Clinical Benefit Management Supervisor RN, Portland, OR
At CareOregon, we’re looking for professional people with energy, drive and passion – people who are ready to make a change, because we’re better together.
Clinical Benefit Management Supervisor RN
Supervises a team of RNs in the area of Prior Authorization or Benefit Review. Team work includes Out of Area review staff, Transplant Management, reinsurance review activity and other plan benefit operations for both OHP and Medicare members. Additionally, this position assists with the creation of policies and procedures and leads implementation of changes that support programmatic goals and objectives in alignment with CareOregon’s mission and vision. This position ensures staff is performing at required competency and production levels. At times, this position may perform the tasks of RN staff during times of coverage needs or reassignment of work.
- Current unrestricted Oregon Registered Nurse’s license
- Minimum two years utilization management or prior authorization RN experience
- Two years of clinical supervisory experience
- Experience with or detailed knowledge of the Oregon Health Plan (OHP) benefit and the Oregon Medical Assistance Programs (MAP) and the Centers for Medicare and Medicaid Services (CMS) rules and regulations
For complete job description and to apply, visit us online at http://www.careoregon.org/AboutUs/Careers.aspx Position may close at any time.
We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, national origin, disability, veteran status, and other protected characteristics.