Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementPortland, ORRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
NewManager, Utilization Management TriWest Healthcare AllianceManager, Utilization ManagementPortland, ORRemoteFull timeTechnical Skills: Thorough knowledge of health care delivery, clinical quality assurance program metrics, UM, CM,CC, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations. Manages prospective and concurrent Utilization Management (UM) programs including prior authorization, concurrent inpatient and continued stay reviews including authorization and management of selected post inpatient care.
Care Management - Nurse, Senior Blue Cross and Blue Shield AssociationCare Management - Nurse, SeniorORIn this role you will determine, develop and implement the plan of care based on accurate assessment of the member and current or proposed treatment plan in cases of member inquiry, triage hub, chronic conditions, poly-pharmacy, pre-natal care, and voluntary member health assessment, in addition to indication of multiple monthly ER visits. Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family''s right to make informed choices that may not promote the best outcomes, as determined by the healthcare team.
Manager, Health Plan Care Management, Full Time, Day Shift Adventist HealthManager, Health Plan Care Management, Full Time, Day ShiftPortland, ORWorks collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives. Today, more than 2,300 employees are dedicated to whole-person care, mind, body and spirit, across our 302-bed medical center, emergency department, and network of clinics, urgent care, home care and hospice services.
NewSupervisory Management & Program Analyst Supervisory HR Liaison Temp NTE 1 yr MBE to 3 yrs MBMP Department of the Treasury, USSupervisory Management & Program Analyst Supervisory HR Liaison Temp NTE 1 yr MBE to 3 yrs MBMPPortland, OR$125,776–$192,694 / yearCoordinating major programs segments and/or organizational structures and/or functional responsibilities of Human Resources operations involving Position Management, Workforce Planning, Performance Management, Labor Relations activities, Awards and Recognition, Training and Development, supporting one or more human resources, human capital, recruitment or organizational support programs and/or Recruitment development and the effectiveness of business units operations support program. QUALIFICATION REQUIREMENTS: To qualify for this position, you must meet the qualification requirements outlined below: SPECIALIZED EXPERIENCE: You must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job.
NewManagement and Program Analyst Program Analyst AMENDED Department of the Treasury, USManagement and Program Analyst Program Analyst AMENDEDPortland, OR$125,776–$192,694 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): Current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. To update your application, including supporting documentation: Visit USAJOBS - How to Update Application during the announcement open period, make updates or add supporting documentation, then continue through the entire application process and click Submit Application to send updates to the hiring agency.
Manager, Care Management Moda Partners IncManager, Care ManagementPortland, OR$94,799.21–$120,867.41 / yearThe Manager serves as a clinical and operational leader, partnering across the organization and with external stakeholders to design, implement, and continuously improve care management strategies aligned with regulatory requirements, quality metrics, and value-based care goals. The Manager of Care Management provides operational and clinical leadership for care management programs, including care coordination, complex case management, and population health initiatives.
Social Worker II for Maternity Support Services Sea Mar Community Health CentersSocial Worker II for Maternity Support ServicesWashougal, WASea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Master’s degree from an accredited university and licensure in the state of Washington as aLicensed Mental Health Counselor, Licensed Independent Clinical Social Worker, LicensedSocial Worker, Licensed Marriage and Family Therapist, or Licensed Psychologist.
Emergency Services Manager Mac's ListEmergency Services ManagerPortland, ORAdditional qualifications for Emergency Shelter Manager: Two years of experience working with survivors of domestic violence or relevant experience in direct service with marginalized communities required (impacted by racism, homophobia, transphobia, poverty, alcohol and drug abuse, domestic violence, etc.). Demonstrated experience in problem solving, time management, creating work plans and timelines, training and development, decision-making, leadership, and prioritizing tasks; excellent attention to detail and quality of work.
Care Manager RN - Social Work, Multiple FTEs and Shifts Available Providence Health & ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, OR$57.90–$84.50 / hourRequsition ID: 448200 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $57.90 - $84.50 Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services.
Resident Experience Manager Maybelle CenterResident Experience ManagerPortland, ORFull timeExperience in social services or assisted living settings preferredKnowledge of trauma-informed care preferredStrong technical skills, including proficiency with Electronic Health Records, Microsoft Office, Canva, and the ability to learn new systemsExcellent interpersonal, written, and verbal communication skillsStrong problem-solving skills in a fast-paced environmentAbility to build and maintain trusting relationships with residents, families, and interdisciplinary team membersPhysical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Bachelor's degree preferredMinimum of three (3) years of managerial and supervisory experience requiredMinimum of three (3) years of experience providing resident services and coordinating life enrichment programming in an assisted living facilityCurrent Oregon Driver's License in good standing.
Social Service Assistant (Estacada, OR) – Youth Residential Program PsyPhyCareSocial Service Assistant (Estacada, OR) – Youth Residential ProgramEstacada, ORThis role provides administrative and direct support to the Center's social services and student support functions by assisting with case management activities, maintaining student records, coordinating services, and helping students access resources that promote successful participation in the program. PsyPhyCare is committed to delivering professional and passionate practitioners who impact their world , supporting both the individuals we serve and the communities in which they live and grow.
Adult Mental Health Manager - LCSW, LPC, LMFT - MH076 NATIVE AMERICAN REHABILITATION ASSOCIATION INCAdult Mental Health Manager - LCSW, LPC, LMFT - MH076Portland, OR$105,000–$120,000 / yearThe Manager supports culturally responsive, trauma-informed care tailored to Native American and Alaska Native individuals, while facilitating implementation of best practices, cross-site coordination, Feedback-Informed Treatment initiatives, quality assurance, and direct service delivery. Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples' Day, Veterans Day, Thanksgiving, day after Thanksgiving, and December 25th, and your birthday!
Behavioral Health Specialist Sea Mar Community Health CentersBehavioral Health SpecialistVancouver, WASea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. • Maintains regular contact with client, including home visits, and provides advocacy as needed to encourage cooperation in implementing the Service Plan or to resolve problems which are interfering with active participation in plan (such as transportation or language barrier).
HUD/SOAR Program Supervisor Sea Mar Community Health CentersHUD/SOAR Program SupervisorVancouver, WASea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. This individual supervises the HUD Housing Case Managers and SOAR personnel in all phases of their work, provides direct services to clients, conducts all SOAR trainings and supervises permanent supportive housing contracts.
Territory Manager of Healthcare Partnerships - Washington/Oregon Mom's MealsTerritory Manager of Healthcare Partnerships - Washington/OregonPortland, ORFull timeEffectively present Mom’s Meals products and services to a variety of audiences including managed care organizations as well as case managers, social workers, physicians, nurses and dietitians. Consistently utilize company programs and systems to maximize and prioritize each of the qualified Tier account engagements and create efficient weekly sales routes to meet scheduled meetings, drop-ins, and client educational opportunities.
On-Call Patient Navigator Central City ConcernOn-Call Patient NavigatorPortland, OR$24.52–$31.88 / hourParticipate in case reviews with Recuperative Care team (including RN Complex Care Manager, Case Managers, Logistics Specialist, Housing Specialist, Program Assistant and clinical, logistics and operations volunteers) to ensure quality care for patients in Recuperative Care, including helping to identify and address psychological, social and medical needs. The OC Patient Navigator is skilled in crisis management and provides timely referral to appropriate substance abuse, physical health, and mental health treatment, support in accessing benefits and entitlements, and support in identifying appropriate and affordable housing as part of a comprehensive approach to ending homelessness and achieving self-sufficiency.
Social Worker Oregon Health & Science UniversitySocial WorkerPortland, OregonThese clinicians will support employees by providing mental health resource navigation and bridge counseling services with the goal of reducing the psychological and emotional impact and harm from workplace events, circumstances, interpersonal/interprofessional dynamics, and culture. The Occupational Health clinician is an experienced and qualified professional able to respond promptly, ethically, and independently during complex situations and have an in-depth understanding of workplace conditions and risks impacting mental health and be able to confidently navigate internal and external resources available.
CNA- Psychiatric Provider Aide Sea Mar Community Health CentersCNA- Psychiatric Provider AideVancouver, WAThe person needs to be familiar with many different types of software including Microsoft Office Windows, business websites (examples: SharePoint, Arcadia, One Health Portal, Health Plan Finder), and proprietary software (examples: electronic medical records, EKG monitors, retinal camera, etc.) Employee must be proficient with agency PM and EHR systems before end of probationary period. Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State.
Psychiatric Provider Aide Sea Mar Community Health CentersPsychiatric Provider AideVancouver, WASea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth.