13 Results for

Remote Healthcare Jobs in Orchards, WA

Jobs

Vancouver, WA

Remote

li>Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).

At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.

30+ days ago

Portland, OR

Remote

p>Requsition ID: 437237 Company: Providence Jobs Job Category: Revenue Cycle Operations Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4001 SS RC REV INTEGRITY Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland 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.

26 days ago

Portland, OR

Remote

Together, 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.

26 days ago

Portland, OR

Remote

$36.80–$49.80 / hour

As 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.

24 days ago

Portland, OR

Remote

$25–$28 / hour
Full time
Part time

We’re looking for an experienced Registered Nurse Clinical Documentation Specialist to join a high-performing healthcare team in a fully remote role! If you have a strong CDI background and acute care experience, this is your chance to work from home while earning competitive travel pay.

30+ days ago

Portland, OR

Remote

Provide care coordination and management services for members with identified needs: Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member; Facilitating access to internal and external services; Monitoring the effectiveness of the interventions; and reinforces the treatment plan. + Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire + Registered Nurse License (Oregon) within 6 months of hire + Drivers License (in location where applicable) + Basic Life Support required at hire Additional Requirements: + Knowledge of case management principles.

3 days ago

Portland, OR

Remote

Full time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

30+ days ago

Portland, OR

Remote

Full time

Leadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.

30+ days ago

Portland, OR

Remote

Full time

o Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.

30+ days ago

Portland, OR

Remote

Full time

Technical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

30+ days ago

Portland, OR

Remote

Full time

The team lead supports clinical and non-clinical staff supporting CQM programs by 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.

30+ days ago

Portland, OR

Remote

Full time

Assist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.

30+ days ago

Portland, OR

Remote

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To learn about Science 37's privacy practices including compliance with applicable privacy laws, please click here. With interest/expertise in Science 37's decentralized model of care delivery, the Field Nursing Operations Manager is responsible for the operational oversight, implementation and daily management of all nursing activities for clinical research studies within their region at Science 37.

4 days ago

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Remote Healthcare Jobs in Orchards, WA

Director, Healthcare Services - REMOTE Molina Healthcare Inc

Revenue Cycle Auditor RN - Full time, Day, Remote Providence Health & Services

Revenue Cycle Auditor RN - Full time, Day, Remote Providence St. Joseph Health

Remote Care Management Nurse Cambia Health Solutions Inc

Remote Registered Nurse RN Rylem

RN Case Manager - Oncology Kaiser Permanente

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Director, Medical Document Optimization TriWest Healthcare Alliance

Clinical Quality Reviewer TriWest Healthcare Alliance

Clinical Quality Study Analyst TriWest Healthcare Alliance

Clinical Quality Review Team Lead TriWest Healthcare Alliance

Clinical Education Training Specialist TriWest Healthcare Alliance

Field Nursing Operations Manager (West Coast) Science 37

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