- Centene Corporation (Salem, OR)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... require an Oregon RN or LPN license. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level… more
- Evolent (Salem, OR)
- …the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as...I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools… more
- The Cigna Group (Salem, OR)
- …outcomes, client growth and retention, and network performance. **OVERVIEW:** + The Nurse Executive Sales Specialist, trusted Clinical Leader, Educator and ... the health, well-being and sense of security for those we serve. The Clinical Sales and Network Organization, as Champions for affordable, predictable and simple… more
- American Red Cross (Portland, OR)
- …professionals. + Act as a consultant to external health care personnel about clinical apheresis. + Assess patient status relative to therapeutic apheresis, prior ... (Minimum Qualifications):** + **Current state licensure as a Registered Nurse and CPR certification is required** **.** + **Bachelor's...of their employment OR have begun the vaccination process prior to their start date. Upon being offered a… more
- Monte Nido (West Linn, OR)
- …the opportunity for people to realize their healthy selves. **Registered Nurse (PRN-NOC)** **Monte Nido Portland** **_West Linn, Oregon_** **Monte Nido Portland,** ... necessary for their personal recovery. The primary responsibility of the Nurse is evaluation, monitoring, planning, administration, and direct delivery of… more
- Veterans Affairs, Veterans Health Administration (Eugene, OR)
- …and record relevant patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... Perform within the functional statement under guidance of the Nurse Manager or designee. Demonstrate basic technical competence and...subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested… more
- Sanford Health (Klamath Falls, OR)
- …qualifications include completion of a master's, postmaster's or doctorate from an accredited nurse practitioner program. If licensed prior to August 1, 1995, ... nursing is preferred. **Job Summary** The Physician Assistant (PA) provides expert clinical guidance in a specialized field and coordinates patient care quality… more
- CenterWell (Salem, OR)
- …with the ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, ... actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that… more
- Evolent (Salem, OR)
- …The Specialty Appeal nurses work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators who set up the ... appeal, Physicians and other Clinicians who review the appeal, and managers for direction and leadership. The Appeals teamwork strategies and opportunities for… more
- Centene Corporation (Salem, OR)
- …flexibility. **Hours: Monday-Friday: 8am-5pm or 9am-6pm PST.** **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... the applicable state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or assess treatment plans… more