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Registered Nurse/LPN
Depending on qualifications and experience, additional responsibilities may include insurance utilization reviews or other tasks as assigned....
Desired Experience: RN, Behavioral Health
Easily apply
Registered Nurse (Community Care Nurse Manager)
$65,606 - $112,222 a year
1-2 years case management/utilization review experience. The Community Care Nurse Manager functions:....
Desired Experience: BLS Certification
RN Care Manager - FT, 8am - 4:30pm
CHI Franciscan Health - 80 reviews - Roseburg, OR 97470
$34.34 - $52.53 an hour
Current RN license issued by the State of Oregon required. Experience with utilization management, discharge planning and/or case management preferred....
Desired Experience: RN

Manager, Utilization Review

Umpqua Health - Roseburg, OR
2-5 years managed care and/or utilization review experience. The Manager, Utilization Review will provide clinical supervision, oversight and leadership to the...
Desired Experience: RN, Social Work Certification, Project Management, Management Experience, Microsoft Word, Managed Care

Utilization Review Coordinator

Umpqua Health - Roseburg, OR
Utilization Review Coordinator. Previous utilization review experience preferred. MA, LPN, RN, EMT with a minimum of 2 years in utilization review or similar...
Desired Experience: CNA, Time Management, RN, Social Work Certification, Microsoft Office, Driver's License, Managed Care

RN Admissions Coordinator/Utilization Review - Psychiatry

PeaceHealth - 163 reviews - Eugene, OR
PeaceHealth is seeking a RN Admissions Coordinator/Utilization Review - Psychiatry for a per diem, Day shift position....
Desired Experience: RN, Microsoft Office

Qualified Clinical Reviewer and Program Coordinator (Medical...

State of Oregon - 299 reviews - Salem, OR
As the Subject Matter Expert (SME), your experience in utilization review or management is integral to maintaining the cost efficiency of the organization while...
Desired Experience: RN

RN, Utilization Management

St. Charles Health System - 71 reviews - Bend, OR 97701
$30.27 an hour
POSITION OVERVIEW Under the supervision of the Manager/Director, Utilization Review, the Utilization Management RN completes clinical reviews of hospital...
Desired Experience: RN, Microsoft Office, Managed Care

RN - Utilization Review Coordinator

Providence Health & Services - 1,169 reviews - Portland, OR
Knowledge of utilization review. 5 years of current utilization review or case management experience. Providence is calling a Registered Nurse - Utilization...
Desired Experience: Case Management, RN

Utilization Mgmt Nurse Reviewer

Allegiance Benefit Plan Mgmt. - Tualatin, OR
This includes certification reviews, continued stay reviews, patient information and education, individual case management referral, and processing of appeals....
Desired Experience: RN
Easily apply

Clinical Appeals RN

Managed Resources - 4 reviews - Remote, OR
RN License Required. Once the review is completed, the Clinical Appeal Review Nurse will forward the reconsideration letter to corporate office, through secure...
Desired Experience: Case Manager Certification, RN, Case Management, Managed Care
Easily apply

RN Care Coordinator

Veterans Affairs, Veterans Health Administration - 4,035 reviews - Roseburg, OR
$66,481 - $113,737 a year
VA Community Care RN Coordinator provides community care clinical reviews for consults and makes recommendations as to the appropriate location for the Veteran...
Desired Experience: RN

Concurrent Review Nurse I (RN)

Trillium Community Health Plan - 928 reviews - Eugene, OR 97403 (Laurel Hill Valley area)
Current state’s RN license. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...
Desired Experience: RN, Managed Care
RN Care Coordinator
$66,481 - $113,737 a year
VA Community Care RN Coordinator provides community care clinical reviews for consults and makes recommendations as to the appropriate location for the Veteran...
Desired Experience: RN
RN Care Manager - CPT, 8am - 4:30pm
CHI Franciscan Health - 80 reviews - Roseburg, OR 97470
$34.34 - $52.53 an hour
Current RN license issued by the State of Oregon required. Experience with utilization management, discharge planning and/or case management preferred....
Desired Experience: RN