- Actalent (Portland, OR)
- …of Nursing or Bachelor's degree in Nursing. + 2-4 years of related experience in clinical review or prior authorization. + LPN - Licensed Practical Nurse ... Job Title: Medical Authorization Review Specialist Job Description We are seeking a...cost-effective medical care. Responsibilities + Perform medical necessity and clinical reviews of authorization requests to determine the medical… more
- Veterans Affairs, Veterans Health Administration (Fairview, OR)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... of city life and the serenity of nature. The Supervisory Advanced Practice Nurse (APN) Clinic Practice Manager practices in the Primary Care Division. They provide… more
- Cognizant (Salem, OR)
- …and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not limited to referral, preauthorization, ... determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with...have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical … more
- Evolent (Salem, OR)
- …clients as scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- The Cigna Group (Portland, OR)
- …retention, and network performance. **OVERVIEW:** + TheNurse ExecutiveSalesSpecialist, trusted Clinical Leader, Educator and Advocate, is closely aligned with ... trendsand maintains a working knowledge of Cigna business segment strategies, clinical programs, services and operational processes necessary to educate and provide… 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
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …of-Integrity, Commitment, Advocacy, Respect, and Excellence. Preferred Experience: 2 years Nurse Practitioner clinical practice. VA offers a comprehensive total ... Summary The Certified Nurse Practitioner (NP) practices in Community Living Center...the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. Responsibilities Roseburg is the… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- …client care. Possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Lane County (Springfield, OR)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/lanecountyor/jobs/newprint/5081099) Apply Nurse Practitioner Salary $58.14 - $77.79 Hourly ... Health Centers of Lane County is seeking a Family Nurse Practitioner to be part of an interdisciplinary team...assesses their medical status in the clinic; determines the clinical need for medications and prescribes medication as a… more
- Lincoln County (Newport, OR)
- Corrections Health Nurse Supervisor Print (https://www.governmentjobs.com/careers/lincoln/jobs/newprint/4849074) Apply Corrections Health Nurse Supervisor ... nursing. with Six years plus as a licensed Registered Nurse . Substitution Note: Will accept an Associate degree in...to alcohol and drug abuse and psychopathology. + All clinical skills, including physical assessment and interpretation of lab… more