RN, Care Manager, Utilization Management - Portland, OR

We are looking for a Utilization Management - Inpatient Clinical Specialist to join our team. As a member of the clinical team, you will receive, research and take action related to documentation and requests from various sources related to Inpatient Utilization Management (UM) c ...

This position is responsible for providing classroom, web-based, and one-on-one training to technical staff; leveraging working knowledge of products, clinical, and operational workflows. · ...

In addition to the responsibilities listed above this position is also responsible for providing oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care coordinat ...

In addition to the responsibilities listed above, this position is also responsible for providing oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care; coordin ...

In addition to the responsibilities listed above, this position is also responsible for providing classroom training. · ...

This position is responsible for providing oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care; coordinating efforts to resolve routine issues in quality impr ...

This position is responsible for providing oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care. · ...

In addition to the responsibilities listed above, this position is also responsible for providing classroom, web-based, and one-on-one training to technical staff; leveraging working knowledge of products, clinical, and operational workflows... · ...

In addition to the responsibilities listed above, this position is also responsible for providing classroom, web-based, and one-on-one training to technical staff. · ...

In addition to the responsibilities listed above, this position is also responsible for providing classroom, web-based and one-on-one training to technical staff; leveraging working knowledge of products clinical and operational workflows identifying application enhancements into ...

We are seeking an accomplished Project Manager with proven experience in Oracle Utilities implementations — particularly in Customer Cloud Service (CCS), Customer to Meter (C2M), Customer Care & Billing (CCB), and Customer Information Systems (CIS). · Lead end-to-end project mana ...

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. · Associate or Bachelor's Degree in Nursing or related field · 3 years of case management, utilization management, disease management, auditing or retrospective ...

Critical role ensuring patients receive high-quality care while efficiently utilizing medical resources. · Reviews patient medical records assessing appropriateness and necessity of proposed treatments collaborating with healthcare providers insurance companies to ensure seamless ...

The Manager of Utilization Management Compliance and Operations serves as the lead subject matter expert for regulations. Oversees and provides consultation for the interpretations ...

Serves as the lead subject matter expert for regulations providing consultation on interpretations and interaction of current policies. · ...

The Manager of Utilization Management Compliance and Operations serves as the lead subject matter expert for regulations. Oversees and provides consultation for the interpretations and interaction of current regulatory policies and requirements in preparation for surveys. · Ensur ...

Serves as the lead subject matter expert for regulations. Oversees and provides consultation for the interpretations and interaction of current regulatory policies and requirements in preparation for surveys. · ...

Serves as the lead subject matter expert for regulations and oversees the interpretation and interaction of current regulatory policies. · ...

This position plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. · ...

We are seeking a Behavioral Health Utilization Management Clinical Support Specialist to join our team. This role provides administrative support to the Behavioral Health Utilization Management (UM) team. · Medical, dental and vision coverage for employees and their eligible fami ...