Qureos Mentor

Providence

<div>Description
RN Utilization Review at Irvine, CA. This position is Part- time and will work Remote 8-hour, Day shifts.
Provide prospective, retrospective, and concurrent utilization reviews for our Southern CA ministries. Conduct clinical reviews and review medical records daily during admission for all payers, as required by the health plans. This role requires a strong clinical background combined with well-developed knowledge and skills in Utilization Management, medical necessity, and patient status determination.
Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Providence California Regional Services 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.
Required Qualifications:
<ul><li>Associate's Degree in Nursing.</li>
<li>Upon hire: California Registered Nurse License</li>
<li>2 years of experience working in a remote UR environment or working as an acute hospital case manager.</li>
</ul>Preferred Qualifications:
<ul><li>Bachelor's Degree or Master's Degree in Nursing.</li>
<li>Experience working with Interqual guidelines.</li>
<li>Experience in a multi-hospital and/or integrated healthcare system.</li>
</ul>Why Join Providence?
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 &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Requsition ID: 410112
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 7000 UTILIZATION MGMT OCHD
Address: CA Irvine 15480 Laguna Canyon Rd
Work Location: Providence System Offices Discovery Park-Irvine
Workplace Type: On-site
Pay Range: $56.44 - $87.63
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

RN Utilization Review - Part-time Day - REMOTE

<div>Description
Providence caregivers are not simply valued &ndash; they&rsquo;re invaluable. Join our team at Enterprise Information Services 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.
The contract specialist plays a key role in supporting the operations and business development team by coordinating the full lifecycle of contracts related to creating, editing, and maintaining change request contracts for community connect clinics and hospitals. This position ensures that all client Agreements comply with organizational policies and applicable legal standards. This role requires strong attention to detail and the ability to communicate effectively with internal stakeholders.
Providence supports 100% virtual work for residents located in the following areas:
<ul><li>Alaska</li>
<li>Washington</li>
<li>Oregon</li>
<li>Montana</li>
<li>California</li>
<li>Texas: Lubbock (within 65 miles)</li>
<li>Texas: Levelland (within 65 miles)</li>
<li>Texas: Plainview (within 65 miles)</li>
</ul>Required Qualifications:
<ul><li>Associate's Degree or another Closely related field of study -OR- a combination of equivalent education and experience</li>
<li>2 or more years of experience with payer billing, collections and reimbursement methodologies, and contract language requirements</li>
</ul>Preferred Qualifications:
<ul><li>Bachelor's Degree or another closely related field of study</li>
<li>2 or more years of experience working with contract laws and legal terminology</li>
<li>Skilled in reading, analyzing, and interpreting and understanding financial data related to contracts</li>
<li>Responsible for maintaining the accuracy and integrity of the contract documents within contract management system and shared drives</li>
<li>Demonstrates strong communication skills by effectively conveying ideas, actively listening, and adapting messaging to diverse audiences, ensuring clarity and collaboration across teams</li>
<li>Responsible for tracking and reconciling contract renewals</li>
<li>Exhibits exceptional attention to detail and organizational abilities, ensuring accuracy in work, maintaining structured processes, and consistently meeting deadlines with high-quality results</li>
<li>Coordinating the full lifecycle of change request contracts, including creating, editing, amending, and maintaining based on existing contract templates</li>
<li>Builds and maintains strong relationships with stakeholders by actively engaging, understanding their needs, and fostering collaboration to drive alignment and achieve shared goals</li>
<li>Demonstrates strong technology proficiency, leveraging Microsoft 365 tools including Microsoft Teams, Word, Excel, Outlook, and SharePoint</li>
</ul>Nice to Have:
<ul><li>Healthcare knowledge and or experience</li>
<li>Knowledge of contract managements software and tools</li>
<li>Experience with Salesforce or other CRM tools</li>
<li>Experience using Docusign or other contract signature applications</li>
</ul>Salary Range by Location:
<ul><li>AK: Anchorage: Min: $33.63, Max: $52.22</li>
<li>AK: Kodiak, Seward, Valdez: Min: $35.06, Max: $54.43</li>
<li>California: Humboldt: Min: $35.06, Max: $54.43</li>
<li>California: All Northern California - Except Humboldt: Min: $39.33, Max: $61.07</li>
<li>California: All Southern California: Min: $35.06, Max:$54.43</li>
<li>Montana: Except Great Falls: Min: $27.08, Max: $42.04</li>
<li>Montana: Great Falls: Min: $25.65, Max: $39.83</li>
<li>Oregon: Non-Portland Service Area: Min: $31.35, Max: $48.68</li>
<li>Oregon: Portland Service Area: Min: $33.63, Max: $52.22</li>
<li>Texas &ndash; Lubbock, Levelland, Plainview: Min: $25.65, Max: $39.83</li>
<li>Washington: Western: Min: $35.06, Max: $54.43</li>
<li>Washington: Southwest - Olympia, Centralia: Min: $33.63, Max: $52.22</li>
<li>Washington: Clark County: $33.63, Max: $52.22</li>
<li>Washington: Eastern: Min: $29.93, Max: $46.46</li>
<li>Washington: Southeastern: Min: $31.35, Max: $48.68</li>
</ul>Why Join Providence?
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 &ldquo;Know me, care for me, ease my way.&rdquo; Working at our family of organizations means that regardless of your role, we&rsquo;ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 410912
Company: Providence Jobs
Job Category: Legal
Job Function: Legal/Compliance/Risk
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4011 SS TEGRIA COMM CONN
Address: TX Lubbock 3623 22nd Pl
Work Location: Covenant Health Systems Foundation
Workplace Type: Remote
Pay Range: $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.</div>

Contracts Specialist, Community Connect, Virtual

Join Providence and explore 5   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Providence

ABOUT_COMPANY

RN Utilization Review - Part-time Day - REMOTE

Contracts Specialist, Community Connect, Virtual

Contracts Specialist, Community Connect, Virtual

Contracts Specialist, Community Connect, Virtual

Contracts Specialist, Community Connect, Virtual