Utilization Manager Jobs in Oregon
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Search Results - Utilization Manager Jobs in Oregon
Prime StaffingPortland
healthcare utilization, care planning, utilization management, case management, and transitions across inpatient and outpatient settings.
The Care Manager will work closely with members, providers, hospitals, and internal teams to help members navigate...
American TravelerPortland
Job Description
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American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Oregon.
Job Description & Requirements/n
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• Specialty: Utilization Review
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• Discipline: RN
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• Start...
American TravelerPortland
American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Portland, Oregon.
Job Description & Requirements
• Specialty: Utilization Review
• Discipline: RN
• Start Date: 09/28/2026
• Duration: 13...
Umpqua Health Management LLCRoseburg (OR)
Collaborate with internal departments such as Care Coordination, Provider Relations, Behavioral Health, Utilization Management, and Claims to resolve member needs efficiently and in accordance with organizational policies and regulations.
• Document all member...
Motus Recruiting & StaffingPortland
and stakeholder management skills.
• Ability to work across business, operations, product, and technology organizations without direct authority.
• Strong facilitation and executive-level communication skills.
• Healthcare payer, clinical systems, utilization...
PwCPortlandmindmatch.ai
application deployment- Providing training and support to clients for seamless Maximo software utilization- Managing project planning, budgeting, execution, and completion to meet client expectations- Guiding teams in strategic planning and execution of Maximo...
Remoteicims.com
administrator for WHL applications, with emphasis on claims, utilization management, network management, and internal/external integrations.
• Support application stability, availability, performance, maintenance, upgrades, patching, and vendor release planning...
CareOregonPortlandmindmatch.ai
Medical Director - Behavioral Health---The Medical Director for Behavioral Health is responsible for implementing effective utilization review, care management and other clinical practice strategy development and improvement initiatives as assigned...
Naphcare, Inc.Hillsboro
of supplies
• Perform bookkeeping duties, such as preparation of expense reports and maintaining petty cash and receipts
• Assist the HSA and DON with recruiting efforts, credentialing, scheduling interviews, and processing new hire documentation
• Utilization...
Remoteenlyte.com
Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC...
Community Counseling SolutionsCondon (OR)
Provide utilization management for adults and children needing to access higher levels of care.
• Schedule and participate in meetings with other agencies to ensure continuity of service delivery and ensure that CCS is highly regarded by other community...
Yamhill Community CareMcminnville (OR)prismhr-hire.com
Kentucky, Maine, North Carolina, Oklahoma, Pennsylvania, Tennessee, Texas, Virginia, Washington.
Department:
Health Plan Operations
FLSA Status:
Exempt (Salaried)
Division:
Utilization Management
Physical Strength:
Light (L)
Reports To:
Nursing...
Community Counseling SolutionsPendleton (OR)
provide civil commitment investigations, and work with the hospitals, case workers and the state and other individuals/agencies for all individuals in the civil commitment process.
• Provide utilization management for adults and children needing to access...
Remoteicims.com
and attestations on time, and keep your team on track to do the same.
Qualifications:
What You Bring to Our Team
What You Bring to Our Team
Education & Experience:
• Active RN license
• Experience in utilization management, clinical review, or case management...
Yamhill Community CareMcminnville (OR)prismhr-hire.com
This role oversees Pharmacy Benefit Management (PBM) subcontractor implementation and internal operations, formulary alignment with the Oregon Preferred Drug List (PDL), and programs addressing cost, utilization, and quality outcomes.
This position plays...
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