- Health Advocates Network (Medford, OR)
- …Review experience. * Pay Rate: $2,608 weekly * Specialty: Discharge Planning and Utilization Review Registered Nurse ( RN ) * Shift: Day * 13 Week ... of Nursing * 2 years of experience as a Discharge Planning and Utilization Review Registered Nurse ( RN ) * American Heart Association BLS * An active,… more
- Humana (Salem, OR)
- …an impact** **Required Qualifications** **Must meet one of the following:** + Active unrestricted registered nurse license in the state of Virginia or obtain a ... problem-solving skills, facilitation skills **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change,… more
- Providence (Medford, OR)
- …**Full Time/ Day Shift** The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes ... population focus. Duties also include complex discharge planning and utilization review . Providence caregivers are not simply...must empower them. **Required Qualifications:** + Upon hire: Oregon Registered Nurse License. + 3 years Acute… more
- Humana (Salem, OR)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in the state of Virginia or ... of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following… more
- Insight Global (Oregon City, OR)
- …-Triages minor to emergent situations. -Respond to medical emergencies. -Performs nurse visits and administers medications and immunizations as ordered by an ... primary care procedures as necessary in times of staffing constraints. -Performs RN led patient visits for health maintenance, patient education, and treatment of… more
- Providence (Portland, OR)
- …hire. + Bachelor's degree in Nursing or higher within 3 years of hire. + Oregon Registered Nurse License upon hire + 2 years Acute care hospital or community ... systems. + 1 year Home health, mental health, substance use, hospice, utilization review , discharge planning or care management experience **Preferred… more
- Evolent (Salem, OR)
- …+ Performs other duties as assigned. **Qualifications: Required and Preferred:** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of ... direct clinical patient care + **Minimum one year of experience with Utilization Review (UM) in a managed care environment** + Cardiology and Oncology Healthcare… more
- Highmark Health (Salem, OR)
- …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN ... Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health… more
- Humana (Salem, OR)
- …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... case manager required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state of Virginia or… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …while keeping families here for generations. The Community Care (CC) Coordinator Registered Nurse ( RN ) executes position responsibilities that demonstrate ... intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Guardian Life (Salem, OR)
- **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding disability by ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
- Sedgwick (Salem, OR)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **We are growing and looking for nurses who have their ... clinical data; to complete complex submissions revisions/updates in preparation for Medicare review and act as an internal resource regarding Centers for Medicare &… more
- Lincoln County (Newport, OR)
- …graduation from an accredited nurse practitioner school, possession of a license as registered nurse in the State of Oregon, and certification as a nurse ... nurse practitioner: possession of a license as registered nurse in the State of Oregon...Collaborate with the CHC Managers in the distribution and utilization of personnel in the health care team to… more