Registered Nurse - Inpatient Review Care Coordinator

Description: Providence is calling a Registered Nurse - Inpatient Review Care Coordinator to Providence Health Plan in Beaverton, OR. In this position, you will: + Have the opportunity to work closely with facilities/providers as well as Providence Health Plan's Case Management team. + Provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review. + Work with these programs which are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. + Conduct retrospective review of claims and other data, as well as care coordination and discharge planning. Qualifications: Required qualifications for this position include: + Must have a current license as a registered nurse in the state of Oregon + Minimum of 5 years clinical nursing experience + Demonstrated creativity and flexibility in problem solving and development of alternative approaches to the traditional delivery of healthcare + Experience working with physicians in collaboration and management of patient care and/or utilization review Preferred qualifications for this position include: + Bachelor's degree in nursing or healthcare + Experience in utilization review, discharge planning and/or managed care About Providence in Oregon As the largest healthcare system and largest private employer in Oregon, Providence offers exceptional work environments and unparalleled career opportunities. The Providence Experience begins each time our patients or their families have an encounter with a Providence team member and continues throughout their visit or stay. Whether you provide direct or indirect patient care, we want our patients to feel that they are in a welcoming place where they can be comfortable and free from anxiety. Our employees create the Providence Experience through simple, caring behaviors such as acknowledging and welcoming each visitor, introducing ourselves and Providence, addressing people by name, providing the duration of estimated wait times and updating frequently if timelines change, explaining situations in a way that puts patients at ease, carefully listening to their concerns, and always thanking people for trusting Providence for their healthcare needs. At Providence, our quality vision is simple, "Providence will provide the best care and service to every person, every time." Providence is consistently ranked among the top 100 companies to work for in Oregon. It is also home to two of our award-winning Magnet medical centers. Providence hospitals and clinics are located in numerous areas, ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland. If you want a vibrant lifestyle while working with a team highly committed to the art of healing, choose from our many options in Oregon. We offer a full comprehensive range of benefits - see our website for details Our Mission As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service. About Us Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 76,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 475 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital statu

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Registered Nurse - Prior Authorization Care Co...
Beaverton, OR State of Oregon
Registered Nurse - Neonatal Intensive Care Uni...
Portland, OR Providence Health & Services
Registered Nurse - Inpatient Rehabilitation
Medford, OR Providence Health & Services
Registered Nurse - Inpatient Unit PRN
Portland, OR Shriners Hospitals For Children
Registered Nurse - Cardiac Intensive Care Unit
Portland, OR State of Oregon