Healthcare Process Improvement Specialist, West Coast Standard TextileHealthcare Process Improvement Specialist, West CoastSalem, ORThe ideal candidate has successfully worked inside hospitals, understands healthcare operations, and can help customers improve outcomes through a combination of process improvement, linen management expertise, and software adoption. Working alongside our Sales team, you'll assess current-state operations, recommend improvements, and support the implementation and adoption of linen management software solutions that drive measurable results.
Utilization Management Manager – Remote Nonprofit Role Yamhill Community CareUtilization Management Manager – Remote Nonprofit RoleMcMinnville, ORRemoteACM (Accredited Case Manager) through AMCA (American Case Management Association), CCM (Certified Case Manager) CCMC (Commission for Case Manager Certification), Board certification in Nursing Case Management (RN-BC) through ANCC (American Nurses Credentialing Center), CPHQ (Certified Professional in Health Care Quality) through NAHQ (National Association of Health Care Quality). Master’s degree in Nursing or other Healthcare related field, Five (5) years of relevant clinical nursing or healthcare related experience, Experienced in physical and behavioral health integration, Experience with Coordinated Care Organization (CCO) / Medicaid Managed Care, Three (3+) years of experience with Utilizations Management, Equivalent combination of education and experience will be considered.
Case Manager, Associate Acentra HealthCase Manager, AssociateOR$61,280–$70,000 / yearIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education.
NewProject Manager - Full time, Day, Onsite Providence Health & ServicesProject Manager - Full time, Day, OnsiteOregon, ORRequsition ID: 455236 Company: Providence Jobs Job Category: Project Management Job Function: Project/Product Management Job Schedule: Full time Job Shift: Day Career Track: Business Professional Department: 4007 SS CC PROG SRVC 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. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Behavioral Health Case Manager Acentra HealthBehavioral Health Case ManagerORRemote$67,300–$85,000 / yearCurrent, unrestricted license or certification to practice a health or human services discipline in the State of Oregon that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline (Licensed Mental Health Professional (LMHP) licensure such as Licensed Clinical Psychologist (LCP), Licensed Professional Counselor (LPC), Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Licensed Substance Abuse Treatment Practitioner (LSATP), Licensed Marriage and Family Therapist (LMFT) OR be a Qualified Mental Health Professional (QMHP)). Job Summary: The Case Manager of Behavioral Health will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements.
Learning & Development Manager Northwest Human Services IncLearning & Development ManagerSalem, ORYou'll work closely with leaders across the organization to identify learning needs, create meaningful development opportunities, support required training, and help employees feel connected to our mission and values. If you enjoy developing people, creating engaging learning experiences, and helping leaders become stronger in their roles, we'd love to meet you.
Manager Clinical Informatics - System Operations, Hybrid Providence Health & ServicesManager Clinical Informatics - System Operations, HybridOregon, ORRequsition ID: 444583 Company: Providence Jobs Job Category: Clinical Informatics Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4011 SS IS CI SYS OPS Address: TX Lubbock 3615 19th St Work Location: Covenant Medical Center Workplace Type: Hybrid 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. As a partner for clinical transformation and in collaboration with the GVPs Clinical Nursing Informatics, CI Regional Directors, ministry Nurse Executives and other clinical and physician leaders, the Manager, Regional Clinical Informatics manages staff performance in informatics initiatives with an emphasis on information technology and services to support nursing and interdisciplinary care partners in the areas of practice, clinical applications, clinical/administrative decision-making, research and quality improvement initiatives, education, and resource management.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsOR$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerNewberg, OR$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
Business Office Manager US Department of Health and Human ServicesBusiness Office ManagerSalem, OR$67,970–$88,356 / yearPerforms common supervisory duties such as coordinate and distribute workload to accounting technicians, billing technicians, patient registration clerks; teaches and trains employees, performs annual appraisal, approves leaves, counsels employees, keeps employees informed of changes. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Configuration Manager P3 Health Partners LLCConfiguration ManagerSalem, OR$100,000–$135,000 / yearThe main functions of this position are responsible for leading, coaching and guiding staff that implement, support, and maintain the core administrative system configuration including but not limited to: EDI transactions, provider, health plan benefits and member eligibility data, encounters submissions and reconciliations, CMS/health plan claim reporting, internal claim reporting and data entry. Ability to provide strategic leadership and demonstrate the ability to develop future-state scenarios, create a vision for the future, defines factors needed to achieve success, and key actions required.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Salem, OR$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Salem, OR$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Executive Director Avamere Skilled Advisors, LLCExecutive DirectorSherwood, ORDrives sales and marketing efforts in collaboration with the community sales leader to meet or exceed occupancy or revenue targets by developing new business, generating leads, and building strategic relationships. Oversee resident services, including the admission process, healthcare management, and maintenance of resident documentation to ensure high-quality services and compliance with Ovation procedures, policies and applicable State and Federal regulations.
Executive Director Arete LivingExecutive DirectorSherwood, OregonDrives sales and marketing efforts in collaboration with the community sales leader to meet or exceed occupancy or revenue targets by developing new business, generating leads, and building strategic relationships. Oversee resident services, including the admission process, healthcare management, and maintenance of resident documentation to ensure high-quality services and compliance with Ovation procedures, policies and applicable State and Federal regulations.
Talent Acquisition Partner Northwest Human Services IncTalent Acquisition PartnerSalem, ORWe are looking for someone who thrives on building talent pipelines, influencing workforce strategy, developing relationships with healthcare providers and leaders, and connecting exceptional people to meaningful work. Youll help us solve workforce challenges before they become vacancies, build sustainable talent pipelines, strengthen our employer brand, and ensure we continue delivering high-quality care to underserved populations across Oregon.
Mobile Medical Unit Manager Northwest Human Services IncMobile Medical Unit ManagerSalem, ORSummary of Additional Benefits for Providers:Relocation Assistance, Performance Incentive Plan, Retention Bonus Plan, NHSC Loan Repayment (Primary Care HPSA Score of 20!) & Oregon Provider Incentive Program, Malpractice Wrap-Around Policy, CME Reimbursement & up to 5 Days CME Pay, DEA Certificate Renewal, NCCPA & OBMA License Renewal. As a working manager, youll oversee the daily operations of our Mobile Medical Unit and Street Outreach services while working alongside clinical teams, community organizations, and support departments to bring healthcare directly to underserved and rural communities.
Senior Manager Quality - Remote Providence Health & ServicesSenior Manager Quality - RemoteOregon, ORRemoteRequsition ID: 450554 Company: Providence Jobs Job Category: Clinical Quality Job Function: Quality/Process Improvements Job Schedule: Full time Job Shift: Day Career Track: Leadership Department: 4001 SS RC PRE SERVICE TX Address: WA Renton 1801 Lind Ave SW Work Location: Providence Valley Office Park-Renton Workplace Type: Remote 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. Specific program oversight may include process improvement, Epic enhancements and upgrades, training and education, data analysis and interpretation, including functions related to the management of teams, strategic planning and measurement, and human resource management.
Executive Director Avamere Family of CompaniesExecutive DirectorSherwood, ORDrives sales and marketing efforts in collaboration with the community sales leader to meet or exceed occupancy or revenue targets by developing new business, generating leads, and building strategic relationships. • Oversee resident services, including the admission process, healthcare management, and maintenance of resident documentation to ensure high-quality services and compliance with Ovation procedures, policies and applicable State and Federal regulations.
Executive Director/Administrator - Assisted Living Sapphire at Bridgecreek Memory CareExecutive Director/Administrator - Assisted LivingLebanon, OregonThe Executive Director is responsible for the overall leadership, operations, compliance, financial performance, and culture of an Assisted Living and Memory Care community in accordance with State and community-based care regulations. This role ensures exceptional resident care, regulatory compliance, team engagement, census growth, and operational excellence while fostering a compassionate, resident-centered environment.