RN Utilization Review jobs in Oregon

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Medical Review Clinician
AllMed Healthcare Management, Inc 8 reviews - Portland, OR
Medical Review Clinician (RN). Are you an ER, utilization review or primary care nurse, looking for an interesting opportunity to use your clinical skills, in...
Sponsored by AllMed Healthcare Management, Inc  - 30+ days ago
Program Director-Clinical
Healogics - McMinnville, OR
Current RN Licensure Required. Responsible for cost management through appropriate utilization and management of labor and supply utilization....
Sponsored by Healogics  - 17 days ago
Medical Necessity Review RN
Kaiser Permanente 2,392 reviews - Portland, OR
Experience- Minimum five (5) years of work experience in Medical Necessity Review.- Minimum five (5) years of experience in utilization review or a managed care...
Sponsored by Kaiser Permanente  - 30+ days ago

Utilization Management Transition RN

AllCare Management Services - Grants Pass, OR
RN degree required. The RN will perform on-site reviews of current inpatient and outpatient services by following medical guidelines and benefit determination....

Clinical Consultant - Portland

GetWellNetwork 4 reviews - Portland, OR
Monitor system utilization daily; Drive utilization of the GetWellNetwork system by conducting quarterly account review meetings pertaining to account roadmap;...

Behavioral Needs Care Coordinator

Clackamas County 11 reviews - Clackamas County, OR
Experience conducting utilization reviews for acute hospitalization. Provide coverage for Utilization Review for Acute Care as assigned....

Utilization Review Nurse - RN - Remote

Professional Services Network, Inc - Eugene, OR - +1 location
The Utilization Review RN's will be responsible for clinical review of all services requiring authorization for appropriateness based on InterQual criteria....


Saint Alphonsus Medical Center - Ontario - Ontario, OR
Performing chart review and/or other data, collection for internal and external reporting processes as assigned....

Appeals & Grievances - RN

Familycare, Inc. - Portland, OR
Coordinate, review and present to appropriate staff or make determinations on requests from members/providers for re-reviews, peer-to-peer reviews or claim...

RN - Client Community Coordinator Job

PeaceHealth 56 reviews - Eugene, OR
Nursing - RN Other; Nursing - RN Patient Care. Eugene, OR || Nursing - RN Other; Current RN licensure in the State of Oregon....

COMMUNITY HEALTH NURSE II - Maternal and Child Health

Washington County, OR - Hillsboro, OR 97124
Maintain current information on the utilization and services of other community health agencies; To review the Driver's License and Record Policy for Washington...

Registered Nurse – Concurrent Review

Providence Health & Services 164 reviews - Beaverton, OR
Experience in utilization review, discharge planning and/or managed care. Experience working with physicians in collaboration and management of patient care and...

Resource Nurse - RN Case Manager

Oregon Health & Science University 77 reviews - Portland, OR
Ability to describe what utilization review criteria is and how it is utilized. Current unencumbered Oregon RN license....
RN - Case Manager
Vibra Healthcare - Portland, OR
Knowledgeable in utilization review, medical terminology, appropriate levels of care, treatment, modalities, statues, and healthcare delivery models....
Sponsored by Vibra Healthcare  - 26 days ago
Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 332 reviews - Portland, OR
Hospital case management utilization review experience. Travel Case Manager RN. Identify utilization issues, quality concerns, risk management issues and...
Sponsored by Medical Staffing Network  - 30+ days ago

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