Utilization Manager Jobs in Portland
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Search Results - Utilization Manager Jobs in Portland
PacificSource Health Plans-Portland
Job Description Summary
This position is a member of the executive management group and reports to the Chief Medical Officer. The VP of Medical Management is responsible for the Utilization Management (UM) and Care Management (CM) functions...
mindmatch.ai -
Portland
rate via implementation of best practice in organ allocation and utilization processes. Additionally, the Clinical Resource Manager (CRM) takes administrative call as needed to provide 24-hour coverage coordinating all aspects of the donation process...
icims.com -
Cambia Health-Portland
in the competencies listed above
Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent...
Compass Health Network-Hillsboro, 18 mi from Portland
knowledge of utilization management criteria
• Maintain agreed upon level of customer care requirements
• Will provide culturally competent services to meet the unique cultural needs of each agency consumer and family member
• Complete treatment plans...
mindmatch.ai -
Cambia Health-Portland
and responsibility.
Normally to be proficient in the competencies listed above
Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field and 3 years of case management, utilization management, disease management...
CVSHealth-Salem, 42 mi from Portland
and communicate all aspects of the utilization management program. The candidate will utilize clinical experience......
cvshealth.com -
Peace Health-Vancouver, 20 mi from Portland
and standards.
• Performs patient care review activities including monitoring and correcting patient status, documentation for medical necessity of admission and continued hospitalization and concurrent review.
• Provide utilization management including...
Oregon
closely with care delivery, analytics, finance, sales and marketing, claims, utilization management, credentialing, member services, membership administration, benefits administration and medical group leadership to implement contracting options on time...
icims.com -
Cambia Health-Salem, 42 mi from Portland
and responsibility.
Normally to be proficient in the competencies listed above
Care Management Nurse would have a/an Associate or Bachelor's Degree in Nursing or related field and 3 years of case management, utilization management, disease management...
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