Healthcare Utilization Manager
1 week ago
We are seeking a highly skilled Healthcare Utilization Manager to join our team at Community Health Plan of Washington. This role plays a vital part in ensuring that our members receive high-quality, cost-effective care.
About the RoleThe Healthcare Utilization Manager will be responsible for performing utilization review for medical or behavioral health requests using established clinical guidelines and health plan policies. This includes identifying, coordinating, and implementing high-quality, cost-effective alternatives when appropriate to the patient's condition. The successful candidate will work collaboratively with all members of the healthcare team, patients, families, coworkers, and internal and external customers to achieve optimal patient outcomes.
Responsibilities- Conduct review of hospital notifications or prior authorization care requests against established clinical guidelines and health plan policies
- Collaborate with facilities to perform discharge planning
- Provide coordination support to members transitioning between care settings or returning home from a hospitalization
- Collaborate with providers, office staff, and Care Coordination team to assure coordination of care in a timely manner according to contractual and regulatory timeframes
- Bachelor's degree in a relevant field or an equivalent combination of education and highly relevant experience
- Current, unrestricted license as an RN or LPN
- At least two years' clinical experience in either a physical health or behavioral health setting
We offer a competitive salary of $83,000 per year, paid bi-weekly, and a comprehensive benefits package including medical, prescription, dental, and vision coverage, flexible spending accounts, and 401(k) retirement plan with employer match. We also provide generous paid time off, holidays, and community service volunteer time.
In addition to a fulfilling career, you will have access to ongoing training and development opportunities to help you grow professionally and personally. Our supportive work environment values diversity, equity, and inclusion, and we strive to create a workplace where everyone feels valued and respected.
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Travel Healthcare Professional
1 week ago
Portland, Oregon, United States IDR Healthcare Full timeAt IDR Healthcare, we are committed to empowering healthcare professionals to achieve their fullest potential both personally and professionally.About the RoleWe are seeking an experienced Travel Healthcare Professional in Case Management RN for a 13-week assignment in Portland, Oregon. The successful candidate will have the opportunity to work with our...
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Kitchen Utility Assistant
2 days ago
Portland, Oregon, United States Morrison Healthcare Full timeRole OverviewMorrison Healthcare is seeking a skilled Kitchen Utility Assistant to maintain the cleanliness and organization of our kitchen work areas. This is an excellent opportunity for individuals who are detail-oriented, reliable, and passionate about providing exceptional customer service.Salary InformationWe offer a competitive hourly rate of $21.00...
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Travel Healthcare Professional
6 days ago
Portland, Oregon, United States Medical Solutions Full timeJob OverviewWe're seeking a skilled Travel Healthcare Professional to join our team as a Utilization Review RN. This exciting opportunity is available in Portland, Maine.About the RoleThis 13-week assignment offers a day/evening shift schedule with guaranteed hours and competitive pay. You'll have the chance to experience all that Maine has to offer while...
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Operations Manager
3 days ago
Portland, Oregon, United States ADB Companies Inc Full timeWe are seeking a skilled Operations Manager to oversee underground utility construction projects across the nation.Company OverviewAt ADB Companies Inc, we prioritize the safety, well-being, and career growth of our team members. Our mission is to provide innovative solutions as a customer-centric partner, ensuring long-term relationships with clients and...
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Portland, Oregon, United States PacifiCorp Full timePacifiCorp Job OverviewPacifiCorp is a leading energy company seeking an experienced Enterprise Product Manager to drive innovation and excellence in our utility operations. The ideal candidate will have a strong background in product management, Agile methodologies, and leadership.Estimated Salary Range: $115,900-$136,300 per year.About the RoleThe...
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Travel Healthcare Professional
1 week ago
Portland, Oregon, United States Host Healthcare Full timeAbout the OpportunityWe are seeking a skilled Travel Healthcare Professional to join our team as a Case Manager in Portland, Oregon. As a leader in the travel healthcare industry, we provide a unique opportunity for professionals like you to make a meaningful difference in patients' lives.Job Summary:To provide case management services to patients with...
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Travel Healthcare Professional Case Manager
3 days ago
Portland, Oregon, United States Access Healthcare Full timeAbout Access HealthcareAs a travel healthcare professional, you have the opportunity to work with patients in various settings. At Access Healthcare, we aim to provide superior service by offering around the clock support and competitive pay packages.Our company was founded by two travel nurses who shared a vision of creating an agency that nurses would want...
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Portland, Oregon, United States PacifiCorp Full timeAbout the RoleWe are seeking a highly skilled Program Management Specialist to join our team at PacifiCorp, a leading utility company. This is an exciting opportunity for someone who is passionate about managing programs and projects in a dynamic environment.Job SummaryThe successful candidate will be responsible for coordinating and administering all...
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RN Case Manager
6 days ago
Portland, Oregon, United States Host Healthcare Full timeWe are seeking a highly skilled RN Case Manager to join our travel healthcare team in Portland, Oregon.Job SummaryAs an RN Case Manager with Host Healthcare, you will play a crucial role in ensuring the delivery of high-quality patient care. This is a travel nursing opportunity that offers a unique chance to work with a dynamic team and explore new...
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Home Healthcare Professional
3 days ago
Portland, Oregon, United States Maxim Healthcare Full timeJob Title: Home Healthcare ProfessionalLocation: PortlandSalary: $55,000 - $65,000 per yearWe are seeking a skilled Home Healthcare Professional to join our team at Maxim Healthcare Services. As a Licensed Practical Nurse (LPN), you will work with Pediatric and/or Adult patients in their own homes, providing high-quality care and support.About the...
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Healthcare Professional
7 days ago
Portland, Oregon, United States IDR Healthcare Full timeAbout the RoleIDR Healthcare is a leading staffing firm dedicated to empowering healthcare professionals. As a travel case management nurse, you will have the opportunity to work with a dynamic team and make a meaningful impact in the lives of patients.Key Responsibilities- Provide exceptional patient care as a case management nurse- Collaborate with...
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Regulatory Discovery Manager
4 days ago
Portland, Oregon, United States PacifiCorp Full timePacifiCorp is a leading utility company seeking an experienced Regulatory Discovery Manager to join their team in Portland, OR. As a key member of the regulatory department, you will be responsible for managing the company's regulatory discovery process, ensuring timely and accurate responses to data requests. Your expertise in regulatory compliance and...
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Engineering Program Manager
1 week ago
Portland, Oregon, United States PacifiCorp Full timeWe are seeking a highly skilled Engineering Program Manager to join our team at PacifiCorp. In this role, you will be responsible for leading complex program deliveries across multiple states, evaluating and establishing program goals, and developing delivery plans.As an experienced program manager, you will have advanced technical knowledge of utility...
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Travel Healthcare Professional
1 week ago
Portland, Oregon, United States Next Move Healthcare Full timeJob OverviewNext Move Healthcare is seeking a travel nurse RN Case Management for a travel nursing opportunity in the Pacific Northwest region.Estimated Salary PackageThe estimated salary package for this role is based on 40 hours of work per week with an hourly rate equivalent to $85.17 per hour, resulting in a weekly pay of $3,406.80 and an annual salary...
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Healthcare Travel Therapist Role
3 days ago
Portland, Oregon, United States Planet Healthcare Full timeAbout the Opportunity:">Planet Healthcare is a leading clinical staffing agency that takes a candidate-first approach to create the right opportunity at the right time for healthcare professionals.">Job Overview:">We are seeking an experienced Occupational Therapist to join our travel team in Portland, Maine. As a key member of our team, you will have the...
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Portland, Oregon, United States PRN Healthcare Full timeJob Title: Traveling Healthcare Professional for Med SurgAbout the Role:We are seeking a highly skilled and compassionate Registered Nurse (RN) to join our team as a Med Surg traveler in Portland, Maine. As a valued member of our healthcare community, you will have the opportunity to provide exceptional patient care while enjoying a fulfilling career.Key...
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Healthcare Professional
3 days ago
Portland, Oregon, United States Host Healthcare Full timeWe are seeking a highly skilled Registered Nurse - Telemetry to join our team in Portland, Oregon.As a Registered Nurse - Telemetry with Host Healthcare, you will have the opportunity to work in a dynamic and supportive environment, providing high-quality patient care and making a meaningful difference in the lives of our patients.This is a travel nursing...
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Travel Healthcare Specialist
7 days ago
Portland, Oregon, United States Medical Solutions Full timeWe are seeking a skilled Travel Nurse RN Case Manager for an exciting 13-week assignment in Portland, Maine.Job OverviewSpecialty: Utilization ReviewDiscipline: Registered Nurse (RN)Duration: 13 weeksHours: 36 hours per weekThis opportunity offers a great chance to explore the beautiful city of Portland while working with a reputable healthcare...
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Travel Healthcare Professional
7 days ago
Portland, Oregon, United States Host Healthcare Full timeHost Healthcare is a leading provider of travel healthcare services, seeking a highly skilled Registered Nurse - Case Management for a 13-week assignment in Maine.About the Role:We are looking for a motivated and experienced RN to join our team as a Case Management professional.This is a great opportunity to work with a dynamic team and contribute to...
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Homecare Nurse with Maxim Healthcare
7 days ago
Portland, Oregon, United States Maxim Healthcare Services Full timeAt Maxim Healthcare Services, we are seeking a skilled and compassionate Homecare Nurse to join our team. As an LPN Homecare, you will play a vital role in delivering high-quality patient care in the comfort of patients' own homes.About the JobThis is a fantastic opportunity to work with pediatric and adult patients, providing personalized care and support...