Pharmacy Director (Health Plan) - Hybrid Nonprofit Role Yamhill Community CarePharmacy Director (Health Plan) - Hybrid Nonprofit RoleMcMinnville, ORRemoteDevelops and implements quality improvement initiatives focused on medication adherence and outcomes improvement programs to address health disparities in medication use and outcomes, prioritizing Oregon's equity goals. This role oversees Pharmacy Benefit Management (PBM) subcontractor implementation and internal operations, formulary alignment with the Oregon Preferred Drug List (PDL), and programs addressing cost, utilization, and quality outcomes.
Sr. Medical Coding Quality Analyst -Hybrid/Remote Career StrategiesSr. Medical Coding Quality Analyst -Hybrid/RemoteSalem, OregonRemoteExperience: 5+ years of medical coding experience, including 2+ years in multispecialty coding and 2+ years in a quality analyst or leadership role. This is a Contract to hire role, offering $35-$41 an hour, and is on a hybrid remote work schedule and fully remote after first week training.
Registered Nurse RN Case Manager DaVita Inc.Registered Nurse RN Case ManagerSalem, ORRemoteIn lieu of case management experience, 3 or more years of experience assessing patient needs, developing and managing individualized care plans, coordinating services across interdisciplinary teams, and supporting patients through complex healthcare transitions is required. Our more than 600 dedicated nurses, care coordinators, nurse practitioners (NPs) and business professionals integrate and manage care for more than 20,000 patients with late-stage chronic kidney disease (CKD) and end stage renal disease (ESRD) across the US each month.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseORRemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
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.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorOregon City, OregonRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorOregon City, ORRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.