Nurse Consultant Salary in Portland, ME

Pharmacy Services TechnicianLooking for candidates within Idaho, but the right candidate will be eligible for a remote role within our 4-state footprint (WA, ID, OR, and UT).Primary Job PurposeThe Pharmacy Services Technician is a corporate-wide technical support resource for pharmacy benefit, reimbursement, and other drug use issues which do not require clinical judgment. This function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals.Normally to be proficient in the competencies listed below:Pharmacy Services Technician would have a high school diploma or related certificate and five years of experience as a pharmacy services technician in a retail, hospital, or other licensed pharmacy setting or equivalent combination of education and experience. Pharm tech certificate may be substituted for two years of experience.Responsibilities:Performs all duties as described in this document unless doing so would require clinical judgement. In any situation in which clinical judgment is necessary, the Pharmacy Services Technician will seek assistance from appropriate medical personnel. Appropriate medical personnel will be available for support during normal business hours.Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, and government programs personnel and customer service. These pharmacy issues include formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims.Completes daily formulary operational processes, including tracking, processing, and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals. Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including, but not limited to medical chart notes/reports and medication profiles. Communicates (orally and by written documentation) information and determinations to providers and members as necessary.Obtains and organizes drug utilization data, including patient specific and population-based data, in a manner which facilitates clinical review and decisions by Clinical Pharmacist Consultants. Organizing data includes but is not limited to sorting drugs into appropriate therapeutic and generic categories.Assists with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of (Regence HMO Oregon) resources, substance abuse, and erroneous and fraudulent billing practices. Investigates and organizes workflow for claims referred to Pharmacy Services for review and allowable determination (misc. J codes, providers on review, reconsiderations).Supports wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement.Contributes to and supports the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward the corporation's quality improvement efforts.Minimum Requirements:Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS and HIPAA regulations.Knowledge of pharmaceutical products, including orals, injectables, infusion products, and chemotherapy.Knowledge of general office practices and procedures.Demonstrated knowledge of grammar and techniques of business practice.Ability to interact effectively with a variety of health care professionals, including physicians, nurses, pharmacists, and billing staff both internally and externally.Demonstrate maturity, tact, diplomacy, and persuasiveness.Demonstrated ability to perform pharmaceutical pricing calculations.Ability to type 30 words per minute, 60 wpm preferred.Demonstrated ability to operate a variety of standard business machines including calculators, copiers, and faxes.Basic computer programs skills (Word, Excel, etc.).Ability to organize, plan, and prioritize daily workflow and projects within time constraints.Experience with health insurance and/or prescription benefits preferred.Work Environment:Work primarily performed in an in-home environment.May be required to work overtime.The base pay annual salary range for this job is $18.80 - $34.10/hour,depending on candidate's geographic location and experience.The annual incentive payment target for this position is 5%.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Position Title: Certified Medical Assistant - Behavioral Health City: Portland State/Territory: US-OR Employment Duration: Full time Offer Relocation: No Excempt Status: Non-exempt ID: 12983 Description: Join our team as a Certified Medical Assistant and support our Behavioral Health team at Rosewood Family Health Center in Portland, OR. This is an opportunity to be part of a healthcare organization that believes in making a difference beyond medical care. At Yakima Valley Farm Workers Clinic, we value inclusivity, and we are more than just a job – we are a community committed to the well-being of our members.We've transformed into a leading community health center. With 40+ clinics across Washington and Oregon, we offer a wide range of services such as medical, dental, pharmacy, orthodontia, nutritional counseling, autism screening, and behavioral health. Our holistic model also extends assistance to shelter, energy, weatherization, HIV and AIDS counseling, home visits, and mobile medical/dental clinics.Explore our short clips, "WE are Yakima - WE are Family" and "YVFWC - And then we grew," for a glimpse into our dedication to our communities, health, and families.Position Highlights$21.51-$26.35/hour DOE with the ability to go higher for highly experienced candidatesAdditional pay for your bilingual skills!$5,000.00 Hiring/Retention Bonus Structure:At Hire: $1,500.00At 90-Days (3 months): $1,500.00At 180-Days (6 months): $2,000.00Bonus will be pro-rated based on Full Time Equivalency (FTE)Benefits100% employer-paid health insurance including medical, dental, vision, Rx, 24/7 telemedicineProfit sharing & 403(b) retirement plan availableGenerous PTO, 8 paid holidays, and much more!As a Medical Assistant working in Behavioral Health, you will have the opportunity to:Maintain and update patient medical records, prepare for visits by reviewing files and collaborating with ProvidersAssist in preparing exam rooms and explaining procedures to patients, collecting lab specimens, administering medication, and assisting physicians during exams and proceduresProvide education, respond to patient questions and concerns, ensure completion of essential questionnaires, and facilitate clinic flow with warm handoffsCommunicate with MAs and BHCs, support clinic resources, manage patient lists, and interpret for the Behavioral Health Consultant as neededHandle scheduling & telehealth visits, administer patient screeners, and perform outreach to high-risk patientsQualifications:Minimum high school diploma or GEDCompletion of accredited medical assisting program from CAAHEP or ABHES (720 training hours, including 160-hour externship), approved apprentice program, 720 hours of college education, equivalent military training, or minimum 2 years full-time MA experience, certified or exam-eligible.One year’s experience as a CMA is preferred CPR certification within 90 days of hireNational credential from AAMA, AMT, NHA, or NCCT within 12 months of hireMedical knowledge for understanding theories, reasons, and technical aspects of medicineStrong people skills to handle diverse personalities, backgrounds, and situationsExcellent multitasking ability to manage varied workloadsProficient in Microsoft Outlook, Word, Excel, Epic, and EMROur mission celebrates diversity. We are committed to equal-opportunity employment.Contact us at [email protected] to learn more about this opportunity! PI239454437

Legacy HealthNeonatal Nurse Practitioner SpecialistEqual Opportunity Employer/Vet/DisabledUS-OR-PORTLANDJob ID: 24-37643Type: On-Call (10% Differential and Min Shift Availability Required)Randall Children's Hospital at Legacy EmanuelOverview Legacy Health has a growth opportunity to join a well-established team of energetic NNP’s. The NNP role has opportunities at both Level III and IV NICU units within Legacy. Both units offer delivery attendance, medical management of high-risk neonates and infants, including rounding on NNP service patients. Telemedicine Resuscitation coverage of other Legacy level I nursery sites is also a vital part of the NNP role. The Level IV 45 bed unit is within Randall Children’s Hospital, a free-standing 9 story children’s hospital, and offers comprehensive care with all subspecialties, including cardiac and neurology surgery specialties, genetics and ECMO, within the framework of family integrated care. Randall Children’s Hospital has a dedicated children’s transport team. No transport requirement for the NNP role. Rotating 12-hour shifts. The Level III 22 bed unit at Legacy Salmon Creek Medical center is eagerly awaiting the addition of NNP’s to join the care team. The schedule is emerging and includes 12, 16 and 24-hour shift options. The role requires dual licensure in Oregon and Washington. Rotation frequency through both units is individualized to maintain 24-hour coverage at both sites, including nights, holidays, and weekends. Holiday tracks and a well-established self-scheduling model bring increased satisfaction and balance to the team. QUALIFICATIONS AND ESSENTIAL FUNCTIONS:Patient Care Management: The NNP’s work collaboratively with Neonatologists and pediatric subspecialists in the NICU as well as pediatricians and obstetricians in the Labor and Delivery and Family Birthing centers to guide the care of neonates and infants across the care continuum. The NNP’s are able to practice in an autonomous role utilizing all technical procedural skills as well as essential decision making in the care of these patients. Nursing Care Support: The NNP team provide ongoing support to the nursing staff whether on the unit or through formal education opportunities. The NNP’s are key leaders in patient care projects that support both nursing care and medical management.Resuscitation: The NNP’s attend deliveries in person at each of the medical centers and via a telehealth support platform at the other level I nursery sites to provide a consistent high level of care for newborns throughout the Legacy system. Discharge Planning: The entire NICU team works to provide an integrated family care experience to enable families to care for their high-risk infants within the NICU setting and beyond. The NICU values input from all members of the team including dedicated neonatal RT’s, consultants from dietary, OT/PT, lactation, as well as the core nursing, medical and leadership staff. EDUCATION:As required by licensure. EXPERIENCE:Minimum 2 years’ experience Level IV NICU preferred. LICENSURE:Current applicable state RN license required.Current applicable state license as a Neonatal Nurse Practitioner with Prescriptive Privileges (NNP-PP) required. National Certification as a Neonatal Nurse Practitioner (NNP) required.Current Neonatal Resuscitation Program Instructor Certification preferred.Credentialed by Legacy Medical Staff for Category I and II privileges.NRP certificate from the American Heart Association.Applications can be accessed through our website at, Careers | For Health Professionals | Legacy Health. For additional information please email Forrest Brown, [email protected]. Equal Opportunity Employer/Vets/Disabled. Sorry, no J-1 waivers available.PI239511022