Top 12 Clinical documentation specialist Jobs in Salem, Or

Concurrent Review RN
P3 Health Partners —Salem, OR
- $90,000 - $100,000 a year
- Monday to Friday
- Hybrid work
- Nursing
- RN License
- Bachelor of Science
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6d
Billing Specialist
Neaman Plastic Surgery & Medi Spa —Salem, OR
- $30 - $32 an hour
- Full-time
- Surgery
- Computer literacy
- Research
- Paid holidays
- Health insurance
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Inpatient Coding Auditor
Huron Managed Services LLC —Salem, OR
- $38.46 - $52.40 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Dental insurance
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5d
Infusion RN (Oncology)
Oregon Specialty Group —Salem, OR
- $44.83 - $64.99 an hour
- 8 hour shift
- Bilingual
- Nursing
- RN License
Registered Nurse | RN - Keizer
Avamere Skilled Advisors, LLC —Keizer, OR
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Disability insurance
- Health insurance
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Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Travel MedSurg RN Job in Shiprock, New Mexico
GIFTED Healthcare —United States
- $2,845.87 a week
- Overtime
- Nursing
- Patient monitoring
- RN License
- Health insurance
- Dental insurance
Quick Apply
2d
Travel IMC RN Job in Birmingham, Alabama
GIFTED Healthcare —United States
- $2,071.19 - $2,122.06 a week
- Overtime
- Nursing
- Medication administration
- RN License
- Health insurance
- Dental insurance
Quick Apply

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Billing Specialist
Neaman Plastic Surgery & Medi Spa —Salem, OR
This position works closely with providers, surgery scheduling, front office, billing team and leadership to ensure claims are submitted accurately, payments…
$30 - $32 an hour
Quick Apply
Medical Biller
Eye Care Physicians & Surgeons/Optic49 —Salem, OR
Prolonged periods sitting at a desk and working on a computer. Monitor accounts to identify overdue payments. Previous medical billing experience preferred.
$22.00 - $24.50 an hour
Quick Apply
3d

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Documentation and Reimbursement Specialist
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Five years of experience in related field (physician billing experience), preferred. As required by listed licensure and/or certification requirement.
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Equitas Health, Inc. —Columbus, OH
Must have reliable transportation and valid Ohio driver’s license. College coursework or vocational/technical training in nursing or another health-related…
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clinical documentation specialist jobs near salem, or

Concurrent Review RN

P3 Health Partners -
Salem, OR

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Job Details

$90,000 - $100,000 a year
6 days ago

Qualifications

RN License
Evidence-based practice

Full Job Description

Make an Impact Where Clinical Excellence Meets Care Coordination

Are you a clinically strong RN who thrives in a dynamic healthcare environment and enjoys collaborating across the continuum of care? P3 Health Partners is seeking a Concurrent Review RN to play a critical role in ensuring patients receive the right care, at the right time, and in the most appropriate setting.

In this role, you'll work closely with hospitals, physicians, specialists, care teams, and health plan partners to support appropriate utilization of healthcare resources, facilitate smooth care transitions, and improve patient outcomes. Your expertise will directly contribute to P3's commitment to the Quadruple Aim: improving health outcomes, enhancing the patient and provider experience, and reducing the cost of care.

What You'll Do

As a Concurrent Review RN, you'll leverage your clinical expertise and utilization management knowledge to evaluate medical necessity, coordinate care transitions, and collaborate with healthcare teams to ensure optimal patient care.

Key Responsibilities

Promote the mission, vision, and values of P3 Health Partners.
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations.
Review and approve services within scope of authority and escalate cases requiring additional review when appropriate.
Apply evidence-based review criteria, including:
- Health plan benefits
- CMS guidelines
- Local and National Coverage Determinations (LCD/NCD)
- InterQual and MCG criteria
Utilize clinical judgment to assess medical necessity, level of care, and appropriate service utilization.
Collaborate with hospitals, providers, and internal stakeholders to support discharge planning and care transitions.
Request and review additional clinical documentation to support utilization review decisions.
Escalate complex cases and medical necessity questions to the Medical Director as needed.
Coordinate care with physicians, specialists, emergency department personnel, patients, and families.
Partner with provider network teams and Medical Management departments to align care plans and support positive patient outcomes.
Educate providers and clinical staff regarding utilization management processes, criteria, and requirements.
Serve as a clinical resource and subject matter expert for non-clinical team members.
Identify opportunities to close care gaps and improve patient outcomes.
Accurately document all clinical reviews, communications, and decisions within designated systems.

What Makes You Successful

You are a highly skilled clinician with a strong understanding of utilization management, care coordination, and evidence-based decision making. You are comfortable working independently while building strong relationships across healthcare settings.

Core Competencies

Strong clinical knowledge of acute, post-acute, and transitional care management.
In-depth understanding of utilization management principles and medical necessity review processes.
Experience applying evidence-based criteria, including InterQual, MCG, and CMS guidelines.
Excellent communication skills with the ability to interact effectively with physicians, hospital personnel, patients, and families.
Strong critical thinking, assessment, and problem-solving abilities.
Ability to navigate complex or sensitive discussions regarding level of care and service authorization decisions.
Exceptional organizational skills with the ability to manage multiple priorities and deadlines.
Proficiency with Microsoft Office applications and medical management software platforms.
Ability to work independently while collaborating effectively within interdisciplinary teams.
Adaptability and commitment to continuous learning in an evolving healthcare environment.

Qualifications

Required

Graduate of an accredited School of Nursing.
Active Registered Nurse (RN) license in Oregon with the ability to obtain and maintain licensure in multiple states.
Minimum of four (4) years of clinical nursing experience.
Minimum of two (2) years of experience in a managed care, Medicare Advantage, or HMO environment.
Experience conducting medical necessity reviews and applying evidence-based clinical guidelines.

Preferred

Bachelor of Science in Nursing (BSN).
Previous Emergency Department (ED) experience.
Previous Intensive Care Unit (ICU) experience.
Experience in Case Management and/or Utilization Management.
Experience working with InterQual, MCG, CMS guidelines, and transitions of care programs.

Schedule Hours & Work Location

Monday - Friday, 8 AM - 5 PM PST
This role offers a hybrid work arrangement. Candidates will follow our hybrid schedule, working in office three days per week.

Salary Range: $90,000 - $100,000 annually

The posted salary range reflects P3 Health Partners' good-faith estimate for this role at the time of posting. Placement within the range will be based on qualifications, experience, education, geographic location, and internal equity considerations. In addition to base salary, eligible employees may have access to a comprehensive benefits package and other compensation opportunities.

Why Join P3?

People. Passion. Purpose.

At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives, and engage patients. We are a physician-led organization relentless in our mission to overcome obstacles and positively disrupt the business of healthcare, transforming it from sickness care into wellness guidance.

As a Concurrent Review RN, you'll play an essential role in helping patients navigate the healthcare system while ensuring high-quality, evidence-based care. Your expertise will help improve outcomes, support providers, and ensure patients receive the appropriate care at every stage of their healthcare journey.

At P3, you'll collaborate with passionate healthcare professionals who are committed to innovation, teamwork, and delivering meaningful results. If you are passionate about your work, eager to have fun, and motivated to be part of a fast-growing organization where your contributions truly make a difference, we'd love to hear from you.

Join us in transforming healthcare and helping communities achieve better health outcomes.

Education

Preferred

Bachelors or better in Nursing or related field

Licenses & Certifications

Required

RN License

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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Refine Your Search

clinical documentation specialist jobs in salem, or

Concurrent Review RN

Billing Specialist

Inpatient Coding Auditor

Infusion RN (Oncology)

Registered Nurse | RN - Keizer

Staff RN - ECMO Spec / FT, nights

Travel MedSurg RN Job in Shiprock, New Mexico

Travel IMC RN Job in Birmingham, Alabama

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Make an Impact Where Clinical Excellence Meets Care Coordination

What You'll Do

Key Responsibilities

What Makes You Successful

Core Competencies

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Schedule Hours & Work Location

Why Join P3?

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