Nurse

• Perform clinical assessments and prior authorizations to determine medical necessity
• Escalate complex cases to Medical Directors and request additional documentation
• Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
• Liaise with internal departments to resolve eligibility, benefits, or service issues
• Participate in discharge planning for members transitioning from acute, long-term, or residential care
• Conduct audits and support quality improvement initiatives
• Provide training and mentorship on utilization management protocols and workflows
• Maintain relationships with community providers and service organizations
• Ensure compliance with organizational policies, clinical standards, and federal/state regulations
• Perform other nursing-related duties as assigned

Utilization Review Nurse evaluating medical necessity for Oregon healthcare members

Utilization Review Nurse

Utilization Review Nurse evaluating medical necessity and authorizing care for Umpqua Health members.
Coordinating transitions, audits, and regulatory compliance across Oregon’s integrated healthcare network.

• The Weekend Registered Nurse (RN) will be responsible for providing care and services for a group of hospice patients, and visiting patients where they reside, which could include private homes, assisted living facilities, and hospitals.
• As an RN, you will complete hospice admissions and patient visits as needed.
• Applicants must have great clinical and communication skills.
• The Weekend RN is responsible for answering calls from patients, families and customers.
• The RN will make nursing visits for symptom management, deaths, and admissions as needed.
• This RN position must also be passionate about hospice care and be a great advocate for both hospice services and Suncrest Hospice.

Part-Time Remote Weekend Triage RN providing care for hospice patients

Weekend Hospice Registered Nurse, Part-Time

Part-Time Remote Weekend Triage RN providing care for hospice patients on weekends. Collaborating with healthcare teams to ensure quality hospice services are delivered.

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Utilization Review Nurse

Weekend Hospice Registered Nurse, Part-Time