Care Management Specialist
4 days ago
Job Summary: We are looking for a highly motivated and organized RN Case Manager to join our team. In this role, you will be responsible for completing referrals and pre-authorizations for outpatient services, working as a liaison between physicians, insurance carriers, patients, billing office, and registration staff.
About Us: Adventist Health Portland is a leading healthcare provider in the area, offering a wide range of award-winning services. Our commitment to quality care and patient satisfaction sets us apart, and we're excited to have you join our team
Key Responsibilities:
- Completes all referrals and pre-authorizations for outpatient services ordered by physicians.
- Works as a liaison between physicians, insurance carriers, patients, billing office, and registration staff.
- Orients new employees, providing outpatient-specific orientation to support their transition to a fully productive status.
Requirements:
- Bachelor's Degree in Nursing (BSN): Preferred.
- Experience in a care management role: Preferred.
- Registered Nurse (RN) licensure in the state of practice: Required.
- Case management certification: Preferred.
Salary: $90,000 - $120,000 per year, depending on experience.
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