Description
Providence Health Plan caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Providence Health Plan is calling a Clinical Program Coordinator RN who will:
Provide care coordination services to Providence Health Plans(PHP) members
Care coordination services includes: Disease management programs, including educating, motivating and empowering members to manage their disease
Case management includes: triage and referral, transition of care planning, end of life care planning, other acute and catastrophic case management. These services are offered to members and their families who have acute and complex health care needs; members with chronic conditions at risk for poor health outcomes and members who are terminal and nearing end of life
Care management services includes: nurse education, care coordination and general assistance with managing day to day functional needs; assisting with the management of member health plan benefits and offering assistance finding alternative services when benefits are exhausted
Work within the health plan framework of managing medical expenses while also working to improve access and quality care to our members
Providence Health Plan welcomes 100% remote work for applicants who reside in the following areas:
Oregon
Washington
Please note the following important details regarding this role:
This posting is for multiple openings of a Clinical Care Coordinator RN
This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon
This position requires for you to have a current home address in either the State of Oregon or Washington
Work Shift: Monday - Friday
Work Hours: 8am - 5pm
Required qualifications for this position include:
5+ years of clinical nursing experience
Experience working with physicians in the collaboration and management of patient care
Current unencumbered Registered Nurse License in the State of Oregon or Washington or both States
**Note: If Washington - Must be actively applying for an Oregon RN Licensure - will obtain prior to start date or within 60-90 days of start date
Preferred qualifications for this position include:
Bachelor's Degree in Nursing or Health Education
Case Management Experience (EX. Triage and Referral, Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care, Home Health)
Utilization Management Experience (EX. Concurrent Review, Prior Authorization, Medical Audits, Appeals or Delegation)
Experience working in a health plan, medical insurance plan or another similar work environment
Current nursing experience in the following areas: cardiology, endocrinology, pediatrics, obstetrics, oncology, respiratory, health education
Intermediate Level or higher experience working with multiple different technical platforms such as Electronic Health Record, MS Office, Facets
Regulation Compliance experience working with Governmental Agencies
Why Join Providence Health Plan?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can sup
