• Utilization Management Behavioral

    Humana (Salem, OR)
    …our caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the ... services and/or benefit administration determinations. The Utilization Management Behavioral Health Nurse 2 work...to make an impact** **Required Qualifications** + Active unrestricted registered nurse license in the state of… more
    Humana (03/18/25)
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  • Senior Accreditation Professional

    Humana (Salem, OR)
    …and Supports (LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...who will work in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance… more
    Humana (03/14/25)
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  • Manager, Utilization Management Behavioral

    Humana (Salem, OR)
    …participating in the enhanced nurse compact licensure, (eNLC) **Location for Behavioral Health Licensed Professional:** must be licensed in the state of ... put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral ...**Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of… more
    Humana (03/12/25)
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  • Case Manager, RN

    CAI (Salem, OR)
    …facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health , and Complex Case Management + Collaborate with ... standards + Perform other duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+ years of… more
    CAI (02/01/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Salem, OR)
    …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... case management, and/or disease/condition management experience, provider operations, and/or health insurance experience **Preferred** + Experience in insurance industry… more
    Highmark Health (02/24/25)
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  • RN MedSurg - Nights

    Adecco US, Inc. (Mcminnville, OR)
    **Come be a part of our team today!** ** Registered Nurse (RN) - Exciting Career Opportunity in Med/Surg!** _Community Hospital in the Heart of Oregon Wine ... that boasts a 24-hour Emergency Department, Joint Replacement Institute, ICU, Senior Behavioral Health Services, and specialized services like radiation oncology… more
    Adecco US, Inc. (03/15/25)
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