- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …Referral System (VIRS) Transfer Coordinator practices as an RN in the Utilization Management Unit within Inpatient & Emergency Services Division (IESD). ... is responsible for assessing and documenting the requests for transfer of Veterans from community hospitals, outside clinics, and other VA facilities and maintaining… more
- CareOregon (Portland, OR)
- …Level Manager Direct Reports Registered Nurse - Clinical Quality Assurance, Registered Nurse - Utilization Management II Manager Title Director, Quality ... oversight in the correct and effective use of decision tools used for utilization management activities including staff training. The position is responsible for… more
- Sharecare (Salem, OR)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
- CVS Health (Salem, OR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... or Specialty Pharmacy Advocacy** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Fresenius Medical Center (Vancouver, WA)
- **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
- Fresenius Medical Center (Portland, OR)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med/surg or ICU/CCU experience. **PHYSICAL DEMANDS AND WORKING… more
- United Therapeutics (Salem, OR)
- …for which transplant is not currently an option. Who you are You are experienced nurse and an expert in all things PAH. You love providing mentorship, coaching and ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...+ Plan, collaborate, create and produce the yearly Clinical Nurse Summit meeting for HCPS across the United States… more
- Highmark Health (Salem, OR)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be...is part of the compact **Preferred** + Certification in Utilization Management or a related field **SKILLS**… more
- CenterWell (Vancouver, WA)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Sharecare (Salem, OR)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
- Fresenius Medical Center (Hillsboro, OR)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more
- Praxis Health (Portland, OR)
- …with a strong background in care coordination and population health management . The ideal candidate is detail-oriented, collaborative, and passionate about improving ... performance in: + HEDIS metric tracking + Transitional Care Management (TCM) + Annual Wellness Visit (AWV) completion rates...Team (IDT) agenda for review 3. High Emergency Room Utilization Oversight + Monitor and manage patients identified on… more
- GE Vernova (Vancouver, WA)
- …through effective planning, organizing, scheduling, and monitoring of work activities and utilization of resources. + Provide strong leadership and coaching for the ... actions are implemented. + Develop and implement process improvements utilizing Management of Change procedures. + Recruit, interview and actively participate in… more