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.
NewVP of Clinical LE_001 New NarrativeVP of ClinicalPortland, OregonThe VP of Clinical Services provides strategic and operational leadership for New Narrative's clinical and treatment-focused community services, including outpatient behavioral health services, access and benefits, intensive case management (ICM), psychiatric security review board (PSRB), residential team-based care programs, and future clinical service lines. The VP of Clinical Services provides senior leadership for implementation, sustainability, and continuous improvement of the Certified Community Behavioral Health Clinic (CCBHC) model while fostering a culture of accountability, collaboration, innovation, and continuous improvement across Community Services.
Clinical Liaison RN Emerging HealthClinical Liaison RNPortland, OR$100,000–$118,000 / yearHealthcare providers across Oregon & Southern Washington rely on us to deliver compassionate, personalized care—empowering patients to receive infusion treatments where they feel most comfortable, whether that’s at home or in one of our private, modern infusion suites. 2. Assess and coordinate, in partnership with Case Managers and Discharge Planners, home infusion services to assist with determining the plan of care administered by Emerging Health, under the direction of the patient’s provider.
Clinical Systems Specialist, Praxis Health Praxis HealthClinical Systems Specialist, Praxis HealthPortland, ORThe role reports to the Clinical Systems Manager and coordinates with Directors of Operations and RLCMs when an issue affects a specific clinic or provider, and works closely with Operations to define and maintain clinical workflows and workflow changes driven by Oracle updates. We're looking for a Clinical Systems Specialist to handle the day to day technical and operational work that keeps the technology across Praxis Health clinics running for providers and clinic staff, the EHR and the systems around it: user account provisioning, EPCS, provider schedule updates, and troubleshooting.
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.
Home Health Registered Nurse Case Manager CenterWellHome Health Registered Nurse Case ManagerLake Oswego, Oregon$92,600–$127,400 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Associate Clinical Oncology Specialist Natera IncAssociate Clinical Oncology SpecialistPortland, OR$80,000–$100,000 / yearThe pay range is listed and actual compensation packages are based on a wide array of factors unique to each candidate, including but not limited to skill set, years & depth of experience, certifications and specific office location. The Natera team consists of highly dedicated statisticians, geneticists, doctors, laboratory scientists, business professionals, software engineers and many other professionals from world-class institutions, who care deeply for our work and each other.
Network Director, Clinical Engineering TrimedxNetwork Director, Clinical EngineeringVancouver, WA$140,000–$170,000 / yearThe Network Director must have the ability to think and lead strategically; build relationships across a diverse and complex single customer base; provide mentoring to Senior Site Managers and Site Managers. The Network Director Clinical Engineering leads clinical engineering initiatives to provide superior customer service and operational efficiency by managing the execution of the TRIMEDX Medical Equipment Management Plan (MEMP).
Network Director, Clinical Engineering Trimedx Holdings LLCNetwork Director, Clinical EngineeringVancouver, WA$140,000–$170,000 / yearThe Network Director must have the ability to think and lead strategically; build relationships across a diverse and complex single customer base; provide mentoring to Senior Site Managers and Site Managers. The Network Director Clinical Engineering leads clinical engineering initiatives to provide superior customer service and operational efficiency by managing the execution of the TRIMEDX Medical Equipment Management Plan (MEMP).
Principal Clinical Specialist Abbott LaboratoriesPrincipal Clinical SpecialistPortland, OR$86,700–$173,300 / yearProvides additional back-up support to EP Sales Representatives in the following areas: Sales support; Regional training seminars; Clinical studies/data collection; Trouble Shooting; and, New product in-service training to physicians, nurses and sales representatives. Working under limited supervision, provides advanced engineering, sales, educational and technical support in response to more complex field inquiries from physicians, health care professionals, patients, and field sales staff, involving EP products.
Assistant Director Clinical Regulatory Operations Cambia Health Solutions IncAssistant Director Clinical Regulatory OperationsVancouver, WAAs a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders - enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate - all in service of creating a person-focused health care experience.
Assistant Director Clinical Regulatory Operations Cambia HealthAssistant Director Clinical Regulatory OperationsPortland, ORAs a member of the Transformation, Quality, and Learning team, our Assistant Director Clinical Regulatory Operations leads a clinical regulatory operations team that serves as a strategic partner to HSO clinical business leaders - enabling the pursuit of improved affordability, operational efficiency, quality, and member experience within a framework of regulatory compliance. The role will partner with Cambia regulatory stakeholders and clinical business owners to identify and operationalize evolving requirements, establish scalable monitoring and remediation frameworks, and facilitate operational simplification by aligning processes across teams and lines of business where appropriate - all in service of creating a person-focused health care experience.
Nurse Manager (RN or LPN) Sea Mar Community Health CentersNurse Manager (RN or LPN)Vancouver, WA$74,963.20–$92,435.20 / yearSea 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. Sea Mar Community Health Centers is accredited by The Joint Commission and recognized by the National Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III.
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.
Clinical Supervisor (BCBA) Center for Autism and Related DisordersClinical Supervisor (BCBA)Vancouver, WashingtonRemoteConstantly position oneself to participate and respond to the movements and behaviors of patients, including but not limited to bending to assist a patient, kneeling/crouching to teach a play skill, hurrying to block an open doorway, or reaching to prevent a patient from entering a traffic congested street. This includes the assessment and analysis of the patient’s skills and challenging behaviors, development of treatment plans, overseeing the implementation of treatment, collaboration with and training of their patient’s caregivers, as well as ongoing coaching and training of behavioral technicians.
NewInpatient Nurse Manager Macpower Digital Assets Edge Private LimitedInpatient Nurse ManagerHillsboro, OR$171,000–$198,000 / yearHow this role fits: Leads nursing services and care delivery across sites to ensure safe, high-quality, cost-effective care. Bachelor's degree in Nursing (BSN) and five years of experience in business operations, clinical healthcare, or a related field.
Case Manager (LCSW) TriWest Healthcare AllianceCase Manager (LCSW)Portland, ORRemoteFull timeFunctions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.
Assistant Nurse Manager - Medical Surgical Providence Health & ServicesAssistant Nurse Manager - Medical SurgicalMilwaukie, OR$60.35–$95.27 / hourRequsition ID: 456395 Company: Providence Jobs Job Category: Nursing-Patient Facing Job Function: Nursing Job Schedule: Full time Job Shift: Evening Career Track: Leadership Department: 5005 PMH MED SURG Address: OR Milwaukie 10150 SE 32nd Ave Work Location: Providence Milwaukie Hospital-Milwaukie Workplace Type: On-site Pay Range: $60.35 - $95.27 The ICU serves low- to mid-acuity patients and does not manage patients requiring advanced therapies, providing an opportunity to support a broad range of inpatient services while developing and leading multidisciplinary teams.
Assistant Nurse Manager - Medical Surgical Providence St. Joseph HealthAssistant Nurse Manager - Medical SurgicalMilwaukie, ORThe ICU serves low- to mid-acuity patients and does not manage patients requiring advanced therapies, providing an opportunity to support a broad range of inpatient services while developing and leading multidisciplinary teams. Based in Milwaukie, Oregon, this leadership role provides operational and clinical oversight for our 42-bed Medical Surgical Unit, 6-bed Intensive Care Unit (ICU), Float Pool team, and Patient Transport services.
RN, Clinical Educator, Perioperative Services, Full Time, Day Shift Adventist HealthRN, Clinical Educator, Perioperative Services, Full Time, Day ShiftPortland, ORToday, 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. The Adventist Health Northwest Heart Center, located on our medical center campus, provides advanced cardiovascular care, bringing together expert providers, innovative treatments and compassionate support for patients across the region.