Qureos Mentor

VanderHouwen

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 Nurse Case Manager (Care Case Manager)
 
 
 
 As a Care Case Manager, you&rsquo;re the connection point between physician reviewers, medical providers, claims staff, and injured workers. You&rsquo;ll help ensure people get the right level of care, provide guidance through the workers&rsquo; compensation system, and support our internal team so that nothing falls through the cracks.
 
 
 
 
 
 This role is perfect for a detail-oriented, compassionate problem-solver who enjoys variety, teamwork, and helping others navigate complex situations.
 
 
 
 
 
 
 What You&rsquo;ll Do
 
 
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 Coordinate Level of Care Reviews: Review cases in our system (OPS) and ensure patients receive the appropriate level of care.
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 Handle Follow-Up Calls: Step in when scheduled medical case management calls don&rsquo;t happen, gather information from providers, and relay questions or education on Oregon workers&rsquo; compensation laws.
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 Support &amp; Backup: Cover for team members and the Medical Treatment Review Specialist when they&rsquo;re unavailable.
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 Guide Injured Workers: Connect them with additional resources such as housing or food assistance.
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 Spot Barriers Early: Identify psychosocial or demographic factors that could delay recovery and alert the team.
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 Coach &amp; Collaborate: Share technical knowledge with claims staff and help improve our medical treatment review and case management processes.
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 Ensure Compliance: Stay current with contract requirements, MCO policies, and workers&rsquo; compensation laws.
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 Provide Excellent Service: Deliver high-quality support to both internal and external customers.
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 What You Bring
 
 
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 Credentials: Current Oregon Registered Nurse (RN) license.
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 Experience: At least 3 years in workers&rsquo; compensation, clinical care, or case management.
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 Skills:
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 Strong communication (written and verbal)
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 Knowledge of occupational medicine and medical terminology (including ICD-10 and CPT codes)
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 Organization, prioritization, and problem-solving
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 Ability to navigate conflict, coach others, and coordinate resources
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 Comfortable using technology and working from task logs
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 You&rsquo;ll Succeed Here If You&hellip;
 
 
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 Thrive in a fast-paced environment with multiple priorities.
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 Enjoy collaborating with a wide range of people.
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 Can make clear, empathetic decisions under pressure.
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 Stay organized and calm when workflows change unexpectedly.
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 Work Environment
 
 
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 Normal office setting with standard equipment (computer, phone, copier, etc.) work remotely, 4 days/ per week, and 1 day in the office in Tigard.
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 Remote work opportunities per current Worksite Options Policy.
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 May require occasional travel to client or provider locations.
 
 
 
 
 
 
 
 Salary: $90K-$100K/year. (DOE)Benefits
 
 
 
 Benefits are available to eligible full-time employees and include coverage for medical, dental, vision, life insurance, short and long term disability, and matching 401k.
 
 
 
 
 
 
 Meet VanderHouwen
 
 
 
 What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
 
 
 
 
 
 VanderHouwen is an award-winning, Women &amp; Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
 
 
 
 
 
 VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
 
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Patient Care Case Manager

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 Our client is seeking an HR Administrative Assistant who thrives in highly organized, detail-driven environments and can be trusted with sensitive information. This role is ideal for someone who takes initiative, works independently after initial direction, and brings a high level of professionalism and discretion while supporting large-scale document and office organization efforts.
 
 
 
 This role is on-site in Vancouver, Washington.
 
 
 
 
 HR Administrative Assistant Responsibilities
 
 
 
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 Digitize and organize HR records by scanning and uploading documents to shared systems while maintaining strict naming conventions.
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 Review and sort legacy employee files, handling highly confidential information with discretion and accuracy.
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 Support data entry efforts within HR systems, ensuring accuracy and completeness of sensitive personnel data.
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 Lead physical file consolidation efforts, reducing multiple filing systems into streamlined, efficient storage solutions.
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 Assist with office reconfiguration initiatives, including document storage transitions and workspace organization.
 
 
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 HR Administrative Assistant Qualifications
 
 
 
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 1+ years of administrative or HR support experience, preferably in a document-heavy environment.
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 Exceptional attention to detail with the ability to manage and organize large volumes of information accurately.
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 Demonstrated ability to handle confidential information with professionalism and integrity.
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 Strong organizational skills with the ability to follow direction and work independently with minimal oversight.
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 Familiarity with document management systems and basic HRIS platforms is preferred.
 
 
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 Compensation: $17-$19/hr. (DOE)
 
 
 VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
 
 
 
 As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.
 
 
 
 Meet VanderHouwen
 
 
 
 What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
 
 
 VanderHouwen is an award-winning, Women &amp; Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
 
 
 VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
 
 
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HR Administrative Assistant

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 Our client is seeking a detail-oriented and clinically strong Registered Nurse who excels at applying sound judgment to complex healthcare scenarios. This individual will bring a balance of analytical thinking, regulatory awareness, and clear communication to ensure fair and accurate appeal outcomes. The ideal candidate is collaborative, adaptable, and confident navigating both clinical and non-clinical conversations in a remote environment.
 
 
 
 This role is a Hybrid model in Idaho. Applicants must be able to maintain flexibility to occasionally support work outside of standard business hours may be required.
 
 
 
 
 Clinical Appeals Nurse (RN) Responsibilities
 
 
 
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 Conduct comprehensive clinical reviews of member and provider appeals, ensuring alignment with medical necessity, policies, and standards of care.
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 Apply clinical expertise to interpret medical records, benefit plans, and contractual requirements to support accurate determinations.
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 Collaborate with physician advisors when needed to validate complex or high-risk clinical decisions.
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 Ensure all appeal decisions meet regulatory, accreditation, and organizational compliance requirements.
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 Provide guidance and education to non-clinical team members on clinical aspects of appeals and case reviews.
 
 
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 </ul>
 
 Clinical Appeals Nurse (RN) Qualifications
 
 
 
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 Must hold a current, unrestricted Registered Nurse (RN) license in Oregon, Washington, Idaho, or Utah; Bachelor&rsquo;s degree in Nursing preferred.
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 Minimum of 2 years of experience in health insurance, utilization management, or clinical appeals review, plus at least 3 years of direct patient care experience.
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 Strong knowledge of medical terminology, procedures, coding systems (CPT, ICD, HCPCS), and clinical guidelines (e.g., MCG).
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 Proven ability to interpret medical records, claims, and benefit structures, and translate findings into clear, concise written determinations.
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 Familiarity with regulatory and accreditation standards, along with proficiency in Microsoft Office tools and remote work environments.
 
 
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 Compensation: $28-$30/hr. (DOE)
 
 
 VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
 
 
 
 As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.
 
 
 
 Meet VanderHouwen
 
 
 
 What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we're in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies' staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.
 
 
 VanderHouwen is an award-winning, Women &amp; Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!
 
 
 VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.
 
 
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Clinical Appeals Nurse (RN)

Join VanderHouwen and explore 3   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.

VanderHouwen

About Company

Patient Care Case Manager

HR Administrative Assistant

Clinical Appeals Nurse (RN)