- Cognizant (Salem, OR)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Fresenius Medical Center (St. Helens, OR)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- CVS Health (OR)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Veterans Affairs, Veterans Health Administration (La Grande, OR)
- …below. Responsibilities The Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for: Providing competent, evidence-based ... 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… more
- Humana (Salem, OR)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- Summary The Community Care (CC) Coordinator Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative ... Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, ...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Sharecare (Salem, OR)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Lincoln Financial (Salem, OR)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- CenterWell (Lake Oswego, OR)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Providence (OR)
- …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... must empower them.** **Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare / Medicaid who will:**...Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within… more
- Providence (Portland, OR)
- …**Required Qualifications:** + Bachelor's Degree Nursing. + Upon hire: Oregon Registered Nurse License + 5 years Clinical experience. + 5 years Hospital ... of quality efforts, including preparation, risk monitoring and reduction in clinical and non- clinical systems, and coordination of multidisciplinary quality… more
- Praxis Health (OR)
- …Minimum Qualifications Required Education + High school diploma or GED. + Licensed Practical Nurse (LPN) or Registered Nurse (RN) from an accredited ... + Solid understanding of medical terminology and managed care. Required Experience + Clinical Experience:At least 2 years of direct patient care in a clinical… more
- Providence (Medford, OR)
- …working on some weekends as needed.** **Required Qualifications:** + Upon hire: Oregon Registered Nurse License + 3 years Acute care hospital experience ... + 1 year home health, mental health, substance use, hospice, and/or utilization review + Progressive nursing leadership experience, including charge nurse … 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 ... + 1 year Home health, mental health, substance use, hospice, utilization review, discharge planning or care management experience **Preferred qualifications:** +… more