Registered Nurse (RN) - Clinic

Clinical Documentation Specialist RNSchedule: Mon–Fri, 8:00 AM–5:00 PMAssignment Details: Contract length: 13 weeksRequirementsActive Oregon RN licensure5 years clinical experience2 years utilization review or quality assurance experiencePreferred: MSN or BSNPreferred: 2 years medical case management experiencePreferred: 2 years experience in managed care or workers' compensationFamiliarity with ICD-10 and CPT coding preferredResponsibilitiesConduct utilization management through prospective and retrospective review of servicesFacilitate medical policy development and Medical Policy Committee workEngage in case management and interventions for cost-effective care and return-to-workPerform provider profiling, benchmarking, education, and continuous quality improvement activitiesConsult with physicians, medical directors, and other teamsResearch and analyze data to develop policy and protocolsTrack disputed surgical cases and prepare reportsProvide medical consultation and targeted training to non-medical staffCompliance / NotesCandidates may be asked about prior work at partner facilities and may be subject to orientation requirements.Client Details City Beaverton State ORTLC Nursing Associates, Inc. is an equal-opportunity employer and fully complies with all applicable federal, state, and local laws. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, disability, age, genetic information, veteran status, or any other status protected under the law. Accuracy of Information: All job listings are subject to change, and while we strive to ensure that all job information, including job descriptions, pay packages, and shift details, is accurate and up-to-date, we cannot guarantee the availability or specifics of any position at the time of application. Pay packages and shift availability may vary based on facility needs and may be subject to changes before or after hire.