Clinical Program Coordinator RN, Medicaid

at  Providence Health Plan

Beaverton, OR 97005, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate16 Oct, 2024USD 71 Hourly17 Jul, 20245 year(s) or aboveCare Planning,Patient Care,Obstetrics,Endocrinology,Prior Authorization,Pain Management,Triage,Pediatrics,Oncology,Cardiology,Appeals,Delegation,Discharge Planning,Health EducationNoNo
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Description:

REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

  • 5+ years clinical nursing experience
  • Experience working with physicians in the collaboration and management of patient care
  • Current unencumbered Registered Nurse License in state of residency

PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:

  • Bachelor’s Degree in Nursing or Health Education
  • Upon Hire: Current unencumbered Registered Nurse License in Oregon
  • Within six months of hire date: Current unencumbered Registered Nurse License in Washington State
  • Case Management Experience (EX. Triage and Referral, Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care)
  • Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical Audits, Appeals or Delegation)
  • Experience working in a health plan, medical insurance plan or another similar work environment
  • Current nursing experience in the following areas: chronic pain management, cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education

Responsibilities:

  • This position is for multiple openings for a Clinical Program Coordinator RN
  • This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon


REQUIREMENT SUMMARY

Min:5.0Max:10.0 year(s)

Hospital/Health Care

Pharma / Biotech / Healthcare / Medical / R&D

Health Care

Graduate

Nursing or health education

Proficient

1

Beaverton, OR 97005, USA