Manager Utilization Management RN, Prior Authorization
at Providence Health Plan
Beaverton, OR 97005, USA -
| Start Date | Expiry Date | Salary | Posted On | Experience | Skills | Telecommute | Sponsor Visa |
|---|---|---|---|---|---|---|---|
| Immediate | 12 Sep, 2024 | USD 80 Hourly | 17 Jun, 2024 | 5 year(s) or above | Program Planning,Six Sigma,Training,Leadership,Utilization | No | No |
Required Visa Status:
| Citizen | GC |
| US Citizen | Student Visa |
| H1B | CPT |
| OPT | H4 Spouse of H1B |
| GC Green Card |
Employment Type:
| Full Time | Part Time |
| Permanent | Independent - 1099 |
| Contract – W2 | C2H Independent |
| C2H W2 | Contract – Corp 2 Corp |
| Contract to Hire – Corp 2 Corp |
Description:
REQUIRED QUALIFICATIONS FOR THIS POSITION INCLUDE:
- Bachelor’s Degree in Nursing or another clinical field of study
- Graduate from an accredited school of nursing -OR- a combination of equivalent education and work experience
- Coursework/Training: Formal education or training in supervision, management, or leadership
- Oregon Registered Nurse License
- 3+ years of experience directly managing or supervising staff in a clinical or managed care setting
- 5+ years of clinical experience
- 2+ years of experience in utilization, quality or care management within an insurance or managed care setting
- Demonstrated experience in program planning, development and evaluation
PREFERRED QUALIFICATIONS FOR THIS POSITION INCLUDE:
- Master’s Degree in Nursing or another related field of Study
- Project management, Six Sigma, Lean, Change Acceleration Process (CAP) experience
- Experience with HEDIS, CAHPS, Medicare 5-Star Rating, NCQA and/or URAC accreditation
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 another clinical field of study
Proficient
1
Beaverton, OR 97005, USA
