RN, Care Manager, Utilization Management - Portland

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; coordin ...

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 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 ...

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 ...

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 ...

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

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 ...

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 Lead UM Coordinator is a senior-level role responsible for providing advanced coordination within GOBHI's Behavioral Health Utilization Management program supporting EOCCO. · ...

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 and oversees the interpretation and interaction of current regulatory policies. · ...

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 ...

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 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 ...

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