Current jobs related to Utilization Review RN - PORTLAND Oregon, Multnomah County, OR - Providence RN

  • Data Abstractor RN

    5 days ago


    Portland, Oregon, 97204, Multnomah County, OR, United States Providence RN Full time

    Description Remote Data Abstractor for Providence Oregon Shared Services in Portland, OR Part-Time/Day Shift The RN Quality Information Coordinator/Abstractor works independently to review and analyze data abstraction and analysis for a variety of internal and external quality and/or patient safety initiatives. RN Coordinator/Abstractors are required to...

  • Care Manager RN

    3 days ago


    Portland, Oregon, 97204, Multnomah County, OR, United States Providence RN Full time

    Description The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core member of...

  • RN Care Manager

    5 days ago


    Portland, Oregon, 97204, Multnomah County, OR, United States Providence RN Full time

    Description The Registered Nurse Clinical Case Manager (RNCCM) provides care management and care coordination services for at-risk patients, including patients with complex medical and psychosocial issues. Population-based, chronic care management approaches and application of clinical protocols are integral to the program. This position is a core member of...

  • Care Manager RN

    1 month ago


    Central Point, Oregon, 97502, Jackson County, OR, United States Providence RN Full time

    Description Care Manager RN at Providence Medford Medical Center, in Medford, OR. Full-Time/Day Shift The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes for an entire patient case load. The RN Case Manager may perform assessment, treatment or care for patients of all ages,...

  • Care Manager RN

    1 month ago


    Wilsonville, Oregon, 97070, Clackamas County, OR, United States Providence RN Full time

    Description Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition...

  • Care Manager RN

    1 month ago


    Tualatin, Oregon, 97062, Washington County, OR, United States Providence RN Full time

    Description Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition...

  • Care Manager RN

    1 month ago


    Newberg, Oregon, 97132, Yamhill County, OR, United States Providence RN Full time

    Description Care Manager RN (Part-Time/Day Shift) - Rotating schedule (Monday -Sunday) from 8:30am to 5pm. Expected to work every other weekend. RN Care Managers, in the acute care setting, provide a variety of services to appropriately help progress patients through the continuum of care. Key services include screening for post-acute needs; transition...


  • PORTLAND, Oregon, 97230, Multnomah County, OR, United States Heritage-Crystal Clean, LLC Full time

    Crystal Clean (CC) is one of the nation’s leading privately held companies in the environmental waste services industry. We are seeking highly motivated individuals with a strong work ethic to join our rapidly growing company. Crystal Clean offers competitive compensation, excellent benefits, and opportunities for advancement.Position Summary: The Regional...

  • At Home Field RN

    1 month ago


    Tualatin, Oregon, 97062, Washington County, OR, United States Providence RN Full time

    Description As the primary coordinator of the Elder at Home care team, the RN-Care Manager provides across-the-continuum, customized care coordination services and management of transitions of care for the most medically fragile PHP Medicare Advantage, at-risk patients and their families/caregivers, incorporating patient-centered interventions and patient...

  • Nurse Case Manager

    1 month ago


    Hillsboro, Oregon, Washington County, OR, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Hillsboro, OR area for the following position: Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid shift ...

  • Registered Nurse

    1 month ago


    Springfield, Oregon, Lane County, OR, United States Incredible Health Full time

    Hospitals on Incredible Health are actively hiring and accepting applications in the Springfield, OR area for the following position: Registered Nurse - Case Manager. Nurses with experience in any of the following areas are strongly encouraged to apply: Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and mid...

  • Master Social Worker

    4 weeks ago


    Clackamas, Oregon, 97015, Clackamas County, OR, United States Fresenius Medical Care Full time

    POSITION FEATURES:This position of for a FT salaried position for 30 hours.PURPOSE AND SCOPE:Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote...


  • Irrigon, Oregon, 97844, Morrow County, OR, United States Waste Management Full time

    As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or veteran status. RELOCATION ASSISTANCE AVAILABLE I. Job Summary Ensures the safe and efficient daily operation of the landfill...

  • Travel Imaging Tech

    4 weeks ago


    Medford, Oregon, 97504, Jackson County, OR, United States Epic Travel Staffing Full time

    Epic Travel Staffing is hiring a Travel - CT Technologist Shift: Nights / Thursday, Friday 8:30p-7a, Sun 7:30p-6a, 10x4, 40hrs per week, will mostly work 3rd shift weekends. No call. Length: 13 weeks Requirements: 1 Year ExperienceCT Tech must be able to work alone and start IV'sRequired some education and training to be allowed to practice (usually...


  • Eugene, Oregon, 97401, Lane County, OR, United States Medical Group Alaska Full time

    Leidos QTC Health Services and our affiliated medical professional corporations (“PCs”), QTC Medical Group Inc., dba QTC Medical Group California, collaborate closely with government and non-government customers to address current and future program needs within the health services domain. In coordination with the PCs, we specialize in disability-focused...


  • Fields, Oregon, 97710, Humboldt County, NV, United States CSL Behring Full time

    Region- NortheastThe Area Manager is responsible for promotion and utilization of CSL Behring products and for managing all aspects of territory business development. Area Manager will cultivate and maintain relationships with key customers to include: Health Care Professionals (HCP), hospital decision makers/influencers, specialty pharmacies and...


  • Portland, United States Martins Point Health Care Full time

    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an...


  • Portland, Oregon, United States Martins Point Health Care Full time

    Job SummaryMartin's Point Health Care is seeking a skilled Utilization Review Nurse to join our team. As a key member of our Health Management Department, you will play a critical role in ensuring the receipt of high-quality, cost-efficient medical outcomes for our enrollees.Key ResponsibilitiesReview prior authorization requests for medical necessity,...


  • Portland, Maine, United States Martins Point Health Care Full time

    At Martins Point Health Care, we're committed to transforming our healthcare system while creating a healthier community.As a Utilization Review Nurse, you'll be part of a team that ensures high-quality, cost-efficient medical outcomes for our enrollees.This role involves reviewing prior authorization requests, notifications of emergent hospital admissions,...


  • Oregon, Wisconsin, United States One Community Bank Full time

    Job OverviewOne Community Bank is seeking a detail-oriented and analytical Commercial Loan Review Analyst to join our team. As a key member of our credit department, you will play a crucial role in evaluating and assessing commercial loan portfolios to ensure compliance with regulations and internal policies.Key Responsibilities:Conduct financial statement...


  • Portland, Oregon, United States Providence RN Full time

    About the RoleWe are seeking a highly skilled and experienced Care Management RN Manager to join our team at Providence Portland Medical Center. As a leader in our Care Management Department, you will be responsible for directing and managing the clinical care management model, staff of approximately 24-31 FTE, and operations of the care management...


  • Portland, Oregon, United States Providence RN Full time

    Care Management RN DirectorProvidence Portland Medical Center seeks a skilled Care Management RN Director to lead our inpatient Care Management Department. As a key member of our leadership team, you will be responsible for the direction and management of the department, providing leadership and oversight for the clinical care management model, staff of...

  • RN Circulator

    7 days ago


    Oregon City, United States RN-Staff Full time

    The Registered Nurse specializing in perioperative nursing practice performs nursing activities in the preoperative, intraoperative, and postoperative phases of the patient's surgical experience. He/she works to ensure provision of quality care of surgical patients through utilization of the nursing process, established standards of care, policies and...

  • RN Circulator

    6 days ago


    Oregon City, United States RN-Staff Full time

    The Registered Nurse specializing in perioperative nursing practice performs nursing activities in the preoperative, intraoperative, and postoperative phases of the patient's surgical experience. He/she works to ensure provision of quality care of surgical patients through utilization of the nursing process, established standards of care, policies and...


  • Portland, Oregon, United States Greenlife Healthcare Staffing Full time

    Job Title: Maternal Nurse ReviewerWe are seeking a skilled Maternal Nurse Reviewer to join our team at Greenlife Healthcare Staffing. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records from various sources, as well as other documents crucial to the reviews. Your expertise in obstetrical care and...


  • Portland, Oregon, United States Greenlife Healthcare Staffing Full time

    Maternal Nurse Reviewer Job DescriptionGreenlife Healthcare Staffing is seeking a skilled Maternal Nurse Reviewer to join our team. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records from various sources, as well as other documents crucial to the reviews. Your expertise will be utilized to develop and...


  • Portland, Oregon, United States Greenlife Healthcare Staffing Full time

    Maternal Nurse Reviewer Job DescriptionWe are seeking a skilled Maternal Nurse Reviewer to join our team at Greenlife Healthcare Staffing. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records and providing technical assistance to program personnel.Responsibilities:Conduct comprehensive reviews of medical...


  • Portland, Oregon, United States Greenlife Healthcare Staffing Full time

    Maternal Nurse Reviewer Job DescriptionGreenlife Healthcare Staffing is seeking a skilled Maternal Nurse Reviewer to join our team. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records and providing technical assistance to program personnel.Responsibilities:Conduct clinical reviews of medical records from...


  • Portland, Oregon, United States Greenlife Healthcare Staffing Full time

    Job Title: Maternal Nurse ReviewerWe are seeking a skilled Maternal Nurse Reviewer to join our team at Greenlife Healthcare Staffing. As a Maternal Nurse Reviewer, you will be responsible for conducting clinical reviews of medical records and providing technical assistance to program personnel.Responsibilities:Conduct clinical reviews of medical records from...


  • Portland, Oregon, United States Providence RN Full time

    Job SummaryWe are seeking a highly skilled and experienced RN Care Management Manager to lead our Care Management team at Providence Portland Medical Center. As a key member of our leadership team, you will be responsible for directing and managing the inpatient Care Management Department, providing leadership and oversight for the clinical care management...

  • Campus Ambassador

    3 months ago


    Portland, United States The Princeton Review Full time

    Posting Details Job Details Description As The Princeton Review’s Campus Ambassador, you will be the vital link between your school campus and our local office. Campus Ambassadors are essential to our ability to forge new relationships and nurture existing ones. They serve as our primary points of contact with student groups, increase...

  • RN Staff

    1 month ago


    Portland, Oregon, United States RN-Staff Full time

    Job Title: RN Staff - McMinnvilleWe are seeking a skilled and dedicated RN Staff to join our team at RN-Staff in McMinnville. As a RN Staff, you will be responsible for providing high-quality patient care and contributing to a positive and supportive work environment.Responsibilities:Provide direct patient care and implement individualized care...


  • Oregon City, Oregon, United States Providence RN Full time

    Emergency Services RN OpportunityProvidence RN is seeking a skilled and compassionate Emergency Services RN to join our team at Providence Willamette Falls Medical Center. As a valued member of our healthcare team, you will have the opportunity to deliver world-class care with human connection and make a difference every day.Key Responsibilities:Provide...

  • Data Abstractor RN

    3 days ago


    Portland, Oregon, United States Providence RN Full time

    Job SummaryProvidence is seeking a skilled RN Quality Information Coordinator/Abstractor to join our team. This part-time, day shift position will work independently to review and analyze data abstraction and analysis for various internal and external quality and/or patient safety initiatives.Key ResponsibilitiesReview and analyze data abstraction and...

  • Data Abstractor RN

    3 days ago


    Portland, Oregon, United States Providence RN Full time

    Job SummaryWe are seeking a skilled Data Abstractor RN to join our team at Providence Oregon Regional Shared Services. As a key member of our quality assurance team, you will play a critical role in reviewing and analyzing data abstraction and analysis for various internal and external quality and/or patient safety initiatives.Key Responsibilities:Review and...

  • RN Resident

    3 days ago


    Portland, Oregon, United States Providence RN Full time

    About the RoleWe are seeking a skilled RN Resident to join our team at Providence Willamette Falls Medical Center. As a RN Resident, you will have the opportunity to work in a dynamic and patient-focused environment, providing world-class health care with human connection.Key ResponsibilitiesDeliver high-quality patient care, utilizing your specialized...

Utilization Review RN

2 months ago


PORTLAND Oregon, Multnomah County, OR, United States Providence RN Full time

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.

Requsition ID: 310219

Company: Providence Jobs

Job Category: Health Information Management

Job Function: Revenue Cycle

Job Schedule: Per-Diem

Job Shift: Day

Career Track: Nursing

Department: 5016 RS UTILIZATION MGMT

Address: OR Portland 4706 NE Glisan St

Work Location: Groth Bldg-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:PORTLAND, OR-97204