Clinical Program Manager-RN (Health Plans) jobs in United States
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Samaritan Health Services ยท 1 month ago

Clinical Program Manager-RN (Health Plans)

Samaritan Health Services is a provider of health insurance options. The Clinical Program Manager is responsible for executing programs that align with organizational goals, leveraging clinical expertise for successful program planning and implementation.

Health CareHospital

Responsibilities

The Clinical Program Manager is responsible for executing assigned program(s) that align with organizational goals and meet the needs of employees, customers, and stakeholders
This role leverages clinical expertise and system improvement skills to support assigned programs, ensuring successful planning, implementation, and oversight
The Clinical Program Manager leads all aspects of program development and execution, collaborates with internal teams and external partners, and serves as a subject matter expert across the organization

Qualification

Oregon RN LicenseClinical nursing experienceHealth plan experienceCase managementMedicareMedicaid knowledgeElectronic documentationTeam leadershipLeadershipConflict resolutionCritical thinkingCommunication

Required

Current unencumbered Oregon RN License required within 90 days of hire
One (1) year clinical nursing experience plus four (4) years health plan, case management and/or utilization management experience required
Experience or training in health care delivery systems and/or managed care patients required
Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced) required

Preferred

BSN preferred
Master's degree in a related field preferred
Team leadership
Case management
Medicare and Medicaid rules and regulations and health plan benefit structure and policy

Company

Samaritan Health Services

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Samaritan Health Services provides compassionate, innovative and quality health care serving communities.

Funding

Current Stage
Late Stage

Leadership Team

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Marty Cahill MBA, FACHE
Chief Executive Officer
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Brandon Schmidgall
Chief Operating Officer
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Company data provided by crunchbase