- Provide care coordination, case management and care management services to Providence Health Plans(PHP) members
- Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease
- Case management services include: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life
- Care management services include: nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance finding alternative services when benefits are exhausted
- Work within the health plan framework of managing medical expenses
- Work to improve access and quality care to our members
- Oregon
- Clark County in Washington State
- 5+ years clinical nursing experience
- Experience working with physicians in the collaboration and management of patient care
- Current unencumbered Registered Nurse License in state of residency
- Bachelor's Degree in Nursing or Health Education
- Upon Hire: Current unencumbered Registered Nurse License in Oregon
- Within six months of hire date: Current unencumbered Registered Nurse License in Washington State
- Medicare: Insurance business operations experience
- Case Management Experience (EX. Triage and Referral, Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care)
- Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical Audits, Appeals or Delegation)
- Experience working in a health plan, medical insurance plan or another similar work environment
- Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
-
Clinical Program Coordinator RN Remote
1 week ago
Providence Health & Services Beaverton, United StatesProvidence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain ...
-
Remote Employee Coordinator
3 weeks ago
Workoo Technologies Portland, United StatesAbout the job Remote Employee Coordinator · Our reputable financial services client is looking for a vibrant Employee Coordinator to join their dynamic team This is an exciting opportunity with growth potential working in a fact paced environment. The successful candidate is ene ...
-
REMOTE Travel Coordinator
1 week ago
Magical Destinations Travel Portland, United StatesGrowing your career as a Full or Part- Time Remote Travel Coordinator is an incredible opportunity to develop valuable skills. · If you are strong in leadership, and persuasion and have the right determination for the opportunity, then schedule a meeting today to become a Remote ...
-
clinical care coordinator remote
3 weeks ago
Providence Health & Services Portland, OR , USA, United StatesProvidence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain ...
-
Carrier Account Executive
1 week ago
Ziply Fiber Beaverton, United StatesThis is a remote position. · Position Title: Carrier Account Executive - Tower Leases · $82,500 to $137,500 annually, plus target commission of $65,000 annually · Comprehensive health benefits include - medical, dental, vision, 401k, flexible spending account, paid · sick leave ...
-
Clinical Program Coordinator RN Remote
1 week ago
Providence Vancouver, United States Full timeProvidence Health Plan caregivers are not simply valued – they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain ...
-
Experienced IAG Developer
2 days ago
Skyline Solutions Rockcreek, United StatesWHAT WE ARE LOOKING FOR · Implementation of a global Identity and Access Governance solution based on SailPoint · Support in the implementation of a Privileged Access Management solution based on CyberArk · Coordination and creation of operational documents and technical document ...
-
Logistics Coordinator
2 weeks ago
Lucas Tree Experts Portland, United States**Lucas Tree Experts**, a leader in the tree care industry, is looking for a **Fleet and Logistics Coordinator **to join our team in Portland ME. · **The Fleet and Logistics Coordinator** is responsible for supporting our fleet of on and off road vehicles and equipment as well as ...
-
Cash Services Representative
3 weeks ago
Stone Coast Fund Services Portland, United States**Remote Work Flexibility** · This position offers remote work flexibility, allowing for both time in the office and the ability to work from home. · **The Position** · As a member of the Cash Services team, this position is responsible for the following: · - Coordination of, and ...
-
Office Manager
1 week ago
All Pro Striping Portland, United States**All Pro Striping | Office Manager** · Do you thrive in a fast-paced environment and enjoy wearing multiple hats? Are you an experienced office administrator looking to contribute to the growth of a dynamic construction firm in Southern Maine? If so, then the Office Manager posi ...
-
Project Manager
3 weeks ago
MaineHealth Portland, United States**About MaineHealth and the Strategy Team** · The MaineHealth Strategy team leads the development of long-term enterprise strategy, high value business growth, venture investment opportunities and strategic partnerships. The team works closely with other system teams to ultimatel ...
-
Vir Practice Scheduling Coordinator
2 weeks ago
Spectrum Healthcare Partners Portland, United States**COMPANY OVERVIEW** · Spectrum Healthcare Partners is Maine's largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopaedics, pain management, pathology, radiation on ...
-
Claim Team Manager
3 weeks ago
Opportunities at MEMIC Portland, United StatesMEMIC is seeking an experienced manager to join our team in Maine. This position requires 2x a week in the Portland office. Relocation options are available. · The Claim Team Manager's primary responsibility is to oversee the specific team business activities while developing and ...
-
Automotive Services Field Supervisor
3 days ago
AAA Northern New England Portland, United States Full timeAutomotive Services Field SupervisorAAA of Northern New England has an immediate opening for a Automotive Services Field Supervisor Benefits include a PENSION PLAN for your retirement goals · 70% Field visitation schedule - With a company car provided, and 50% remote and 50% offi ...
-
Spurwink Services Portland, United StatesSpurwink is seeking a Family Support Partner to join our Children's Behavioral Health Home (BHH) team based out of our Lewiston office. This position will support families living across the Greater Lewiston area who have children with behavioral health needs. In this important ro ...
-
Accounts Manager
3 weeks ago
Portland Public Schools Portland, United StatesSUMMARY DESCRIPTION: Reporting to the Senior Executive Director of Finance & Operations, the Accounting Manager will supervise the accounting functions for the School Department. This will include supervising both the staff and grant accountants. Responsible for · the preparation ...
-
Claims Service Representative Ii
2 weeks ago
Automobile Club of Southern California Portland, United StatesThis position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functio ...
-
Fisher Investments Portland, United States Full timeIt's an exciting time to be a member of the Fisher Investments Technology Department. We're investing in the future of our firm's technology and are building our team to achieve global growth. We are looking for a Senior CyberArk Security Engineer to support our Corporate Systems ...
-
Grants & Operations Manager
1 week ago
Sexual Assault Services of Southern Maine Portland, United States**Position**: Grants & Operations Manager · **Reports to**:Executive Director · **Job Type**: Full-time, (40-hours per week), with additional on call hours as assigned · **Classification**: salary, exempt (non-union position) Pay: 55-62K · **Location**:Hybrid (in-person & remote) ...
-
Employee Benefits Account Manager
3 weeks ago
Cross Insurance Portland, United States**TITLE: ACCOUNT MANAGER (JR545)** · **DIVISION: EMPLOYEE BENEFITS** · **STATUS: FULL-TIME; EXEMPT** · **POSITION PURPOSE** · Initial point of contact for employer groups/employees on escalated service related issues. Foster long term relationships between Cross Insurance, our cl ...
Clinical Program Coordinator RN Remote - Beaverton, United States - Providence Health & Services
Description
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Providence Health Plan is calling a Clinical Program Coordinator RN, Medicare who will:
Required qualifications for this position include:
Preferred qualifications for this position include:
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security.
We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
