Jobs at Umpqua Health

Perform utilization review for behavioral health and substance use services, determining medical necessity, level of care, and coverage. Conduct prospective, concurrent, and retrospective reviews; coordinate care transitions; support providers and members; ensure regulatory compliance and documentation; participate in quality improvement and appeals.

Coordinate and manage workforce development, student/resident placements, onboarding, compliance tracking (licensure, NHSC/HRSA), training administration, performance review coordination, and workforce reporting. Serve as liaison with educational partners, support learning systems (ADP, Lattice, LMS), and promote employee engagement and continuous improvement across the organization.

Evaluate clinical service requests, perform prior authorizations, conduct clinical assessments, coordinate care transitions, support discharge planning and quality audits, and ensure regulatory compliance while collaborating with interdisciplinary teams and community providers.

Serve as primary liaison between Umpqua Health and contracted providers. Build relationships, resolve provider questions (claims, eligibility, authorizations), conduct visits and orientations, track interactions, support onboarding, deliver education, monitor network performance, ensure regulatory and contractual compliance, and specialize in Oral Health, Behavioral Health, or HRSN as assigned.

Coordinate intake, review, processing, and tracking of prior authorization requests. Communicate with providers and members, ensure completeness and timely determinations, maintain regulatory compliance, monitor turnaround times, and support workflow coordination and reporting within Medical Management.

Coordinate and execute employee engagement, internal communications, events, recognition programs, community outreach, and employer branding. Manage SharePoint intranet, create visual and written content, oversee swag and branded materials, support onboarding and People Operations tasks, and chair engagement committees. Plan event logistics, budgets, vendor coordination, and post-event evaluations to strengthen organizational culture and employee experience.