Community Outreach Specialist Yamhill Community CareCommunity Outreach SpecialistMcMinnville, ORWorks collaboratively within and across team environments that may include other Community Health Workers (CHW), Clinical Support Specialists (CSS), Clinical Care Manager, RN Case Managers, Physical Health providers, Behavioral Health providers, dental service providers, and Community-based partner organizations. Facilitates the creation of the Member Individual Care Plan (ICP) and for Members receiving Social Needs benefits, a Person-Center Service Plan (PCSP) working in collaboration with the Member, Member caregiver / representative, and others on the healthcare team to identify Member needs and challenges.
Utilization Management Clinician PacificSource Health PlansUtilization Management ClinicianBend, OR$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
Utilization Management Clinician (Tuesday - Saturday) PacificSource Health PlansUtilization Management Clinician (Tuesday - Saturday)Springfield, OR$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
Utilization Management Clinician PacificSourceUtilization Management ClinicianPortland, Oregon$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
Utilization Management Clinician (Tuesday - Saturday) PacificSourceUtilization Management Clinician (Tuesday - Saturday)Springfield, OR$70,950–$106,424.99 / yearEducation, Certificates, Licenses: Active, unrestricted Registered Nurse (RN) license, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW), or Psychiatric Mental Health Nurse Practitioner, (PMHNP) credential required. Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
Pharmacy/Pharmacist Inpatient APN Consulting IncPharmacy/Pharmacist InpatientPortland, ORThe responsibilities of the CPS predominantly fall into the following areas: (1) direct patient care through Medication Therapy Management (MTM) program, (2) population-based disease management, (3) specialty pharmaceutical acquisition and care coordination, (4) drug utilization review and program development, (5) clinical policy development and application, including Pharmacy and Therapeutics (P&T) Committee participation. " Coordinates and provides comprehensive clinical pharmacy services to patients receiving medication therapy management, including: " Assessment and identification of medication-related problems based upon evaluation and interpretation of patient history, medical condition, surgical history, drug therapies, and objective physical and biochemical data.
Care Management Clinician (Monday-Friday) PacificSource Health PlansCare Management Clinician (Monday-Friday)Bend, OR$70,950–$106,424.99 / yearBased on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient's specific health plan benefits, and additional medical, community, or financial resources available.
Pharmacy/Pharmacist Inpatient IMCS Group IncPharmacy/Pharmacist InpatientPortland, ORThe responsibilities of the CPS predominantly fall into the following areas: (1) direct patient care through Medication Therapy Management (MTM) program, (2) population-based disease management, (3) specialty pharmaceutical acquisition and care coordination, (4) drug utilization review and program development, (5) clinical policy development and application, including Pharmacy and Therapeutics (P&T) Committee participation. "Coordinates and provides comprehensive clinical pharmacy services to patients receiving medication therapy management, including: " Assessment and identification of medication-related problems based upon evaluation and interpretation of patient history, medical condition, surgical history, drug therapies, and objective physical and biochemical data.
Day Shift Caregiver Serenity RCFDay Shift CaregiverPortland, Oregon$18–$20Communicate well with other caregivers, med-aides, Administrator, Operations Manager, residents, visitors and members of various healthcare personnel (physicians, nurses, case managers, etc.). The primary functions of the position include: Job Duties and Responsibilities: Understands and agrees with Serenity RCF's philosophy and goal to maintain, improve and/or enhance each resident’s quality of care and quality of life.
Occupational Therapist - Inpatient Rehab Veracity Software IncOccupational Therapist - Inpatient RehabMedford, ORWorking collaboratively with physicians, nurses, case managers, and rehabilitation professionals, the therapist develops individualized treatment plans to maximize functional independence, improve activities of daily living, and support safe discharge planning. The Occupational Therapist provides skilled occupational therapy evaluations, treatment, and rehabilitation services for patients admitted to the Inpatient Rehabilitation unit.
Social Services Specialist St. Charles Health SystemSocial Services SpecialistBend, OR$37.73–$56.60 / hourThese departments provide system-wide support including, but not limited to working with a multi-disciplinary team to assess needs of patients and families, provide supportive assessments, therapeutic interventions, counseling resource referrals, care coordination for hospice, and long-term care placement funding and services. DEPARTMENT SUMMARY: St. Charles Health System's Social Services Specialist may support any one, or a combination of the following social services departments: Emergency Room, Family Birthing, NICU, Pediatrics, Inpatient Medical Units, Inpatient Rehabilitation, Hospice, Home Health, or Behavioral Health.
Social Services Specialists - Medical Oncology St. Charles Health SystemSocial Services Specialists - Medical OncologyBend, OR$40.75–$61.14 / hourThese departments provide system-wide support including, but not limited to working with a multi-disciplinary team to assess needs of patients and families, provide supportive assessments, therapeutic interventions, counseling resource referrals, care coordination for hospice, and long-term care placement funding and services. DEPARTMENT SUMMARY: St. Charles Health System's Social Services Specialist may support any one, or a combination of the following social services departments: Emergency Room, Family Birthing, NICU, Pediatrics, Inpatient Medical Units, Inpatient Rehabilitation, Hospice, Home Health, or Behavioral Health.
Care Coordinator Licensed Umpqua HealthCare Coordinator LicensedRoseburg, OR$80,470–$92,000 / yearPOSITION PURPOSE The Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. CARE COORDINATORREMOTE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon.
NewCare Coordinator Licensed UMPQUA HEALTHCare Coordinator LicensedRoseburg, OR$80,470–$92,000 / yearThe Care Coordinator provides comprehensive support for care management and care coordination activities for members enrolled in Medicaid and Medicare programs, including those receiving long-term services and support (LTSS) through waiver programs. Minimum of two (2) years of healthcare experience, including: At least one (1) year of experience supporting individuals with disabilities or chronic conditions within Long-Term Services and Supports (LTSS).
8858 - Peer Support Specialist (Health & Human Services) JACKSON, COUNTY OR8858 - Peer Support Specialist (Health & Human Services)Medford, OR$15–$27 / hourRequires the ability to work independently and as a team member; exercise initiative, tact and good judgment in dealing with people from various backgrounds; respond professionally and responsibly in crisis, emergency or dangerous situations; maintain records with accuracy and confidentiality; understand and carry out detailed instructions of a technical and professional nature; develop and maintain trusting relationships with community partners and stake holders; speak professionally, assertively and appropriately within the scope of work in advocating for the needs of clients; comply with all statutes, policies and procedures; understand and carry out oral and written directions; communicate effectively, both orally and in writing; and, establish and maintain cooperative working relationships with those contacted in the course of work. In order to become a certified Peer Support Specialist by Oregon Health Authority, at least one of the following statements must apply - A Peer Support Specialist shall be: (a) A self-identified individual currently or formerly receiving addictions or mental health services; (b) A self-identified individual in recovery from an addictions disorder who meets the abstinence requirements for recovering staff in alcohol or other drug treatment programs; (c) A self-identified individual in recovery from problem gambling.
Care Management/Medical Social Work Peace HealthCare Management/Medical Social WorkOR$38.22–$57.34 / hourJob Summary Responsible for identifying and interacting with medically and psychosocially complex patients and families who are likely to benefit from care management, meet high-risk criteria, and for coordination of discharge planning services for these patients in collaboration with RN Care Management and other members of the care team. Cottage Grove is a community of approximately 9,000 people located in the beautiful Willamette Valley along the Row River, 20 miles south of Eugene and the University of Oregon, and serves a population of approximately 25,000 people in the surrounding area.
Senior Claims Adjuster Trean Insurance Group IncSenior Claims AdjusterOregon, OR$75,000–$90,000 / yearEnsure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.
Admissions Director TIMBERLINEAdmissions DirectorAlbany, ORPart timeAs directed, assists in planning and execution of outreach events such as on-site facility health fairs, educational programs, and other promotional events designed to attract hospital discharge planners, physicians, and other key persons to the facility. • Works to initiate, nurture and maintain contacts with physicians, social workers, and discharge planners as valued customers to maximize referrals and facilitate admissions; • Must attend daily stand-up meetings.
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.
Sup, Clinical Quality Mgmt TriWest Healthcare AllianceSup, Clinical Quality MgmtPortland, ORRemoteFull timeThe Supervisor oversees clinical and non-clinical staff supporting CQM programs by overseeing and providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.