Clinical Program Coordinator RN, Medicare
2 months ago
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, Medicare / Medicaid who will:
- 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
Please note the following important details regarding this opportunity:
- This posting is for multiple openings of a Clinical Program Coordinator RN, Medicare / Medicaid
- Work Week: Monday - Friday
- Work Shift: Day
- Work Status: Exempt
Providence welcomes 100% remote work to residents who reside in the following States:
- Washington
- Oregon
Required qualifications for this position include:
- 5+ years clinical nursing experience
- Experience working with physicians in the collaboration and management of patient care
- Current unencumbered Registered Nurse License in state of residency
Preferred qualifications for this position include:
- Bachelor's Degree in Nursing or Health Education
- Upon Hire: Current unencumbered Registered Nurse License in Oregon
- Within six months of hire date: Current unencumbered Registered Nurse License in Washington State
- 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 in a health plan, medical insurance plan or another similar work environment
- Current nursing experience in the following areas: chronic pain management, cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
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.
Check out our benefits page for more information about our Benefits and Rewards.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
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: 287631
Company: Providence Jobs
Job Category: Clinical Administration
Job Function: Clinical Support
Job Schedule: Full time
Job Shift:
Career Track: Nursing
Department: 5018 HCS CASE AND DISEASE GOV PRGM OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
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.
Check out our benefits page for more information about our Benefits and Rewards.
PandoLogic. Category:Healthcare, Keywords:Healthcare Program Coordinator, Location:Beaverton, OR-97076
We have other current jobs related to this field that you can find below
-
Clinical Research Coordinator
1 week ago
West Lafayette, United States Clinical Research Coordinator Full timeJob DescriptionJob DescriptionA clinical research coordinator, sometimes known as a clinical trial manager, supervisors, clinical research and drug trials, such as interventions involving drugs, devices, or procedures promoting behavior changes in his position, you would recruit and screen participants, coordinate the day-to-day running of the trials,...
-
Medicare Advisor
2 months ago
West Valley City, United States Senior Lifestyle Solutions Company Full timeDescription Position at Senior Lifestyle Solutions About Our Company Senior Lifestyle Solutions (SLS) is a full-service, insurance agency that helps senior citizens protect their hard-earned assets and preserve their lifestyle. We service the general population but also partner with the nationwide organization, American Senior Benefits Association, to...
-
Clinical Director of Reimbursement
2 months ago
West Columbia, United States Yad Healthcare Full timeA Regional Skilled Nursing Facilities management team is currently seeking a Regional Director of Clinical Reimbursement. This executive level position is responsible for the overall regulatory compliance of the MDS case management departments in five long term care facilities. Responsibilities: Monitors that facilities follow Medicare/Medicaid regulatory...
-
MDS Coordinator
2 days ago
West Chester, United States West Chester Rehabilitation and Healthcare Center Full timeWest Chester Rehabilitation and Healthcare Center - $12,000 Sign-On Bonus MDS Coordinator / Registered Nurse Assessment Coordinator (RNAC) Join the team at West Chester Rehabilitation and Healthcare Center as a member of our proud and caring staff. We care for our staff while we care for our residents and patients. As a member of our team, you will enjoy...
-
Outpatient Dialysis Registered Nurse
2 months ago
West Slope, United States Fresenius Medical Care Full timePOSITION FEATURES:This position will be for ourTransitional Care UnitPURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning...
-
Clinical Education RN
4 weeks ago
West New York, United States VNS Health Full timeVNS Health is seeking a Clinical Education Registered Nurse (RN) Responsibilities: Develop and manage clinical orientation and ongoing education and training programs for staff Collaborate with leadership to deliver new hire and ongoing clinical education Ensure clinical education programs are aligned with CMS Triple Aim framework Review and evaluate...
-
West Bloomfield Township, Michigan, United States The Cigna Group Full timeThe Program Management Senior Advisor position is part of the Part D Stars Team within the larger Stars Center of Excellence department at Cigna Medicare. This role is responsible for developing and executing enterprise strategies to improve Cigna's Medicare Part D Star measures and related quality measures. This individual will work closely with matrix...
-
RN Clinical Manager
3 weeks ago
West Bloomfield, United States HarmonyCares Full timeOverview HarmonyCares is one of the nations largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the home. This includes HarmonyCares, HarmonyCares Medical Group, HarmonyCares Home Health and HarmonyCares Hospice. Our Mission To bring personalized, quality-based...
-
Clinical Coordinator
2 weeks ago
West Orange, United States Mental Health Association Full timeJob DescriptionJob DescriptionQualificationsIndividual must hold and maintain a current New Jersey LSW, LCSW, LAC or LPC. In addition to a current License, individual must possess an MSW or MA from an accredited college or university in social work, rehabilitation counseling, or other related behavioral healthcare or counseling program.Individuals with a...
-
Clinical Coordinator
2 months ago
West Orange, United States Mental Health Association Full timeJob DescriptionJob DescriptionQualificationsIndividual must hold and maintain a current New Jersey LSW, LCSW, LAC or LPC. In addition to a current License, individual must possess an MSW or MA from an accredited college or university in social work, rehabilitation counseling, or other related behavioral healthcare or counseling program.Individuals with a...
-
RN-Dialysis Travel Nursing
2 months ago
West Slope, OR, United States Fresenius Medical Care Full timeThis position will be for ourTransitional Care Unit The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning intervention and evaluation for an...
-
Nursing Clinical Coordinator
2 weeks ago
West Covina, United States Marsha Fuerst School of Nursing Full timeJob DescriptionJob DescriptionSuccess Education Colleges (SEC) is a family of institutions comprised of North-West College, Marsha Fuerst School of Nursing. SEC is a leader in allied health education, and has been offering quality and affordable health care training programs for over 55 years. Our Colleges mission is to prepare students in short term...
-
West New York, United States VNS Health Full timeVNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in West New York, New Jersey. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product...
-
West New York, United States Hiring Now! Full timeVNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in West New York, New Jersey. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: ASAP Duration: Ongoing Employment Type: Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product...
-
West Point, United States North Mississippi Health Services Full timeNorth Mississippi Health Services is seeking a Registered Nurse (RN) Clinic for a nursing job in West Point, Mississippi.Job Description & RequirementsSpecialty: ClinicDiscipline: RNDuration: OngoingEmployment Type: Staff**Clinical**:* Assists in coordinating and providing care to patients across continuum of care, in conjunction with other health care...
-
West Point, United States North Mississippi Health Services Full timeJob Description North Mississippi Health Services is seeking a Registered Nurse (RN) Clinic for a nursing job in West Point, Mississippi. Job Description & Requirements Specialty: Clinic Discipline: RN Duration: Ongoing Employment Type: Staff Clinical: Assists in coordinating and providing care to patients across continuum of care, in conjunction with...
-
Clinical Team Manager, Registered Nurse, RN
1 month ago
West Palm Beach, United States Trilogy Home Healthcare West Palm Beach Full timeTrilogy Home Healthcare West Palm Beach - Clinical Team Manager, Registered Nurse (RN) - Medicare Home Health Love Where You Work! Trilogy Home Healthcare is an exciting place to be right now! We cover over 42 counties with 11 branch offices across the state of Florida. Depending on location, we can serve a census of anywhere between 250 - 1000 patients and...
-
Outpatient Dialysis Registered Nurse
2 months ago
West Slope, OR, United States Fresenius Medical Care Full timePOSITION FEATURES: This position will be for ourTransitional Care Unit PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment planning...
-
west new york, United States VNS Health Full timeVNS Health is seeking a Registered Nurse (RN) Clinic Utilization Review for a nursing job in West New York, New Jersey.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: ASAPDuration: OngoingEmployment Type: StaffResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines –...
-
West Point, United States North Mississippi Health Services Full timeJob DescriptionNorth Mississippi Health Services is seeking a Registered Nurse (RN) Clinic for a nursing job in West Point, Mississippi.Job Description & RequirementsSpecialty: ClinicDiscipline: RNDuration: OngoingEmployment Type: StaffClinical:* Assists in coordinating and providing care to patients across continuum of care, in conjunction with other health...