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RN, Care Manager, Utilization Management

Company

Adventist Health

Location

Portland, United States

Type

Full-time

Job Summary:

Plays a critical role in ensuring that patients receive high-quality care while efficiently utilizing medical resources. Reviews patient medical records, assessing the appropriateness and necessity of proposed treatments, and collaborating with healthcare providers and insurance companies to ensure a seamless care experience and the practicing of financial stewardship and denial prevention. Focuses on maximizing patient outcomes and optimizing resource allocation. Utilizes exceptional clinical knowledge, excellent communication skills, and the ability to thrive in a fast-paced and ever-changing healthcare environment.


Job Requirements:

Education and Work Experience:

  • Associate’s Degree in nursing or equivalent combination of education/related experience: Required
  • Bachelor's Degree in Nursing (BSN): Preferred
  • Five years' acute hospital experience required with preferred experience in critical care areas: Requ...
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