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Mental Health Registered Nurse (Registered Nurse Reviewer)
Oregon State Hospital - 42 reviews - Salem, OR
$32.45 - $42.87 an hour
This position reviews patient electronic health records and screens the appropriateness of services, the utilization of hospital resources and the quality of...
Easily apply
Registered Nurse
Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or other tasks as assigned....
Easily apply
Registered Nurse Care Manager (Resource, 0.0 FTE, Day Shift)
Utilization review or discharge planning experience. Certification in case management (CCM), accredited case manager (ACM) certification or American Board of...

Care Advocate - Assess and Triage

UnitedHealth Group - 5,382 reviews - Lake Oswego, OR 97034
Administer benefits and review treatment plans. Sm) As an Assess and Triage Care Advocate you will be responsible for case management and utilization review of...

Utilization Review RN

The Portland Clinic - 21 reviews - Portland, OR
Utilization Review RN. Previous Utilization Review experience. Apply professional nursing skills in the provision of Utilization review activities.*....

Utilization Management RN - Children's Care Management

Legacy Health System - 49 reviews - Portland, OR
UTILIZATION MANAGEMENT RN. Acts as the primary denials prevention agent by performing admission and continued stay reviews as per government and commercial...

Registered Nurse - Primary Care

Veterans Affairs, Veterans Health Administration - 2,744 reviews - Salem, OR
$62,685 - $113,737 a year
Practice, ethics and resource utilization; Applying online will allow you to review and track the status of your application....

RN Care Management (Per Diem) Job

PeaceHealth - 102 reviews - Springfield, OR
Nursing - RN Other. Utilization management/quality management experience preferred. Springfield, OR || Nursing - RN Other || Per Diem/Relief || CLINICAL SUPP...

Claims Nurse Reviewer

Familycare Inc - Portland, OR
Monitor for appropriate care, location of services and utilization through review of claim reconsiderations and retrospective case reviews....

Care Coordinator

The Portland Clinic - 21 reviews - Beaverton, OR 97006 (Triple Creek area)
Review payor and internal reports/data to identify patient trends and needs. Function effectively as an active member of the patient’s care team, working...

Registered Nurse (Intermittent Employee Health)

Veterans Affairs, Veterans Health Administration - 2,744 reviews - Portland, OR
$67,652 - $113,737 a year
EH RN 1-3 BASIC REQUIREMENTS:. The incumbent practices as an RN in Employee Health. Applying online will allow you to review and track the status of your...

RN Care Coordinator (Cancer Care Coordination)

Veterans Affairs, Veterans Health Administration - 2,744 reviews - Portland, OR
$67,652 - $113,737 a year
Reviews aggregate data (i.e. Practice, ethics and resource utilization; DSS, utilization patterns, variances, QM, etc..)....

Utilization Review Specialist - Physical Health

Familycare Inc - Portland, OR
This position reports to Supervisor, Utilization Review within the Utilization Management dept. FamilyCare Health is currently seeking a Utilization Review...
Associate Chief Nurse Executive (Director for Quality, Safet...
Veterans Affairs, Veterans Health Administration - 2,744 reviews - Portland, OR
$110,627 - $147,125 a year
Practice, ethics and resource utilization; Reviews Performance Measures, External Peer Review Program (EPRP), Veterans Affairs Surgical Quality Improvement...
MDS Coordinator RN $10,000 Sign on Bonus - Day
Manage the Utilization Review (UR) process. Review patient care plans for appropriate goals, problems, approaches, and revisions based on nursing needs....

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