- Providence (Portland, OR)
- **Description** ** Clinical Documentation Specialist RN \*Hybrid The MCO Clinical Reviewer is accountable for utilization management activities ... + Graduate from an accredited School of Nursing. + Upon hire: Oregon Registered Nurse License + 5 years of Clinical experience. + 2 years of Utilization… more
- PeaceHealth (Vancouver, WA)
- **Description** **PeaceHealth is seeking a Referral/Pre-Auth Specialist - Remote (OR, WA, AK) for a Full Time, 0.80 FTE, Day position.** The salary range for this ... receiving, processing and documenting referral or prior authorization requests from the clinical areas. Provides customer service and support for the clinical … more
- Molina Healthcare (Vancouver, WA)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist , Quality Interventions/ QI Compliance contributes to one or ... of department interventions. + Creates, manages, and/or compiles the required documentation to maintain critical quality improvement functions. + Leads quality… more