Description:
Providence is calling a RN Telephone Advice to Nurse Call Services at Murray Business Center Beaverton in Beaverton, OR. This is a part-time (0.65 FTE), night shift position.
Apply today! Applicants that meet qualifications will receive a text message with some additional questions from our Modern Hire system.
We are seeking a Registered Nurse (RN) Telephone Advice who will be responsible for the interactive process that occurs over the telephone with the patient that identifies the nature and urgency of the patient's health care needs and then determines appropriate disposition. The nurse may schedule an appointment as the patient's condition requires, answer questions, and provide health education in relation to the call. Accurately documents the encounter with the patient for continuity of care. Care is based on the nursing process, evidence-based guidelines and is consistent with Oregon and Washington's Nurse Practice Act. Requires a broad...
Description:
Providence St. Joseph Health is calling a Registered Nurse (RN) Care Coordinator Quality Medical Management to our location in Beaverton, OR.
We are seeking a Registered Nurse (RN) Care Coordinator Quality Medical Management to provide administration of medical management programs that include: prior authorization, clinical claims review, and member and provider appeals, These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This includes retrospective review of claims and other data.
In this position you will have the following responsibilities:
Functional Area: Clinical Appeals:
· Develop and maintain knowledge and expertise in medical policies, clinical guidelines and regulatory requirements for member appeals.
· Maintain thorough knowledge of the appeal process following regulatory and accrediting requirements.
· Maintain positive...
Description:
Providence St. Joseph Health is calling a Registered Nurse (RN) Care Coordinator Quality Medical Management to our location in Beaverton, OR.
We are seeking a Registered Nurse (RN) Care Coordinator Quality Medical Management to provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development and medical claims audits. These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This includes retrospective review of claims and other data, as well as care coordination and discharge planning.
In this position you will have the following responsibilities:
Functional area: Medical Review (Concurrent Review and Prior Authorization):
Perform onsite and telephone concurrent review of hospitalized members, skilled...
Description:
Providence St. Joseph Health is calling a Registered Nurse (RN) Care Coordinator Quality Medical Management to our location in Beaverton, OR.
We are seeking a Registered Nurse (RN) Care Coordinator Quality Medical Management to provide administration of medical management programs that include: prior authorization, clinical claims review, and member and provider appeals, These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This includes retrospective review of claims and other data.
In this position you will have the following responsibilities:
Functional Area: Clinical Appeals:
· Develop and maintain knowledge and expertise in medical policies, clinical guidelines and regulatory requirements for member appeals.
· Maintain thorough knowledge of the appeal process following regulatory and accrediting requirements.
· Maintain positive...
Description:
Providence St. Joseph Health is calling a Registered Nurse (RN) Care Coordinator Quality Medical Management to our location in Beaverton, OR.
We are seeking a Registered Nurse (RN) Care Coordinator Quality Medical Management to provide administration of medical management programs that include: prior authorization, concurrent hospital and skilled nursing review, appeals and grievance, delegation, medical policy development and medical claims audits. These programs are developed to manage medical expense, determine medically appropriate services and define clinical criteria for decision making. This includes retrospective review of claims and other data, as well as care coordination and discharge planning.
In this position you will have the following responsibilities:
Functional area: Medical Review (Concurrent Review and Prior Authorization):
Perform onsite and telephone concurrent review of hospitalized members, skilled...
Description:
Providence is calling a RN Telephone Advice to Nurse Call Services at Murray Business Center Beaverton in Beaverton, OR. This is a part-time (0.65 FTE), night shift position.
Apply today! Applicants that meet qualifications will receive a text message with some additional questions from our Modern Hire system.
We are seeking a Registered Nurse (RN) Telephone Advice who will be responsible for the interactive process that occurs over the telephone with the patient that identifies the nature and urgency of the patient's health care needs and then determines appropriate disposition. The nurse may schedule an appointment as the patient's condition requires, answer questions, and provide health education in relation to the call. Accurately documents the encounter with the patient for continuity of care. Care is based on the nursing process, evidence-based guidelines and is consistent with Oregon and Washington's Nurse Practice Act. Requires a broad...
Description:
Providence is calling a RN - Clinic - Pmg Progress Ridge (1.0 FTE, Days) to Pmg Progress Ridge in Beaverton , OR.
Monday through Friday
Apply today! Applicants that meet qualifications will receive a text message with some additional questions from our Modern Hire system.
We are seeking a Registered Nurse (RN) Clinic - Pmg Progress Ridge that will provide comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates the workflow in the area by conducting nursing assessments and documentation. In addition, the Clinic RN contributes expertise in the areas of patient scheduling, telephone advice, and pharmacy needs. The Clinic RN assists with maintaining compliance to professional nursing standards and regulatory requirements and supports physicians in delivering quality health care to...
