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
Registered Nurse – Skilled Nursing Facility Care Coordinator
Providence Health & Services 176 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...
Sponsored by Providence Health & Services
Registered Nurse - Medical Policy
Providence Health & Services 176 reviews - Beaverton, OR
5 years of clinical nursing experience with experience in utilization review, discharge planning and/or managed care....
Sponsored by Providence Health & Services

Utilization Management RN- Care Management- Emanuel Medical...

Legacy Health System 19 reviews - Portland, OR
$50.36 a day
Utilization Management RN. Acts as the primary denials prevention agent by performing admission and continued stay reviews as per government and commercial...

Lead Case Management RN

Moda Health 23 reviews - Portland, OR 97204 (Downtown area)
Functions as a Case Manager RN (see Case Manager RN position description). Certification in case management or utilization review/management preferred....

RN Care Coordinator

Moda Health 23 reviews - Portland, OR 97204 (Downtown area)
Applies clinical expertise and judgment to ensure compliance with medical policy and criteria of for accepted standards of care while performing Utilization...

Registered Nurse (RN) International Case Manager

Aetna 552 reviews - Portland, OR
Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit...

RN

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

Nurse Case Manager

Standard Insurance Company 66 reviews - Portland, OR
Cardiology, orthopedics, mental health) or utilization review or quality management, or the equivalent combination of education and/or relevant experience....

MEDICAL SUB-SPECIALTY RN

U.S. Department of State 144 reviews - Eugene, OR
$60,065 - $105,570 a year
MEDICAL SUB-SPECIALTY RN. The Specialty Care Clinic RN. For more information, please review the information. Applying online will allow you to review and track...

Nurse Case Manager - Utilization Management

PacificSource Health Plans 16 reviews - Bend, OR
$55,000 - $71,500 a year
Prepare case presentations, as directed, for Medical Grievance Review Claims and Utilization Review Committee, Policy and Procedure Review Committee (PPRC), and...

Utilization Management RN - Care Management Emanuel Medical...

Legacy Health System 19 reviews - Portland, OR
$50.36 a day
UTILIZATION MANAGEMENT RN. Acts as the primary denials prevention agent by performing admission and continued stay reviews as per government and commercial...

RN - Client Community Coordinator Job

PeaceHealth 59 reviews - Eugene, OR
Nursing - RN Other; Nursing - RN Patient Care. Eugene, OR || Nursing - RN Other; Current RN licensure in the State of Oregon....
Nurse Care Manager, Portland
Landmark Health - Portland, OR
RN License, BSN preferred. 1-2 years of utilization management experience a must. Complete an initial member assessment on all new enrolled members, including a...
Sponsored by Landmark Health
Registered Nurse - Care Manager, Hospital (0.0 FTE, Days)
Providence Health & Services 176 reviews - Portland, OR
Utilization review or discharge planning experience. Current Oregon RN license. Apply clinical expertise and knowledge of utilization management principles to...
Sponsored by Providence Health & Services

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Company with RN Utilization Review jobs
The 3rd largest not-for-profit U.S. health system, providing health care to our communities – especially to the poor and vulnerable.