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Per Diem Utilization Review Jobs in Oregon (NOW HIRING)

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Per Diem Utilization Review information

What is a per diem utilization review?

Per Diem Utilization Review nurses are registered nurses who work on an as-needed basis to evaluate the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary responsibility is to review patient records and ensure that treatments and hospital stays meet established guidelines and standards, often for insurance or compliance purposes. Because they work per diem, their schedules are flexible and they may support hospitals, insurance companies, or other healthcare organizations during periods of high demand. This role requires strong clinical knowledge, attention to detail, and good communication skills to interact with both healthcare providers and payers.

What are the key skills and qualifications needed to thrive as a per diem utilization review?

To thrive as a Per Diem Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS and insurance guidelines are typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and payers. These competencies are crucial for ensuring appropriate care delivery, compliance, and optimal resource utilization in a flexible work environment.

What are some common challenges faced by per diem utilization review staff, and how can they effectively manage these challenges?

Per Diem Utilization Review professionals often face challenges such as managing fluctuating workloads, staying updated on frequently changing payer requirements, and effectively communicating with various healthcare teams. Since scheduling can be variable, strong organizational skills and adaptability are essential. To manage these challenges, it's helpful to maintain up-to-date knowledge of current guidelines, utilize electronic health record systems efficiently, and foster collaborative relationships with clinical staff and case managers to ensure timely and accurate reviews.

What are the most commonly searched types of Utilization Review jobs in Oregon?

The most popular types of Utilization Review jobs in Oregon are:

Per Diem Utilization Review jobs near you

Pharmacist - Per Diem - Part Time

Yakima Valley Farm Workers Clinic

Woodburn, OR

$80.22/hr

Part-time, Per diem

Posted 3 days ago

New

Yakima Valley Farm Workers Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

Job description

Join our team as a Per Diem Pharmacist at Salud Medical Center in Woodburn, OR, and be part of a healthcare organization that believes in making a difference beyond medical care!
What does it mean to join our team as a pharmacist?
As a pharmacist at Yakima Valley Farm Workers Clinic, you are truly integrated into a team-based healthcare organization working to the top of your licensure. Pharmacists are involved in all aspects of patient care and have access to patient charts, labs, medications, and diagnoses. With the ability to prescribe or modify care plans via collaborative agreements, our goal is to ensure patients receive the best and most complete, cost-effective medications and care possible. Aside from traditional outpatient dispensing, pharmacists provide clinical support to medical providers via chronic refill authorization, therapeutic interchanges, and prior authorization completions. Additionally, there is an opportunity for clinical visits managing diabetes, hypertension, anticoagulants, and asthma, amongst other chronic conditions, with direct face-to-face or telehealth patient care.
At Yakima Valley Farm Workers Clinic, we value inclusivity and are more than just a job-we are committed to the well-being of our community.
We are one of the region's leaders in community health centers with 40+ clinics across Washington and Oregon. We offer a wide range of in-house services across medical, dental, pharmacy, orthodontia, nutrition, and behavioral health. Our holistic model 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 the dedication to our communities, health, and families.
This per diem position will provide coverage across our Salud, Lancaster, and Rosewood clinics, with shifts scheduled Monday through Friday between 8:00 am and 6:00 pm.
Who we are looking for:
  • A Pharmacist passionate about serving underserved communities
  • A Pharmacist with experience in community or ambulatory pharmacy practice
  • New graduate? Make your resume stand out by listing all rotations in community or ambulatory pharmacy practice
  • PGY-1 & PGY-2 residencies are equivalent to work experience

What We Offer:
  • $80.22/hour

What You'll Do:
  • Provide patient care services as assigned, which include but are not limited to:
    • Drug Utilization Review
    • Patient Counseling
    • Medication Therapy Management
    • Perform Collaborative Drug Therapy Management or other post-diagnostic disease state management, pursuant to a valid agreement
    • Prescribe drug or device, as authorized by statute, according to Drug Therapy Management Protocols
    • Order, interpret, and monitor laboratory tests
    • Receive or transfer of a prescription
  • Provide direct oversight of pharmacy personnel, ensuring work is within the scope of practice and duties of their licensure
  • Ensure the security of the pharmacy area, including the provision of adequate safeguards against theft or diversion of prescription drugs
  • Ensure all records and inventories are maintained in accordance with state and federal laws
  • Ensure new prescriptions, refills, and drug orders are correctly dispensed according to the provider's authorization and YVFWC policies and procedures
  • Maintain active licensure and pharmacological knowledge by attending educational workshops, reviewing professional publications, establishing professional networks, and participating in professional societies

Qualifications
  • To be considered for this position, you must complete a Bachelor's Degree in Pharmacy and have a current Oregon State Pharmacist License.
  • A Pharm D Degree and Bilingual (English/Spanish) speaking skills are preferred
  • Drug testing: This position requires testing for controlled substances before employment and will be subject to further testing throughout employment.

Our Mission Statement:
“Together we transform our communities through compassionate, individualized care, eliminating barriers to health and well-being.”
Our mission celebrates inclusivity. We are committed to equal-opportunity employment.
Contact us at to learn more about this opportunity.
Visit our website at for more information about our organization!

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