- Centene Corporation (Salem, OR)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... require an Oregon RN or LPN license. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level… more
- Evolent (Salem, OR)
- …the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as...I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools… more
- The Cigna Group (Salem, OR)
- …sales team and requires travel to client offices based on location. **OVERVIEW** The Nurse Executive Sales Specialist is a trusted clinical leader, educator, and ... trends and maintain working knowledge of Cigna business segment strategies, clinical programs, services, and operational processes. + Provide consultative … more
- Evolent (Salem, OR)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for… more
- Centene Corporation (Salem, OR)
- …flexibility. **Hours: Monday-Friday: 8am-5pm or 9am-6pm PST.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans… more
- Fresenius Medical Center (Salem, OR)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of… more