- Humana (Salem, OR)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… 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 operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Fresenius Medical Center (Salem, OR)
- …accounting department. + Acts as the Facility Manager in the absence of the manager or at the direction of management . + Ensure nurses' progress notes are ... staff member present Position functions as an onsite Patient Educator and Case Manager for patients with various shifts and work hours **PURPOSE AND SCOPE:** Works… more
- CVS Health (OR)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Providence (Portland, OR)
- …that to inspire and retain the best people, we must empower them. **Care Manager RN at Providence Portland Medical Center** Positions Available: **Full Time with ... or higher within 3 years of hire. + Oregon Registered Nurse License upon hire + 2...1 year Home health, mental health, substance use, hospice, utilization review, discharge planning or care management … more
- Providence (Medford, OR)
- …we know that to inspire and retain the best people, we must empower them. **Care Manager RN \*0.6 FTE Day * This position includes working on some weekends as ... needed.** **Required Qualifications:** + Upon hire: Oregon Registered Nurse License + 3 years Acute care hospital experience **Preferred Qualifications:** +… more
- CenterWell (Lake Oswego, OR)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Sharecare (Salem, OR)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
- Prime Therapeutics (Salem, OR)
- …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...experience. + Experience in managed care, specialty drugs, care management and utilization review. + Meets Credentialing… more
- CenterWell (Salem, OR)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more