RN Health Plan Care Manager — Integrated Care & Utilization
SupportFinity™
Adventist Health in Roseville, California, seeks a nurse leader to manage the development, implementation and evaluation of the cavitation care management service lines. This role improves member care by promoting continuity and cost effectiveness through comprehensive care planning and utilization review. The position requires collaboration with physicians, staff and leadership to optimize resource use, ensure medical necessity and support discharge planning across the continuum of care. #J-18808-Ljbffr SupportFinity™
- ...Job Title Manages the development, implementation... ...of the cavitation care management service... ..., the Adventist Health corporate... ...management, care integration, case management, utilization review and care planning. Job Requirements... ...Registered Nurse (RN) licensure in the...Health InsuranceWork experience placement
- ...Sacramento, the Adventist Health corporate... ...connect. Job Summary Manages the development,... ...of the cavitation care management service... ...management, care integration, case management, utilization review and care planning. Job Requirements... ...Registered Nurse (RN) licensure in the...Health InsuranceWork experience placement
- A leading nonprofit health system in Portland is seeking a professional to manage the development and evaluation of care management services. The role focuses on enhancing member... ...ensure high standards of care and effective utilization of resources. #J-18808-Ljbffr Adventist...Health Insurance
- ...Sacramento, the Adventist Health corporate... ...Assumes responsibility for utilization and case management of behavioral health... ...the Population Health Plan Initiative. Job Requirements... ...direct patient care: Preferred Licenses/... ...‑based, nonprofit, integrated health system serving...Health InsuranceWork experience placement
$54.68 - $81.95 per hour
...nature, Adventist Health Portland has been one... ...offices, home‑care services, comprehensive... ...while efficiently utilizing medical resources.... ...Registered Nurse (RN) licensure in the state... ...the on‑site care management teams when appropriate... ...patient care plans. Facilitates communication...Health InsuranceHourly payWork experience placementShift workRotating shift- Adventist Health Portland is seeking a Registered Nurse for Utilization Review to ensure high-quality patient care while optimizing resource use. The role involves reviewing records, collaborating... ...experience with Optum/Inter Qual; RN licensure in Oregon is mandatory. #J-18...
$150k
...seeking one experienced RN Nurse Manager to complete our... ...and exemplary patient care —not just the bottom... ...first day ~401(k) plan with employer matching... ...~ Wellness & mental health assistance programs... ...Terms & Conditions at utility-pages/privacy-policy#terms...Health InsuranceMinimum wageFull timeLocal areaRelocation packageShift work- ...RN Care Manager, Value Based Care As a leading provider of outcomes... ...we deliver outcomes-driven integrated care and show up #SomatusStrong... .... We partner closely with health plans, health systems, and... ...coordination services. Utilize nursing assessment skills to...Health InsuranceLocal areaRemote work
$26.41 - $59.21 per hour
...Provides support for care management/care coordination activities... ...team coordinating integrated delivery of member... ...judgment, changes in member health or psychosocial... ...implements care coordination plan in collaboration with... ...• Registered Nurse (RN). License must be active...Health InsuranceHourly payWork experience placementWork at officeLocal areaRemote work$41.37 - $64.23 per hour
...Description RN – Long Term Care at Providence Child Center... ...Medford) Medical Plan Assistance Program- provides... ...development as an integral part of nursing practice... ...other members of the health care team, and... ...Terms & Conditions at utility-pages/privacy-policy#terms...Health InsuranceMinimum wageFull timeLocal areaShift workNight shiftRotating shift$46.1 - $58.73 per hour
...Clinic is hiring a full-time RN Care Manager (36 hours/week) to support our... ...of compassion, excellence, integrity, teamwork, safety, and respect... ...AD&D, long term disability, health savings account, flexible spending... ...also offer a 401k retirement plan, along with an employer...Health InsuranceFull timeLocal areaWork visaMonday to FridayFlexible hours$25k
...Resident Care Manager (RCM) - RN JOIN AN OUTSTANDING TEAM! Marquis Companies has been in business... ...your experienced nursing skills will be utilized as you conduct and coordinate the... ...for Medical & Dependent Care ~401(k) Plan with Employer Match ~ Continual growth...Health InsuranceTemporary work- ...Summary The primary purpose of the Resident Care Manager (RN) is to develop, evaluate, implement health care plans for individual patients, assist with management... ...members of the health care team, as needed. Utilizes the electronic medical record to establish & validate...Health InsuranceShift work
- ...Summary: Inpatient Care Managers are Registered Nurses... ...complex transition planning needs by independently... ...physicians and other health care team members for... ...to support the optimal utilization of health care resources... ...of two years combined RN experience in the...Health InsuranceDaily paid
$46.1 - $58.73 per hour
Vancouver Clinic is hiring a full-time RN Care Manager in Vancouver, WA. This role involves coordinating patient care, education, and psychosocial... ...based on experience. Benefits include medical, dental, vision insurance, a 401k plan, and more. #J-18808-Ljbffr Vancouver ClinicHealth InsuranceHourly payFull time- We are looking for an RN Case Manager in Portland, Oregon, responsible for assessing patients, coordinating discharge plans, and ensuring compliance with care management regulations. Candidates must... ...offers great benefits including health care plans, life insurance, pension...Health Insurance
$49.34 - $76.59 per hour
...Description RN Educator - Critical Care, Providence Portland Medical... ...Medford) Medical Plan Assistance Program-... ...of Providence Health & Services System and... ...designed to support the management of productivity targets... ...Terms & Conditions at utility-pages/privacy-policy#terms...Health InsuranceMinimum wageFull timeLocal areaRelocationMonday to FridayFlexible hoursShift workDay shift$72.8k - $130k
...Group, a leading post-acute care partner for hospitals, physicians... ...together. As the Home Health Patient Care Manager, you are responsible for the... ...accordance with physician prescribed plan of care, and all applicable... ...Current unrestricted RN licensure in state of...Health InsuranceMinimum wageFull timeWork experience placementLocal area- Oregon Health & Science University in Portland seeks an RN Case Manager to oversee patient assessments, coordinate discharge planning, and collaborate with multidisciplinary teams. This position... ...readmission rates. Comprehensive health care plans and a supportive work...Health Insurance
- Kaiser Permanente is seeking an RN Case Manager to work in a self-directed, autonomous role across... ...person, by phone, and electronically to Health Plan members and other patients. The role involves chart reviews, assessments, care planning, and coordination with...Health Insurance
- Somatus - Revolutionizing Kidney Care is hiring an RN in Portland, Oregon, to deliver integrated care for chronic kidney disease patients. The role requires partnership with health professionals to enhance patient outcomes through collaborative relationships and care coordination...
- Kaiser Permanente Northwest in Portland, Oregon, seeks an experienced RN to join our patient-centered team. The role delivers essential nursing care to Health Plan members, either in person or by phone, under supervision, using evidence-based practice and strong clinical...Health InsurancePart time
- ...Adventist Health Northwest Heart Center... ...Portland has been caring for East Portland... ...reporting of the case management program. Acts as a... ...Registered Nurse (RN) licensure in the... ...interdisciplinary care plan is consistent with... ...of resource utilization, consultations, treatment...Full timeWork experience placementDay shift
- Our home health and hospice agencies are located... ...in‑home care, and many have been... ...organization. Job Summary Plans, organizes and directs... ...in their homes. Manages a patient caseload... ...Registered Nurse (RN) licensure in the state... ...disciplines and integrates input from disciplines...Daily paidWork experience placement
- ...Resident Care Manager (RN) Join our clinical leadership team at The Pearl at Kruse Way, where... ...development and implementation of care plans, coordinate with interdisciplinary teams... ...comprehensive benefits package that includes: Health Insurance: Comprehensive medical, dental...Health InsuranceFlexible hours
$115k - $122k
...seeking a registered nurse clinical manager who will oversee the quality of patient care and clinical performance. The... ...should have at least one year of RN management experience and the appropriate... .... Comprehensive benefits include health plans, paid time off, and employee...Health Insurance- Multnomah County Health Department is seeking a dynamic leader in Integrated Clinical Services for comprehensive primary medical care. This role emphasizes health equity, prevention, and chronic disease management for medically underserved communities. The ideal candidate...Health Insurance
- ...Description Our home health and hospice... ...personalized in‑home care, and many have been... ...organization. Job Summary Plans, organizes and... ...patients in their homes. Manages a patient caseload... ...Registered Nurse (RN) licensure in the... ...disciplines and integrates input from disciplines...Full timeWork experience placement
- ...staffing agency in Portland is seeking a Case Manager responsible for coordinating patient care across various units. The ideal candidate... ...patient care. This position includes comprehensive benefits such as health insurance and a 401k retirement plan. #J-18808-Ljbffr...Health Insurance
$51.72 - $72.14 per hour
...Description RN Home Health - East Portland Schedule... ...and indirect quality care for patients of all... ...Professional development is an integral part of this nursing... ..., location, time-off plan policies, availability... ...Terms & Conditions at utility-pages/privacy-...Health InsuranceMinimum wageFull timeWork at officeShift workRotating shiftDay shift
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