Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantPortland, ORIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.
Manager Clinical Pharmacy Services Cambia Health Solutions IncManager Clinical Pharmacy ServicesVancouver, WADemonstrated knowledge of: Medicare/CMS regulations and applicability in administering the Medicare Product; Pharmaceutical products, including orals, injectables, infusion products, and chemotherapy; Health care coding and payment systems (such as ICD-10, CPT, HCPCS, NDC); Compliance related activities, legislative and regulatory activities; state and federal laws and rules regarding the practice of pharmacy and regulation of health care industry practices, such as DOLI, PPACA and HIPAA. Collaborates with the Pharmacy Directors, VPs, and other leadership in coordinating corporate-wide activities related to the appropriate use of medications, improved quality related to medication therapy, promotion of cost-effective prescribing, and reduction in short-term and long-term overall costs to internal and external clients.
NewOHSU Clinical Associate Oregon Health & Science UniversityOHSU Clinical AssociatePortland, OregonFull timeUnder the guidance and supervision of the department Chair, faculty members, PA may perform detailed patient history and physical examinations and obtain informed consent for procedures; write appropriate orders and review lab results to insure acceptable limits; assist in development of patient care protocols and follow-up guidelines; administer drugs including narcotics, stimulants and depressants; write routine pre/ post procedure orders as necessary; attend appropriate hospital conferences/ educational opportunities; follows inpatients after procedures and writes appropriate orders as necessary; write discharge orders and coordinate arrangements for follow-up care; perform image-guided procedures; assist with major radiology procedures performed within the department; round on patients, write appropriate progress on patient charts indicating status of treatments and procedures performed. Function/Duties of Position: Provide clinical care to patients of the OHSU’s Hospitals and Clinics, affiliated hospitals and clinics including ambulatory care, inpatient rounding, inpatient discharges, patient follow-up by phone/ MyChart, tunneled and non-tunneled line and port removals and pre/ post procedure care; serve as an extension of the interventional radiologists; and engage in public service through consultative activities with non-university groups as approved by the Chair, Dotter Department of Interventional Radiology.
Administrative Director - Ambulatory Providence Health & ServicesAdministrative Director - AmbulatoryHillsboro, OR$65.83–$103.93 / hourThe Administrative Director of Center for Medical Imaging, LLC (CMI) and Bridgeport Medical Imaging, LLC (BMI) provides overall leadership, direction and accountability for the Centers'' assuming responsibility for operational planning, organizational development, budgeting, human resource management, managed care contracting/relations, financial performance, business development and public relations. Requsition ID: 444650 Company: Providence Jobs Job Category: Diagnostic Imaging Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 5019 AS JV SERVICE CMI Address: OR Aloha 10810 NE Cornell Rd Work Location: Center For Medical Imaging-Aloha Workplace Type: On-site Pay Range: $65.83 - $103.93
Director of Nursing RN (Assisted Living) Career StrategiesDirector of Nursing RN (Assisted Living)Portland, OregonThe DON plays a key role in ensuring quality resident care, regulatory compliance, and effective team leadership while fostering a supportive and resident-focused environment. We are seeking a compassionate and experienced Director of Nursing (DON) to lead and manage the clinical operations of our Assisted Living community.
Home Health Clinical Manager RN Mission HealthcareHome Health Clinical Manager RNVancouver, WAThree years of management experience within the last five (5) years in a home health, at least one (1) year of which was a supervisory or administrative capacity or; A registered nurse with four (4) years' experience within the last five (5) years in a home health agency, primary care clinic or health facility, at least one (1) year of which was in a supervisory or administrative capacity. Responsibilities: Provides guidance and counseling to coordinators and Clinical Supervisors/Nursing Supervisors to assist them in continually improving all aspects of home health care services, provided through organization personnel.
Program Integrity Clinical Spc TriWest Healthcare AllianceProgram Integrity Clinical SpcPortland, ORRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
OB GYN Physician and Medical Director Legacy HealthOB GYN Physician and Medical DirectorSILVERTON, Oregon$385,731–$402,658 / yearFull timeThe role offers the ability to provide both clinic- and hospital-based care while helping guide quality, access, patient safety, team engagement, and the continued development of obstetrics, gynecology, midwifery, maternity care, and women’s wellness services for the Silverton and Mid-Willamette Valley region. Silverton offers the best of Pacific Northwest living: locally owned businesses, a year-round farmer market, summer festivals, historic murals, Silver Falls State Park, and the year-round Oregon Garden.
Medical Director - Trauma Legacy HealthMedical Director - TraumaPORTLAND, OregonWith vibrant cultural offerings, expansive parks, and access to outdoor destinations like the Columbia River Gorge, Cascade Mountains, and nearby coastal beaches, the region supports a healthy, balanced way of life. As Medical Director of Surgical Specialties, you will combine clinical expertise with strategic leadership - providing medical and surgical care while guiding physicians and care teams within your assigned clinic site(s).
Executive Director, Imaging Services Providence Health & ServicesExecutive Director, Imaging ServicesPortland, ORRequsition ID: 448982 Company: Providence Jobs Job Category: Diagnostic Imaging Job Function: Clinical Care Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4007 SS NORTH DIV ADMIN Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: On-site Pay Range: $See posting - $See posting The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Meets regularly with Medical Directors to review and evaluate departmental operations, relationships with the medical staff, and coordination of departmental services with various hospital programs and departments to ensure the departmental environment is conducive to the safe and high-quality practice of Diagnostic Imaging.
Medical Director - Behavioral Health CareOregon IncMedical Director - Behavioral HealthPortland, OR$294,570–$360,030 / yearCareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). This position may be assigned to lead medical management initiatives for the organization including clinical quality in the provider network, as well as utilization, quality, case management and disease management operations, monitoring and results, in the business areas of integration and behavioral health.
NewExecutive Director Operations Providence Health & ServicesExecutive Director OperationsPortland, ORRequsition ID: 455638 Company: Providence Jobs Job Category: General Operations Job Function: Operations Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 9000 EXPRESS CARE WA EC CENTRAL ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid Pay Range: $97.95 - $178.94 The Executive Director of Operations is responsible for the operations of ExpressCare Retail locations in Oregon, Washington, Alaska, and Montana as well as the virtual business servicing the seven states within Providence footprint, and the two Urgent Care clinics wholly owned by ExpressCare in Washington and Alaska.
Physical Therapist - Clinic Director Benchmark Physical TherapyPhysical Therapist - Clinic DirectorForest Grove, Oregon$95,000–$105,000 / yearWe’re hiring a Clinic Director who is an experienced, licensed Physical Therapist passionate about developing clinicians, elevating patient outcomes, and creating a positive, high-performing clinic culture. At Benchmark, part of the Upstream Rehabilitation network, you can advance your leadership career while still making an impact through exceptional patient care.
Endowed Chair and Director, Burghardt Food Allergy Center- Faculty Oregon Health & Science UniversityEndowed Chair and Director, Burghardt Food Allergy Center- FacultyPortland, Oregon$260,000–$307,623 / yearFull timePACCSM provides expert diagnosis and care of patients with lung diseases in our Pulmonary Clinic; allergy, asthma, and immunologic disorders in our Allergy Clinic; and of critically ill patients in our Intensive Care Unit. Department Overview: The Division of Pulmonary, Allergy, Critical Care, and Sleep Medicine (PACCSM) in the Department of Medicine seeks a MD/DO candidate for a faculty position to fill the role of Endowed Chair and Director of the Burghardt Food Allergy Center.
Director of Health and Counseling Center Reed CollegeDirector of Health and Counseling CenterPortland, OR$135,000–$145,000 / yearNational certification as an Advanced Practice Nurse/Nurse Executive Leader or Physician board certification in Family Practice, Internal Medicine, Pediatric/Adolescent Medicine, Emergency Medicine, Gynecology, or other college health appropriate ABMS-recognized medical specialty. Serve as a visible campus partner and liaison to students, faculty, staff, and families through participation in health promotion initiatives and multidisciplinary teams, including Behavioral Intervention, Emergency Response, and CARE.
Administrative Director, Nursing, Care Management Oregon Health & Science UniversityAdministrative Director, Nursing, Care ManagementPortland, OregonSpecifically, the Administrative Director will provide operational development, direction, supervision and administration which includes: Nurse Case Management, Utilization Management, Social Work, Transitional Care Programs and the Partnership Project, The Administrative Director has the primary responsibility for the. Department Overview: The Administrative Director of Care Management provides strategic and operational leadership to ensure the provision of high quality, safe healthcare and customer service to patients and families in need of Care Management services.
Endowed Chair and Director, Burghardt Food Allergy Center Faculty Oregon Health & Science UniversityEndowed Chair and Director, Burghardt Food Allergy Center FacultyPortland, OR$260,000–$307,623 / yearPACCSM provides expert diagnosis and care of patients with lung diseases in our Pulmonary Clinic; allergy, asthma, and immunologic disorders in our Allergy Clinic; and of critically ill patients in our Intensive Care Unit. The successful applicant will have current or a substantial history of National Institutes of Health (NIH) funding, industry-sponsored studies, or funded investigator-initiated trials related to basic or translational research in food allergy.
OB GYN Physician and Medical Director Legacy Health SystemOB GYN Physician and Medical DirectorSilverton, OR$385,731–$402,658 / yearThe role offers the ability to provide both clinic- and hospital-based care while helping guide quality, access, patient safety, team engagement, and the continued development of obstetrics, gynecology, midwifery, maternity care, and women's wellness services for the Silverton and Mid-Willamette Valley region. Silverton offers the best of Pacific Northwest living: locally owned businesses, a year-round farmer market, summer festivals, historic murals, Silver Falls State Park, and the year-round Oregon Garden.
Acera Territory Director - Portland, OR Solventum CorpAcera Territory Director - Portland, ORPortland, ORRemoteThrough Acera Surgical and the Restrata product, the team advances evidence‑based wound care technologies that support healing across multiple surgical specialties, helping frontline healthcare providers deliver safer, more effective care. Together, you'll explore new ideas, challenge assumptions, and shape solutions that make a real-world impact by: Managing and growing sales of assigned products within a defined geographic territory, with accountability for meeting or exceeding revenue and growth objectives.
Acera Territory Director - Portland, OR SolventumAcera Territory Director - Portland, ORPortland, OregonRemoteSolventum, a new healthcare company with a rich history We’re a new company built on a trusted legacy of solving big healthcare challenges that improve patient lives while enabling healthcare professionals to perform at their best. Through Acera Surgical and the Restrata product, the team advances evidence‑based wound care technologies that support healing across multiple surgical specialties, helping frontline healthcare providers deliver safer, more effective care.