (Beaverton, OR)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Manager Utilization Management RN , Prior Authorization who will:** ... for Management and supervision of the PHP Utilization Management (UM) or Care Management...in supervision, management , or leadership + Oregon Registered Nurse License + 3+ years of… more
- Fresenius Medical Center (Eugene, OR)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Providence (Medford, OR)
- **Description** The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes for ... population focus. Duties also include complex discharge planning and utilization review. The Nurse Case Manager...people, we must empower them. **Required Qualifications:** + Oregon Registered Nurse License upon hire. + 3… more
- Providence (Medford, OR)
- …must empower them. **Required Qualifications:** + Bachelor's Degree in Nursing. + Oregon Registered Nurse License upon hire. + National Provider BLS - American ... payment!** Relocation is available for qualified candidates The Care Management (CM) Manager is accountable for the...in Nursing. + 2 years of relevant social services utilization management and/or quality management .… more
- Providence (Portland, OR)
- **Description** ** RN Care Manager (Per Diem / Days)** ...higher within 3 years of hire. + Upon hire: Oregon Registered Nurse License + 2 years of Acute ... + 1 year of Home health, mental health, substance use, hospice, utilization review, discharge planning or care management experience **Preferred… more
- Highmark Health (Salem, OR)
- …per week position that includes weekend coverage. This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Actalent (Tigard, OR)
- Remote Nurse Care ManagerMUST HAVE + RN ...state of California + 2+ years Experience in Case Management , Care Coordination, Utilization Management , ... Ability to enter and maintain clinical information in medical management systems Job Description Join our team as a...systems Job Description Join our team as a Remote Nurse Care Manager and play a crucial… more
- PeaceHealth (Florence, OR)
- …case management , home health or hospice may be considered) + Utilization Management -Quality Management experience preferred + Third party reimbursement ... best outdoor activities and best people to be around!** **PeaceHealth is seeking a RN Care Manager (Case Manager ) for a Full Time, 1.00 FTE, Day shift… more
- Marriott (Salem, OR)
- …Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, appropriate, quality, occupational illness/injury ... **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Trinity Health (Ontario, OR)
- …Oregon (https://www.saintalphonsus.org/location/saint-alphonsus-medical-center-ontario-1) to provide hospital case management , utilization review and discharge ... Commission standards **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management / utilization review and discharge planning collaboratively determining… more
- Trinity Health (Baker City, OR)
- …As a Clinical Resource Manager you will provide hospital case management / utilization review and discharge planning to determine care needs beyond acute ... **We have a great opportunity available for a PRN** **Clini** **cal Resource Manager (hospital case management )** **to support our Baker City, Oregon hospital.**… more
- The Cigna Group (Portland, OR)
- …clinical product offerings and present recommendations to leadership. **What You'll Need** **:** + Registered Nurse ( RN ) license in good standing in the ... and ensure quality patient care, as directed by the Nurse Manager . + Ensure RNs are knowledgeable...Managed care exposure + Understanding or ability to implement utilization management principles + Excellent verbal and… more
- Catholic Health Initiatives (Pendleton, OR)
- …(https://docs.google.com/document/d/1D7uxPt-tJeFPRJciXRaDiUdg8xkvjGbGP00FgpOHwok/edit) **Responsibilities** **Job Summary:** The Clinic Nurse Manager assists the ... Monitors the payroll system to help control employee time management . + Monitors utilization of staff and...day to day operations in the absence of the manager . **Qualifications** **Required Education and Experience:** + Required Associate's… more
- Humana (Salem, OR)
- …clinical levers, discharge planning, etc.) + Implement, manage, and support contractual Utilization Management & other clinical operations **Use your skills to ... environment + Proficiency in MS Office applications **Preferred Qualifications** + Registered Nurse - Licensed as Individual state or multi-state licensure… more
- Providence (Portland, OR)
- …within a psychiatric/chemical dependency acute care setting + Upon hire: Oregon Registered Nurse License (Vendor Managed), or Oregon Clinical Social Worker ... emergency department behavioral health triage and assessment services. Oversees the management of all assigned behavioral health caregivers employed within the BHU,… more
- Sharecare, Inc. (Salem, OR)
- …healthcare management . RD colleague is supervised by an Operations Manager . All Sharecare clinicians (including the RD colleagues) are required to participate ... of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while… more
- Catholic Health Initiatives (Roseburg, OR)
- …view the ANTI-RETALIATION NOTICE / Oregon Nurse Staffing Law: SB 469 (https://docs.google.com/document/d/1D7uxPt-tJeFPRJciXRaDiUdg8xkvjGbGP00FgpOHwok/edit) ... **Shift:** 8am - 4:30pm **Core Schedule:** Monday - Friday **Job Summary:** The Nurse Care Coordinator is responsible for overseeing the progression of care and… more
- Lincoln County (Newport, OR)
- …Must possess a valid license to practice in the State of Oregon as a Registered Professional Nurse as defined by statutes or administrative rules, which include ... Community Health Nurse 2- LCHC-OBAT Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/3854422) Apply Community.... . . Provide direct patient care as the RN for the Office Based Addiction Treatment (OBAT) program,… more