Clinical Program Coordinator RN

at  Providence Health Plan

DESCRIPTION

Providence Health Plan is calling a Clinical Program Coordinator RN who will provide care coordination, case management and care management services to Providence Health Plans(PHP) members.
Note: Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.

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

Please refer the Job description for details