- Evolent (Salem, OR)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Fresenius Medical Center (Salem, OR)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- The Cigna Group (Salem, OR)
- …outcomes, client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and ... including medical cost driver analysis and action, complex case review , referral and engagement, account renewal consultation, and recommendations to positively… more
- American Red Cross (Portland, OR)
- …professionals. + Act as a consultant to external health care personnel about clinical apheresis. + Assess patient status relative to therapeutic apheresis, prior to ... NEED TO SUCCEED (Minimum Qualifications):** + **Current state licensure as a Registered Nurse and CPR certification is required** **.** + **Bachelor's degree OR a… more
- Fresenius Medical Center (Clackamas, OR)
- …dialysis treatments in the comfort of their home, often even as they sleep! Great clinical skills and a passion for patient education required, but we are able to ... **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Create strong, vital connections with...our team members, we have built an atmosphere of clinical excellence and trust. Offering vast resources, we advance… more
- CVS Health (Salem, OR)
- …year). There is no travel expected with this position. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and ... adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- Monte Nido (West Linn, OR)
- …treatment continuity. 6. Coordinates with the Primary Therapist on any insurance review information needed. 7. Works collaboratively with medical and psychiatric ... the opportunity for people to realize their healthy selves. **Registered Nurse (PRN-NOC)** **Monte Nido Portland** **_West Linn, Oregon_** **Monte Nido Portland,**… more
- CenterWell (Salem, OR)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- Datavant (Salem, OR)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- Monte Nido (West Linn, OR)
- …while providing the opportunity for people to realize their healthy selves. ** Nurse Manager** **Monte Nido Portland** **Located in** **_West Linn, Oregon_** **Monte ... necessary for their personal recovery. We are seeking a ** Nurse Manager** to lead the Nursing team. Monte Nido...your success and well-being, providing: + Competitive compensation + Medical , dental, and vision insurance coverage (Benefits At a… more
- Highmark Health (Salem, OR)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- CenterWell (Salem, OR)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CenterWell (Lake Oswego, OR)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Oracle (Salem, OR)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more
- Fresenius Medical Center (Portland, OR)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance ... last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and...activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. +… more
- Zurich NA (Salem, OR)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in… more
- Fresenius Medical Center (Tualatin, OR)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Fresenius Medical Center (Portland, OR)
- …counseling services to patients as permitted within the scope of their clinical training and state license + Provides educational and goal directed counseling ... and the patient's family/support persons. + In collaboration with the physician and nurse , participates in the discussion of patient DNR status in the facility to… more
- Humana (Salem, OR)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- Oracle (Salem, OR)
- …(ECD) alignments, Critical Care workflow implementation, Multi-Disciplinary Rounding, and various nurse chart review and documentation optimizations. The ideal ... of analysts providing support for operationally required changes and enhancements to clinical applications, and aa group of analysts leading projects that will… more