- 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
- Washington: Clark County
- 5+ years clinical nursing experience
- Experience working with physicians in the collaboration and management of patient care
- Current unencumbered Registered Nurse License in the State of Oregon
- Experience with electronic medical records
- Bachelor's Degree in Nursing or Health Education
- Within three months of hire date: Current unencumbered Registered Nurse License in Washington State and other applicable states
- 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 at a health plan or another similar work environment
- Experience working with Medicaid and Medicare populations
- Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
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Clinical Program Coordinator RN Remote - Vancouver, United States - Providence
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 who will:
We welcome 100% remote work for residents who live in the following States:
Required qualifications for this position include:
Preferred qualifications for this position include:
Why Join Providence?
Our 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 of caring for everyone, especially the most vulnerable in our communities.
