- Humana (Salem, OR)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Providence (Portland, OR)
- **Description** The RN Coordinator- Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of ... experience in lieu of a Bachelor's Degree. + Oregon Registered Nurse License upon hire. + 5...in an acute adult medical/surgical care setting, OR Current Utilization Review or Case Management … more
- Highmark Health (Salem, OR)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Insight Global (Hillsboro, 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
- Highmark Health (Salem, OR)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… 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 an ... 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
- CenterWell (Lake Oswego, OR)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Guardian Life (Salem, OR)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Catholic Health Initiatives (Pendleton, OR)
- …with physician and multidisciplinary team in identifying appropriate patients for care management review utilizing established care management criteria. + ... clinical settings and levels of care for individual patients by applying approved utilization management criteria and guidelines. + Other duties as assigned by… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more