• Adventist Health (Portland, OR)
    Adventist Health is seeking a Registered Nurse ( RN ) Home Health Care Manager for a nursing job in Portland, Oregon.Job Description & RequirementsSpecialty: ... in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse ( RN ) licensure in the state of… more
    JobGet (04/29/24)
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  • Outpatient Registered Nurse

    Fresenius Medical Center (Portland, OR)
    **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... for new employees who meet the RN CAP 2 criteria or attained through...the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis… more
    Fresenius Medical Center (05/05/24)
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  • Care Manager RN

    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 . The Nurse Case...must empower them. **Required Qualifications:** + Upon hire: Oregon Registered Nurse License + 3 years Acute… more
    Providence (04/17/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (Sandy, OR)
    …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
    Fresenius Medical Center (03/23/24)
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  • Utilization Review Clinician…

    Centene Corporation (Salem, OR)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (04/17/24)
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  • Clinical Program Coordinator RN *Remote

    Providence (OR)
    …in the collaboration and management of patient care + Current unencumbered Registered Nurse License in state of residency **Preferred qualifications for ... + Bachelor's Degree in Nursing or Health Education + Upon Hire: Current unencumbered Registered Nurse License in Oregon + Within six months of hire date:… more
    Providence (05/03/24)
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  • Care Manager RN

    Providence (Portland, OR)
    …Bachelor's degree in Nursing or higher within 3 years of hire. + Upon hire: Oregon Registered Nurse License + 2 years of Acute care hospital or community based ... **Description** ** RN Care Manager (Per Diem / Days)** ...year of Home health, mental health, substance use, hospice, utilization review , discharge planning or care management… more
    Providence (03/02/24)
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  • UM Nurse Consultant

    CVS Health (Salem, OR)
    …years demonstrated ability to make thorough, independent decisions using clinical judgement. A Registered Nurse that must hold an unrestricted license in their ... UM ( utilization management) experience within an inpatient/outpatient setting, concurrent review or prior authorization. 5 years of a variety clinical experience… more
    CVS Health (04/19/24)
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  • Staff Professional-Risk Mgmt

    Marriott (Salem, OR)
    …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
    Marriott (04/23/24)
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  • Medical Director/Physician

    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 ... Collaborate with the CHC Managers in the distribution and utilization of personnel in the health care team to... nurse practitioner, possession of a license as registered nurse in the State of Oregon… more
    Lincoln County (04/17/24)
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  • Patient Care Advocate

    Actalent (Tigard, OR)
    …Worker (LSW) Certified Social Worker (C-SW) Clinical Social Work Associate (CSWA) Licensed Registered Nurse ( RN ) Experience with member outreach. Basic ... Skills: HEDIS, medical record, quality improvement, member outreach, medicare, chart review , NCQA, insurance, case management, utilization management, data… more
    Actalent (04/23/24)
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