Social Needs Project Specialist - Hybrid Nonprofit Role Yamhill Community CareSocial Needs Project Specialist - Hybrid Nonprofit RoleMcMinnville, ORRemoteThe Social Needs Project Specialist expands, maintains, and monitors capacity for social needs services and supports eligible Yamhill Community Care (YCCO) members, by working with various vendors, community-based organizations, and providers of targeted resources and services offering nutrition, housing, and other social supports. Manages collaborative projects within and across teams that may include, but is not limited to, other program Specialists, Community Health Workers (CHW), CM Case Managers, Nurse Case Managers, Community Providers, Health Supervisor, Traditional Health Worker Liaison.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteORRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Prior Authorization RN Humana IncPrior Authorization RNORRemote$71,100–$97,800 / yearThe self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph HealthRevenue Cycle Auditor RN - Full time, Day, RemoteSalem, ORRemoteTogether, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. These amounts 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.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)Work At Home, ORRemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorOregon City, ORRemote$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.
Primary Care Advanced Practice Provider (NP OR PA) Devoted Health IncPrimary Care Advanced Practice Provider (NP OR PA)ORRemoteThat's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Medical & Disability Nurse Case Manager Liberty Mutual Holding Company IncMedical & Disability Nurse Case ManagerLake Oswego, ORRemoteli>Effectively communicates with injured employees, medical professionals, field claims staff, attorneys, and others to obtain information, and to negotiate medical treatment and return to work plans using critical thinking skills, clinical expertise and other resources as needed to achieve an optimal case outcome. Under general technical direction, responsible for medically managing assigned caseload and by applying clinical expertise ensure individuals receive appropriate healthcare in order to return to work and normal activity in a timely and cost effective manner.
Remote Care Management Nurse Cambia Health Solutions IncRemote Care Management NurseSalem, ORRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Virtual Primary Care Nurse Practitioner - Western Region CVS Health CorpVirtual Primary Care Nurse Practitioner - Western RegionORRemote$87,035–$224,952 / yearp>The Virtual Primary Care Nurse Practitioner works in collaboration with a dedicated care team to provide evidence-based, primary care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for patients 18 years of age and older. Virtual Care Team members must meet minimum requirements for remote care delivery, including broadband connectivity, a quiet setting with a neutral background to conduct visits from, and the ability to uphold patient privacy per CVSH guidelines.
Case Manager RN Acentra HealthCase Manager RNORRemote$67,300–$93,050 / yearli>Interact and collaborate with a multidisciplinary care team, including physicians, nurses, case managers, OHA staff, and social workers/educators to ensure as well as participate in IDT meetings beneficiary needs and preferences for health services/information are shared. Establish a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality outcomes.