Clinical Program Coordinator RN, Medicare *Remote*

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, Medicare who will:

• Support the Medicare line of business for individuals who are 65+ or have certain disabilities and or chronic conditions
• Provide care coordination, case management and care management services to Providence Health Plans (PHP) members 
• Care coordination services include: disease management programs, including educating, motivating and empowering members to manage their disease
• Case management services include: 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 include: 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 
• Work 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 detail regarding this role: 

• This position is affiliated with Providence Health Plan and will be tied to a location and compensation range in Beaverton, Oregon
• 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 state of residency

Preferred qualifications for this position include:

• Bachelor's Degree in Nursing or Health Education
• Upon Hire: Current unencumbered Registered Nurse License in the State of Oregon
• Within six months of hire date: Current unencumbered Registered Nurse License in Washington State 
• Medicare: Insurance business operations experience
• Case Management Experience (EX. Triage and Referral, Transition of Care Planning, Discharge Planning, Coordination of Outpatient Care)
• Experience working in a health plan, medical insurance plan or another similar work environment
• Current nursing experience in the following areas: chronic pain management, cardiology, endocrinology, oncology, respiratory, health education, chronic disease management (I.E. Diabetes, ESRD, Heart Failure)

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