TravelNurseSourceNewTravel Nurse RN - Utilization Review - $2,740 to $2,835 per week in Portland, OR TravelNurseSourceTravel Nurse RN - Utilization Review - $2,740 to $2,835 per week in Portland, ORPortland, OR$2,740–$2,835As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. *Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates.
Samaritan Health ServicesNewUtilization Management Program Manager-RN Samaritan Health ServicesUtilization Management Program Manager-RNEugene, ORRemoteSHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together.
Providence Health and ServicesNewCare Manager RN - Social Work, Multiple FTEs and Shifts Available Providence Health and ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, ORRequsition ID: 424569 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $57.90 - $84.50 Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services.
OptumNewRegistered Nurse, RN OptumRegistered Nurse, RNSalem, OR$35.85–$53.75 / hourQuality Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation . Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes .
Providence Health and ServicesNewClinic RN - BREAST SURGERY Providence Health and ServicesClinic RN - BREAST SURGERYPortland, ORRequsition ID: 435141 Company: Providence Jobs Job Category: Patient Care (Non-Acute) Job Function: Clinical Care Job Schedule: Part time Job Shift: Day Career Track: Nursing Department: 5013 OR CP BREAST SURGERY Address: OR Portland 9155 SW Barnes Rd Work Location: Providence St Vincent Medical Office Bldg East Pavillion Workplace Type: On-site Pay Range: $42.04 - $65.27 As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
TravelNurseSourceNewTravel Nurse RN - Case Manager - $2,446 per week in Medford, OR TravelNurseSourceTravel Nurse RN - Case Manager - $2,446 per week in Medford, ORMedford, OR$2,446–$2,446ICU, medical, med-surg, tele, obs unit, ED.Are 48 hours approved: NoHospital HighlightsType of Facility: Short Term Acute Care Total Staff Beds: 108Scrub Color: All RN/Allied: Any Color; Scrubs provided for OR, Critical Care, ED, PACU and Maternal Child; Case Manager: Business CasualCharting: Epic Parking Cost: No Fee Modified 12:00:00 AM Account Manager: Megan Morgan Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 1 Patient Ratio Experience : Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : BLS*Skills : Acute Hospital, Admission Criteria*, Admission Criteria*, Appeals and Denials*, Care coordination, CMS: Centers for Medicare and Medicaid Services, Continued Stay Reviews*, Discharge Planning, DRG (Diagnosis Related Groups)*, HIPAA guidelines (Health Insurance Portability and Accountability Act), Medical Necessity*, MS*, NCQA (National Committee for Quality Assurance)*, OSHA, SDU/PCU/IMC/Obs*, Surgical Services*, The Joint Commission/ Core Measure/National Safety Goals* Unit Details Staffing & Scheduling Scheduling Type : block Patient Ratios Days : 18 Patient Ratios Nights : - Patient Ratios Weekends : 32 Float Required : This role requires the case manager to be able to cover any of the acute departments in the hospital. Pre-Approved Time Off : - Orientation Hours : 40 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 95 - 110 for whole hospital Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary Patient Diagnoses : This RN Care Manager would work on inpatient adult units such as medical/telemetry, ICU, general med, observation unit or ED with support from the CM team on teams or in a shared office.
TravelNurseSourceNewTravel Nurse RN - Case Manager - $1,832 to $2,035 per week in Northwestern Oregon, OR TravelNurseSourceTravel Nurse RN - Case Manager - $1,832 to $2,035 per week in Northwestern Oregon, ORNorthwestern Oregon, OR$1,832–$2,035Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
TravelNurseSourceNewTravel Nurse RN - Case Manager - $1,870 to $2,077 per week in Portland, OR TravelNurseSourceTravel Nurse RN - Case Manager - $1,870 to $2,077 per week in Portland, ORPortland, OR$1,870–$2,077Works in collaborative practice with Physicians and Physician extenders to actively support the delivery of cost effective, outcome oriented, quality care in the appropriate health care setting to meet patient specific, age and cultural needs. Works in collaborative practice with the physician and other members of the health care team to meet patient specific and age-related needs linking cost and quality to patient care.
TravelNurseSourceNewTravel Nurse RN - Case Manager - $2,578 per week in Medford, OR TravelNurseSourceTravel Nurse RN - Case Manager - $2,578 per week in Medford, ORMedford, OR$2,578–$2,578Job Title: Case Manager RN Profession: Registered Nurse Specialty: Case Management Duration: 13 weeks Shift: Day Hours per Shift: 8 hours Experience: Minimum 1 year experience required License: Active RN license required Certifications: BLS Must-Have: Previous Charge Experience Charting System Experience EPIC Charting Experience Description: This position requires an RN with acute care experience. Departments may include ICU, medical, med-surg, telemetry, observation unit, and emergency department.
OptumNewPatient Care Manager/RN OptumPatient Care Manager/RNSalem, OR$89,680–$134,520 / yearCommunicates relevant information timely and effectively with appropriate agency staff including but not limited to: any patient care issues or needs, visit assignments, dates of scheduled visits, and schedule changes to scheduler, orders and OASIS data sets, coding requests, schedule home visits, to coordinate care with other clinicians. Makes the initial and/or comprehensive nursing evaluation visit, ensures patients meet home health eligibility and medical necessity guidelines as defined by payer source, accurately determines primary focus of care, develops the plan of care within State specific guidelines with the physician, and submits accurate documentation.
Adventist HealthNewHealth Plan Behavioral Care Manager (Onsite) Adventist HealthHealth Plan Behavioral Care Manager (Onsite)Portland, ORJob Requirements: Education and Work Experience: Associate's/Technical Degree or equivalent combination of education/related experience: Required Bachelor's Degree: Preferred Master's Degree in social work (LCSW): Preferred Doctor's or Master's Degree (LMFT) from an accredited school: Preferred Five years' clinical experience, including direct patient care: Preferred Licenses/Certifications: Licensed Clinical Social Worker or Licensed Psychologist: Required Licensed Clinical Social Worker (LCSW) or Psychologist (PSYCH): Required Facility Specific License/Certifications: Licensed Clinical Social Worker (LCSW) in state of practice: Required Essential Functions: Case manage or co-manage with the care management nurses for employees/dependents with behavioral health issues. Performs concurrent and retrospective medical record/case review in accordance with the Care Management Program utilizing appropriate medical resources and clinical decision support tools.
CVS Health CorpNewUtilization Management Nurse Consultant CVS Health CorpUtilization Management Nurse ConsultantWork At Home, OR$29.10–$62.32 / hourUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Umpqua HealthUtilization Review Nurse Umpqua HealthUtilization Review NurseRoseburg, ORFull timeThis role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
Samaritan Health ServicesDirector of Utilization & Benefit Management Samaritan Health ServicesDirector of Utilization & Benefit ManagementCorvallis, ORRemoteSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. Ensures the delivery of medically necessary, cost-effective, and high-quality care through evidence-based UM processes that fully comply with CMS, OHA and other contractual requirements while ensuring that health equity goals are identified and addressed.
TriWest Healthcare AllianceUtilization Clinical Reviewer TriWest Healthcare AllianceUtilization Clinical ReviewerPortland, ORRemoteFull timeApplies clinical knowledge to make determinations for preauthorization, inpatient and continued stay reviews for Behavioral Health and Medical/Surgical requests to establish medical necessity, benefit coverage, appropriateness of quality of care, and length of stay or care plan. The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and ensure proper utilization of resources.
Blue Cross and Blue Shield AssociationBehavioral Health Utilization Mgmt Clinician, Senior Blue Cross and Blue Shield AssociationBehavioral Health Utilization Mgmt Clinician, SeniorPortland, ORIn this role, you will: Perform prospective & concurrent utilization reviews and first level determination approvals for members admitted to facilities using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare as needed. The Behavioral Health Utilization Management team performs prospective & concurrent utilization reviews and first level determinations for members using BSC evidenced based guidelines, policies, and nationally recognized clinal criteria across multiple lines of business.
CambiaNewRemote Care Management Nurse CambiaRemote Care Management NursePortland, ORRemote$36.80–$49.80 / hourAs a member of the Clinical Services team, our Care Management RN's provide clinical care management (such as case management, disease management, and/or care coordination) to best meet the member's specific healthcare needs and to promote quality and cost-effective outcomes. Collaborates with physician advisors, internal and external customers, and other departments to resolve claims, quality of care, member or provider issues, and identifies problems or needed changes, recommending resolutions and participating in quality improvement efforts.
Asante Health SystemDischarge Coord/Case Manager RN ARRMC (Case Management) Asante Health SystemDischarge Coord/Case Manager RN ARRMC (Case Management)Medford, ORQualifications Education Bachelor's degree in nursing or allied health field, preferred Experience Minimum 2 years of progressive nursing experience in an acute care setting, preferably within discharge, utilization, and/or case management - or the equivalent in education and/or experience - is required Please note: Preference will be given to candidates having both preferred experience and education Licensure/Certifications RN: Registered Nurse licensed by the Oregon State Board of Nursing required upon start CCM: Certified Case Manager, preferred ACM: Accredited Case Manager, preferred Skills/Abilities Ability to prioritize job responsibilities and organize workload Effectively communicate information related to system, departmental, and patient processes Demonstrates flexibility in workload adjustments and volume Ability to function in a team environment with healthcare professionals Excellent interpersonal skills to effectively represent the department to the public and interact with fellow team members, nursing/physician/ancillary staff, third-party payors, and patients/families Project management skills; technical support with computer skills; critical thinking; leadership attributes; problem solving skills; ability to gather data and report on findings, preferred Total Rewards We offer a comprehensive Total Rewards package designed to support your well-being and professional growth, including: Competitive Pay: Hourly and salaried positions earn market-based compensation. Responsibilities include assessing patients for transitional care needs and barriers to discharge; communicating with the patient and family on their preferences; charting and documentation of plan of care; coordinating plans for discharges involving community resources and alternate levels of care; facilitating successful adherence to the discharge plan; maintaining high quality, patient centered and cost-effective results; and complying with all regulatory requirements.
Oregon Health & Science UniversityRN, Care Management Oregon Health & Science UniversityRN, Care ManagementPortland, OregonBSN Graduates: Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA) 30 days before start date. Proficiency in managing difficult and sensitive family and provider care conferences including adjustment to new levels of function, end of life discussions, imbalance of available resources (social, spiritual, medical, financial).
Samaritan Health ServicesMedical Director-Case Management Samaritan Health ServicesMedical Director-Case ManagementCorvallis, ORJOB SUMMARY/PURPOSEHas the overall responsibility for providing medical direction, input into policy/ procedure development, participation in performance monitoring including organization-wide quality improvements and promotes and supports educational growth from the staff and community. DEPARTMENT DESCRIPTIONThe Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals.
Mid-Columbia Medical CenterRN, Health Plan Care Manager Mid-Columbia Medical CenterRN, Health Plan Care Managerportland, OR$39.83–$54.07 / hourWorks collaboratively with physicians, staff and service line leadership on quality and performance improvement activities related to optimal utilization of resources, efficient delivery of high quality care, patient flow, capacity management and other clinical cost reduction initiatives. In partnership with OHSU, we are comprised of a 302-bed hospital, 11 medical offices, home care services, comprehensive cancer care and a vast scope of award-winning services located throughout East Portland and the surrounding areas.
Mid-Columbia Medical CenterRN, House Supervisor (AHCG) Mid-Columbia Medical CenterRN, House Supervisor (AHCG)the dalles, ORSupervises the quality and effectiveness of patient care delivered throughout the Hospital, using such methods as: direct observation, rounds, reviewing reports, checking documentation in the medical record, and exerting influence and giving direction to employees as needed. Assesses routine and non-routine conditions of patients through identification of symptoms and behavioral changes, reviewing histories of physiological/psychological, cultural and spiritual information, reviewing medical data such as medical history, physical exams, plan of care, etc.
Praxis HealthNewRN Care Manager (remote!), Praxis Health Praxis HealthRN Care Manager (remote!), Praxis HealthRemote, ORRemote$30–$37 / hourIdentify and support high-risk patients, including those with chronic conditions, frequent hospitalizations, or complex care needs, through proactive care coordination and outreach. Complete emergency room and hospital follow-up calls, offering education on alternative access points (e.g., urgent care, same-day appointments, telehealth) to reduce avoidable ED visits.
Praxis HealthNewNurse Care Manager (remote!), Praxis Health Praxis HealthNurse Care Manager (remote!), Praxis HealthRemote, ORRemote$30–$37 / hourIdentify and support high-risk patients, including those with chronic conditions, frequent hospitalizations, or complex care needs, through proactive care coordination and outreach. Complete emergency room and hospital follow-up calls, offering education on alternative access points (e.g., urgent care, same-day appointments, telehealth) to reduce avoidable ED visits.
Moda HealthCare Management Coordinator II Moda HealthCare Management Coordinator IIMilwaukie, OR$23.34–$26.26 / hourSupports the Moda Clinical Care Team by assisting in member engagement through outreach campaigns, collecting member-specific health data, documenting member outreach/engagement, and data entry. Completes reviews of annual and periodic health risk assessment surveys on members and provides reportable information to the supervisor for yearly reporting as appropriate.
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Portland, ORRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Asante Health SystemCase Management Specialist Asante Health SystemCase Management SpecialistMedford, OR$23.28–$32.02 / hourThey utilize communication, organizational, and problem-solving skills to carry out the post-hospital care plans and interventions, utilization review, and denials management activities as defined by the RN Discharge Coordinator and RN Utilization Reviewer. We are committed to creating a diverse and inclusive workplace and to employing and advancing qualified individuals of all backgrounds, including women, minorities, individuals with disabilities, and protected veterans.
Mosaic Community HealthNewRegistered Nurse (Per Diem) Mosaic Community HealthRegistered Nurse (Per Diem)Bend, ORPart timeResponsibilities include onsite, direct patient care, coordinating care with the patient, the patients’ primary care team, and other healthcare team members, supporting case management activities, and ensuring timely clinical assessments, health education, and appropriate clinical disposition. As a templated provider, see scheduled patients for nurse-led visits, including but not limited to diabetes, hypertension and chronic disease education and management, pregnancy and women’s health-related visits, anticoagulation management, basic wound care.
St. Charles Health SystemNewRN Behavioral Health - Temporary St. Charles Health SystemRN Behavioral Health - TemporaryBend, ORProvides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress.
St. Charles Health SystemRN Behavioral Health St. Charles Health SystemRN Behavioral HealthBend, ORProvides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient's care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Assesses the patient's condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient's/family's physical, emotional, spiritual, social, and intellectual needs; and evaluates patient's progress.
Mid-Columbia Medical CenterRN, House Supervisor (AHCG) Per diem Mid-Columbia Medical CenterRN, House Supervisor (AHCG) Per diemthe dalles, ORFacility Specific License/Certifications: Neonatal Resuscitation (NRP) or Pediatric Advanced Life Support (PALS) or Trauma Nursing Core Course (TNCC) or Techniques for Effective Aggression Management (TEAM) or Emergency Nursing Pediatric Course (EPNC): Required. Supervises the quality and effectiveness of patient care delivered throughout the Hospital, using such methods as: direct observation, rounds, reviewing reports, checking documentation in the medical record, and exerting influence and giving direction to employees as needed.
CVS Health CorpCase Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteORRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Greater Good HealthNewTelehealth Nurse Practitioner (OR License Required) Greater Good HealthTelehealth Nurse Practitioner (OR License Required)ORRemoteFor this position, Nurse Practitioners will manage high-risk patients in a telemedicine capacity for patients in the Southern OR community with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients' medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare. Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out.
Greater Good HealthNewPart Time Nurse Practitioner - High Risk Program (OR License Required) Greater Good HealthPart Time Nurse Practitioner - High Risk Program (OR License Required)Medford, ORGGH Nurse Practitioners will be supporting clients with their patient panels and partnering with clinics as an embedded member of the care team with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients' medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare. Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out.
Greater Good HealthNurse Practitioner - High Risk Program (OR License Required) Greater Good HealthNurse Practitioner - High Risk Program (OR License Required)Jackson County, ORGGH Nurse Practitioners will be supporting clients with their patient panels and partnering with clinics as an embedded member of the care team with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare. Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out.
Good Shepherd Health CareCase Management Manager Good Shepherd Health CareCase Management ManagerHermiston, Oregon$136,100.42–$223,069.93 / yearThe Case Management Manager serves as the Team Lead for the Case Management Department, directing the daily functions of the Case Management staff, including providing input into job evaluations and work assignments. Responsible for the sound fiscal management of the department, ensuring sound fiscal practices, including the development, implementation, and participation in the annual budgeting cycle (including operational and capital equipment).
Team Select Home Care LLCRegistered Nurse (RN) - Pediatric & Adult Home Health | Private Duty Nursing Team Select Home Care LLCRegistered Nurse (RN) - Pediatric & Adult Home Health | Private Duty NursingPortland, OR$41–$51 / hourEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: Visit schedule with frequency of visits, complete Medication Profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient's care needs, and name and contact information of the agency's Clinical Manager. Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence to families by delivering compassionate one-on-one care to medically complex children and adults in the comfort of their homes.
Oregon Health & Science UniversityAdministrative Director, Nursing, Care Management Oregon Health & Science UniversityAdministrative Director, Nursing, Care ManagementPortland, OregonSpecifically, the Administrative Director will provide operational development, direction, supervision and administration which includes: Nurse Case Management, Utilization Management, Social Work, Transitional Care Programs and the Partnership Project, The Administrative Director has the primary responsibility for the . Department Overview: The Administrative Director of Care Management provides strategic and operational leadership to ensure the provision of high quality, safe healthcare and customer service to patients and families in need of Care Management services.
Team Select Home Care LLCLicensed Practical Nurse (LPN) - Pediatric & Adult Home Health | Private Duty Nursing Team Select Home Care LLCLicensed Practical Nurse (LPN) - Pediatric & Adult Home Health | Private Duty NursingPortland, OR$35–$37 / hourThis is your chance to build lasting relationships and grow your career in private duty nursing and long-term home health care, with a supportive team that truly has your back. Join Team Select Home Care, where you'll provide one-on-one care to pediatric and/or adult patients with complex medical needs in the comfort of their homes.
Providence St. Joseph HealthCare Manager RN - Social Work, Multiple FTEs and Shifts Available Providence St. Joseph HealthCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, ORKey services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
Providence Health & ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts Available Providence Health & ServicesCare Manager RN - Social Work, Multiple FTEs and Shifts AvailablePortland, OR$57.90–$84.50 / hourRequsition ID: 424569 Company: Providence Jobs Job Category: Care Management Job Function: Clinical Care Job Schedule: Part time Job Shift: Multiple shifts available Career Track: Nursing Department: 5001 PPMC SOCIAL WORK CM Address: OR Portland 4805 NE Glisan St Work Location: Providence Portland Medical Ctr-Portland Workplace Type: On-site Pay Range: $57.90 - $84.50 Key services include screening for post-acute needs; transition planning; care coordination; education; community care referrals; care planning in accordance with regulatory requirements; collaboration with the continuum care team; ongoing monitoring of plan effectiveness and reassessment of the need for Care Management (CM) services.
Legacy HealthCase Manager - Care Management Legacy HealthCase Manager - Care ManagementPORTLAND, Oregon$54.37–$81.21 / hourWith around-the-clock expertise for critical health issues, including experts in trauma, heart care, burns, significant wounds, stroke, brain surgery and more, Legacy Emanuel is central to the health of our community and critical to the care of the Northwest. Knowledge of levels of care throughout the health care continuum to include; inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management.
Legacy HealthCase Manager - Case Management Legacy HealthCase Manager - Case ManagementPORTLAND, Oregon$54.37–$81.21 / hourKnowledge of levels of care throughout the health care continuum to include; inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management. Serves as an expert resource to the healthcare team regarding the continuum of care, efficient use of resources, Best Practice protocols, team-based care, quality indicators and improvements, and regulatory requirements.
Veracity Software IncNurse Manager II, Hospital - SPA/PACU Veracity Software IncNurse Manager II, Hospital - SPA/PACUHappy Valley, ORThis role provides leadership for perioperative services including PACU or SPA units, oversees staff development, and drives operational excellence through strategic planning, quality improvement initiatives, and collaboration with physicians and multidisciplinary healthcare teams. Motivation / Reason for Relocation (if not local to Happy Valley, OR): Contact Number: Email ID: LinkedIn Profile URL: Full Address (Street, City, State, Zip Code): Notice Period (in weeks): Current Work Authorization Status: Expected Salary: Are you able to relocate on your own expenses and work in Happy Valley, OR? .
Veracity Software IncNurse Manager II, Hospital - Operating Room Veracity Software IncNurse Manager II, Hospital - Operating RoomHillsboro, ORYears in Operating Room (OR): Years in Leadership Role: Strong Operating Room leadership experience: Managed OR operations in acute care hospital: Experience with Joint Commission & regulatory compliance: Experience in budget / operations management: Motivation / Reason for Relocation (if not local): Motivation / Reason for interest in this position: Contact Number: Email ID: LinkedIn Profile URL: Full Address (Street, City, State, Zip Code): Notice Period (in weeks): Current Work Authorization Status: Expected Salary: Are you able to relocate on your own expenses and work 100% ON-SITE in Hillsboro, OR? . The Nurse Manager II – Operating Room (OR) is responsible for leading clinical operations, patient care delivery, and administrative functions within a high-acuity surgical environment.
Veracity Software IncNurse Manager I Hospital (Cath Lab) Veracity Software IncNurse Manager I Hospital (Cath Lab)Happy Valley, ORThe Nurse Manager collaborates closely with physicians, multidisciplinary healthcare teams, and hospital leadership to ensure the efficient delivery of cardiovascular services while maintaining compliance with the Nursing Practice Act, The Joint Commission (TJC), and federal and state healthcare regulations. Motivation / Reason for Relocation (if not local to Happy Valley, OR): Contact Number: Email ID: LinkedIn Profile URL: Full Address (Street, City, State, Zip Code): Notice Period (in weeks): Current Work Authorization Status: Expected Salary: Are you able to relocate on your own expenses and work in Happy Valley, OR?.
Avamere Skilled Advisors, LLC d/b/a Avamere LivingMDS Coordinator - RN - Avamere Rehab of Rogue Valley Avamere Skilled Advisors, LLC d/b/a Avamere LivingMDS Coordinator - RN - Avamere Rehab of Rogue ValleyMedford, ORFull timeVoluntary Benefits: Life insurance, disability coverage, supplemental hospital, accident and critical illness coverage, Legal Services, Pet Insurance, discount programs and more. Must chart nurses' notes in an informative and descriptive manner that reflects the care provided to the resident and resident's response to care.
PacificSource Health PlansCare Management Clinician (Monday-Friday) PacificSource Health PlansCare Management Clinician (Monday-Friday)Bend, OR$70,950–$106,424.99 / yearBased on the needs and values of the client, and in collaboration with all service providers, the clinician links clients with appropriate providers and resources throughout the continuum of health and human services and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable. These functions include but are not limited to: coordination and delivery of healthcare services, consideration of physical, psychological, and cultural factors, assessment of the patient's specific health plan benefits, and additional medical, community, or financial resources available.
MosaicNewRegistered Nurse (Per Diem) MosaicRegistered Nurse (Per Diem)Bend, ORResponsibilities include onsite, direct patient care, coordinating care with the patient, the patients' primary care team, and other healthcare team members, supporting case management activities, and ensuring timely clinical assessments, health education, and appropriate clinical disposition. As a templated provider, see scheduled patients for nurse-led visits, including but not limited to diabetes, hypertension and chronic disease education and management, pregnancy and women's health-related visits, anticoagulation management, basic wound care.
Kaiser PermanenteRN Case Manager - Oncology - On-Call Kaiser PermanenteRN Case Manager - Oncology - On-CallPortland, ORProvide care coordination and management services for members with identified needs: Creatively using available and appropriate resources, including KP staff and providers, to support the unique needs of each member; Facilitating access to internal and external services; Monitoring the effectiveness of the interventions; and reinforces the treatment plan. The RN Case Manager provides a variety of nursing services both in person, by phone and via electronic media utilizing nursing process and leadership skills to address acute and chronic needs of Health Plan members and other patients of the Kaiser Permanente Health Care Program.