Current jobs related to Utilization Review RN - Clackamas OR United States - Providence RN
-
Utilization Review RN
5 days ago
Wellston, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job Summary Utilization Review, Utilization Management, Advocacy and Education Clinical Analysis and Data Management Clinical Care...
-
Utilization Review RN
7 days ago
Purcell, OK, United States Norman Regional Health System Full timeOverview: The Utilization Review team is comprised of highly skilled Registered Nurses who ensure Norman Regional Health System follows a compliant review process to determine appropriateness of admission. Responsibilities: Job SummaryUtilization Review, Utilization Management, Advocacy and EducationClinical Analysis and Data ManagementClinical Care...
-
RN Utilization Review
7 days ago
Columbus, OH, United States Mount Carmel Health System Full timeEmployment Type:Part timeShift:Description:Utilization Review RN, Case ManagementWhy Mount Carmel? With five hospitals, over 60 free-standing outpatient clinics, a college of nursing, a Medicare Advantage plan, and extensive outreach and community wellness programs, Mount Carmel Health System serves more than a million patients in...
-
RN Utilization Review Specialist
1 month ago
, MS, United States South Central Health System Full timeJob Title: RN Utilization Review SpecialistSouth Central Health System is seeking a highly skilled RN Utilization Review Specialist to join our team. As a key member of our Medical Staff Office, you will play a critical role in ensuring the quality and safety of patient care.Responsibilities:Collect and prepare data from medical records for OPPE and FPPE...
-
RN - Utilization Review
4 weeks ago
Tumwater, WA, United States Providence Full timeDescription The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate...
-
RN - Utilization Review
4 weeks ago
DuPont, WA, United States Providence Full timeDescription The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate...
-
RN-Utilization Review
4 days ago
Nashville, TN, United States Ascension Full timeDetails Department: Case Management Schedule: Full-Time, Monday-Friday (8:00A - 4:30P) Hospital: Ascension St Thomas Location: Nashville, TN - - - ****TN Nursing License is REQUIREDBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee...
-
Utilization Review Nurse
4 weeks ago
, FL, United States Trinity Health Full timeJob SummaryWe are seeking a skilled Utilization Review Nurse to join our team at Trinity Health. As a Utilization Review Nurse, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs.Key ResponsibilitiesReview hospital admissions to determine medical necessity and ensure...
-
RN-Utilization Review
4 days ago
Nashville, TN, United States Ascension Full timeDetails Department: Case ManagementSchedule: Full-Time, Monday-Friday (8:00A - 4:30P)Hospital: Ascension St ThomasLocation: Nashville, TN ****TN Nursing License is REQUIREDBenefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance...
-
Utilization Review Nurse Registered Nurse
3 weeks ago
Winston-Salem, NC, United States Novant Health Full timeOverviewThe Utilization Review RN serves as a leader resource in the Utilization Review process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UR RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All Utilization Review activities are...
-
Utilization Review Nurse Registered Nurse
2 weeks ago
Winston Salem, NC, United States Novant Health Full timeOverview The Utilization Review RN serves as a leader resource in the Utilization Review process. They collaborate with physicians and other members of the healthcare team to promote and adhere to regulatory compliance. The UR RN coordinates and conducts initial, concurrent, and retrospective medical necessity reviews. All Utilization Review activities are...
-
Utilization Review Nurse
2 months ago
, FL, United States UF Health-Central Florida Full timeJob SummaryUF Health-Central Florida is seeking a skilled Utilization Review Nurse to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the appropriate use of hospital resources and medical services.ResponsibilitiesDetermine the medical necessity of hospital admissions and continued staysFacilitate timely...
-
Utilization Review RN
3 weeks ago
Apple Valley, CA, United States Providence Full timeDescription Provide prospective, retrospective and concurrent utilization review for St. Mary Medical Center. Provide clinical reviews and medical records daily during admission for all payers as required by the health plans. Requires a strong clinical background blended with a well-developed knowledge and skills in Utilization Management,...
-
Utilization Review Clinician- ABA
1 month ago
Miami, FL, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF FLORIDA***Position...
-
Utilization Review RN
4 weeks ago
Renton, WA, United States Swedish Health Services Full timeDescription Acts in the absence of specific hospital administrative personnel and department managers. Assists in the assessing, planning, implementing and evaluating delivery of patient care. Supports administrative direction to development and evaluation of all nursing personnel; assists in maintaining operational aspects of hospital departments....
-
Utilization Review RN
1 month ago
Seattle, WA, United States Swedish Health Services Full timeDescription Acts in the absence of specific hospital administrative personnel and department managers. Assists in the assessing, planning, implementing and evaluating delivery of patient care. Supports administrative direction to development and evaluation of all nursing personnel; assists in maintaining operational aspects of hospital departments....
-
Utilization Review RN
4 weeks ago
Kirkland, WA, United States Swedish Health Services Full timeDescription Acts in the absence of specific hospital administrative personnel and department managers. Assists in the assessing, planning, implementing and evaluating delivery of patient care. Supports administrative direction to development and evaluation of all nursing personnel; assists in maintaining operational aspects of hospital departments....
-
Utilization Review Clinician- ABA
2 months ago
Pompano Beach, FL, United States Centene Corporation Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. ***POSITION IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF FLORIDA***Position...
-
Navigator RN
21 hours ago
Clackamas, OR, United States Providence RN Full timeDescription The Outpatient Infusion RN Navigator (OPI-RNN) serves as a consistent resource throughout the continuum of infusion therapies. This RN is knowledgeable of the multiple treatment therapies and modalities, has strong background on EPIC/BEACON utilization, and is familiar with the financial aspects of the infusion therapies. The OPI-RNN...
-
Navigator RN
1 day ago
Clackamas, OR, United States Providence RN Full timeDescription The Outpatient Infusion RN Navigator (OPI-RNN) serves as a consistent resource throughout the continuum of infusion therapies. This RN is knowledgeable of the multiple treatment therapies and modalities, has strong background on EPIC/BEACON utilization, and is familiar with the financial aspects of the infusion therapies. The OPI-RNN...
Utilization Review RN
2 months ago
Description
The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.
Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Oregon Regional Shared Services 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.
Required Qualifications:
- Bachelor's Degree - Nursing or, associates Degree and 2+ years of related experience in lieu of a Bachelor's Degree.
- Oregon Registered Nurse License upon hire.
- 5 years:
- Clinical experience in an acute adult medical/surgical care setting . Or,
- Current Utilization Review or Case Management experience.
- Demonstrated clinical expertise and experience related to a wide variety of patient populations and care delivery models.
Why Join Providence?
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.
About Providence
At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. 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. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. 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.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 314738
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Full time
Job Shift: Day
Career Track: Nursing
Department: 5016 RS UTILIZATION MGMT
Address: OR Portland 9205 SW Barnes Rd
Work Location: Providence St Vincent Medical Ctr-Portland
Pay Range: $45.22 - $71.58
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
PandoLogic. Category:Healthcare, Keywords:Utilization Review Coordinator, Location:Clackamas, OR-97015