NewRegistered Nurse (RN) - Home Health Case Management - $90K-100K per year FreedomCareRegistered Nurse (RN) - Home Health Case Management - $90K-100K per yearPortland, ORRemote$90,000–$100,000 / yearDepartment & Position Overview: Personal Care Services is a caregiving arrangement in which a patient has a principal caregiver who provides daily support based on the patient's daily care needs. The service is designed to provide options for alternative long-term care to people who meet nursing facility-level care needs while preserving the dignity, self-respect, and privacy of the patient. .
NewRN - Quality Assurance Providence Health and ServicesRN - Quality AssuranceNewberg, ORRemote$50.14–$77.83 / hourOur not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care. Actively works with physician leadership, Directors and Managers in the development and implementation of quality efforts, including preparation, risk monitoring and reduction in clinical and non-clinical systems, and coordination of multidisciplinary quality improvement projects.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTEVancouver, WARemoteRegistered 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.
Remote Registered Nurse RN RylemRemote Registered Nurse RNPortland, ORRemote$25–$28 / hourFull timePart timeWe’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.
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.
NewRN Utilization Management Reviewer - Remote (OR, WA, AK) Peace HealthRN Utilization Management Reviewer - Remote (OR, WA, AK)Vancouver, WARemote$48.52–$72.78 / hourThis position centers on concurrent and retrospective UM reviews, leveraging clinical expertise, payer policy knowledge, and technology tools to guide patient status determinations and promote appropriate utilization of hospital resources. You'll work fully remote*, with PeaceHealth-provided computer equipment-empowered by a collaborative team, supportive leadership, and a strong organizational commitment to diversity, cultural humility, and caregiver well-being.
NewReferral/Pre-Auth Specialist Peace HealthReferral/Pre-Auth SpecialistVancouver, WARemote$24.32–$32.84 / hourIf you're experienced with insurance requirements and enjoy solving complex healthcare puzzles while making a meaningful impact on patients' lives, this is an opportunity to do work that truly matters from the comfort of home. Location Requirement: This remote position requires residence and work location in Oregon, Washington, or Alaska, and candidates must live within a one-hour drive of a PeaceHealth hospital campus.
RN - Quality Assurance Providence Health & ServicesRN - Quality AssuranceMilwaukie, ORRemoteRequsition ID: 441972 Company: Providence Jobs Job Category: Clinical Quality Job Function: Quality/Process Improvements Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 5016 RS QUAL ASSURANCE Address: OR Oregon City 1500 Division St Work Location: Providence Willamette Falls Medical Ctr-Oregon City Workplace Type: On-site Pay Range: $50.14 - $77.83 Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
RN - Quality Assurance Providence St. Joseph HealthRN - Quality AssuranceOregon City, ORRemoteProvides concurrent and retrospective support managing initiatives to comply and in accordance with Center for Medicare and Medicaid requirements, The Joint Commission (TJC) requirements, administrative and program personnel, and third party payors. Actively works with physician leadership, Directors and Managers in the development and implementation of quality efforts, including preparation, risk monitoring and reduction in clinical and non-clinical systems, and coordination of multidisciplinary quality improvement projects.