Utilization Review Jobs in Oregon
1 - 15 of 17
Search Results - Utilization Review Jobs in Oregon
Yakima Valley Farm Workers Clinic-Hubbard (OR)
for loan repayment programs that could add to your income.
Essential Functions/Responsibilities/Duties
• Provides patient care services as assigned, which include but are not limited to:
• Drug Utilization Review
• Patient Counseling
• Drug Regimen...
8 similar jobs: Canby, Saint Paul, Aurora, Mount Angel, Donald...
Dane Street, LLC-Shady Cove
practice with medical necessity and utilization review/management expertise
Expanded credentials as an expert in Independent Medical Exams and physician advisor services
Fully prepped cases, streamlined case flow, transcription services at no cost...
resume-library.com -
Yakima Valley Farm Workers Clinic-Salem
Provides patient care services as assigned, which include but are not limited to:
• Drug Utilization Review
• Patient Counseling
• Drug Regimen Review
• Medication Therapy Management
• Collaborative Drug Therapy Management or other post-diagnostic...
4 similar jobs: Cowiche, Keizer, Parker, Yakima
Optum-Blachly
and primary caregiver staff in the ALC and APC
• Communicates with multiple organizations operational units for seamless coordination of benefits, i.e., utilization review staff, provider relations liaison, pharmacy, etc.
• Reviews member’s status...
2 similar jobs: Halsey, Veneta
New Narrative-Gresham
within the residential programs, providing mentorship and coaching
Completes training to become a directors designee, in order to facilitate hospital holds, as needed
Utilization Review & Outcomes
Develops and maintain outcomes measures and reporting...
PacificSource Health Plans-Springfield (OR)
to inpatient facilities, residential treatment centers, and partial hospitalization programs.
• Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued stay and level of care.
• Identify cases...
mindmatch.ai -
Portland
25% field based visits in the community:
• Supervising and managing the day-to-day activities of the assigned case management and utilization review teams, including interdisciplinary team integration and field-based services.
• Mentoring, coaching...
acentra.com -
2 similar jobs: Eugene, Salem
Remote
of healthcare claims payment policy and processing, specifically, CMS, Medicaid, ICD, CPT, HCPCS and other specialty society, etc.
• Experience in claims adjudication or utilization review working for a managed care or healthcare insurance company.
• Familiarity...
icims.com -
Remote
events, while providing opportunities for meaningful impact and career growth.
Job Description:
We are seeking a qualified Utilization Reviewer who can work remotely from home. The ideal candidate performs utilization review on workers’ compensation...
enlyte.com -
Encompass Health-Portland
performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The CCM assures that regulations regarding patient's rights are fulfilled.
Job code: 100680
Qualifications...
2 similar jobs: Eugene, Salem
Hillsboro
as appropriate.
• Maintains Department Reporting/Auditing as directed by Case Management Manager
Utilization Management – Backup to Discharge Coordinator
• Reviews Admitting/IVS comments in EMR, approved length of stay, clinical review due date...
icims.com -
West Linn
Utilization Review, and 3rd party or insurance payers.
• Previous experience with Joint Commission and regulatory standards compliance is desired.
• Ability to manage budgets and utilize KPIs (Key Performance Indicators) is preferred.
• Experience...
montenidoaffiliates.com -
Remote
certification or combination thereof
• A CCDS or CDIP credential is also required
• A minimum of five years of experience in nursing or other clinical area, coding, process improvement, or utilization review/case management in an acute care facility
• A minimum...
icims.com -
Remote
EDUCATIONAL REQUIREMENTS:
• Must be an MD with 5 + years’ experience in an inpatient setting, ER physician or hospitalist preferred.
• Experience in private sector/ Health plan operations as a Medical Director, with focus on utilization review, medical coding...
icims.com -
Hillsboro
occasionally but critical to successful performance of the job:
• Attends scheduled staff, care conferences, and other meetings as appropriate
• Attends Utilization Review Committee meetings as schedule allows.
• Shares information from...
icims.com -
12
Companies now hiring in Oregon:
Utilization Review jobs in Oregon – Similar offers:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Oregon
It's free, and you can cancel email updates at any time
12