Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we’re focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together.
Moda Health is seeking a Manager in our Healthcare Services department for Care Management. This position provides operational leadership for the care coordination, clinical disease management and case management functions; serves as a clinical advisor for staff to ensure the clinical quality and efficacy of member-facing efforts; develops and implements plans required to meet the care needs of Plan members.
Visit our career page at https://www.modahealth.com/about/careers.shtml or apply directly at http://ejob.bz/ATS/PortalViewRequirement.do?reqGK=27036008
Are you ready to be a betterist?
If you’re ready to make a difference that matters, we want to hear from you. Because it’s time to discover what’s possible.
Together, we can be more. We can be better.
Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law.
• Bachelor's of Science in Nursing or closely related field • Five (5) years of experience in health care service delivery • Three (3) years of experience in Utilization Management, Care Coordination and/or Case Management – preferably with a health care insurance plan • Experience with the application of standards of care, criteria and guidelines • Experience managing people and projects • Demonstrated success driving change in the healthcare delivery system, from either a provider or plan perspective. • Strong project management, clinical data and financial analysis skills.
Required Certificates, Licenses and Registrations: • Registered Nursing degree or other health professional degree. • Active, unrestricted State of Oregon license.
Founded in 1955, The ODS Companies (ODS) is a multi-faceted organization that provides dental, medical, and professional liability insurance products, along with a variety of business services including dental practice management software and benefits administration. We believe strongly in the importance of helping others, and this extends beyond our delivery of healthcare and business services. W...e support a wide variety of community organizations, and our employees contribute countless hours of volunteer assistance annually.