Clinical Program Coordinator RN, Medicare / Medicaid

at  Providence Health Plan

Washington State, Washington, USA -

Start DateExpiry DateSalaryPosted OnExperienceSkillsTelecommuteSponsor Visa
Immediate18 Sep, 2024USD 71 Hourly19 Jun, 20245 year(s) or aboveDischarge Planning,Appeals,Cardiology,Obstetrics,Triage,Prior Authorization,Endocrinology,Care Planning,Pediatrics,Health Education,Patient Care,Delegation,Pain Management,OncologyNoNo
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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:

Please refer the Job description for details


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

Washington State, USA