ZipRecruiter

Log In

2

Centene Remote Rn Jobs in Oregon (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105.34K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

Brightways Counseling Group

PMHNP- Contractor

Beaverton, OR · On-site +1

$101.61 - $126.99/hr

Active, unrestricted PMHNP license in Oregon (This role is fully remote; you may reside in any eligible U.S. state outside CA, NY, MA, NJ and DE) * RN license in Oregon and in your state of residence

Performant

Medical Review Nurse II - SNF/MDS

OR · On-site +1

Effectively work independently and as a team, in a remote setting. Required and Preferred Qualifications: * Active unrestricted RN license in good standing, is required. * Must not be currently ...

Ascension

Director of Nursing Practice

$129.94K - $183.45K/yr

Remote with 25% Travel Department: Research and EBP Schedule: Full-Time, Days Salary range: $129 ... Registered Nurse obtained prior to hire date or job transfer date required. * BLS Provider obtained ...

CERiS

Hospital Bill Audit Supervisor

$76.21K - $117.66K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver ...

Corvel

Hospital Bill Audit Supervisor

$76.21K - $117.66K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver ...

WellSense Health Plan

Medical Claims Auditor

$57.50K - $83.50K/yr

Our Investment in You: · Full-time remote work · Competitive salaries · Excellent benefits Key ... If a Registered Nurse: o Minimum one year medical claim auditing or medical record review and ...

ZoomCare

Psychiatric Nurse Practitioner

Portland, OR · On-site +1

$140K - $163K/yr

Remote Schedule (Must be located in Oregon) ESSENTIAL FUNCTIONS Reasonable accommodations may be ... Current Registered Nursing licensure in Oregon and Washington. * Master of Science in Nursing (MSN ...

Corrohealth

Manager, Clinician Appeals

OR · Remote

Remote within US Only Travel Requirements: Occasional travel to client sites, industry events, or ... Experience working with offshore teams, a clinical background such as RN, coding expertise, or ...

Corrohealth

Manager, CDI Services

OR · Remote

... remote position ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and ... Current license as a registered nurse (RN) * BSN or MSN preferred * Possess sound judgment and ...

CERiS

Clinical Review QC Auditor

$68.57K - $104.84K/yr

Experience in the OR, ICU, or ER as an RN highly preferred * Required minimum of 2 year of recent ... Remote

Corvel

Clinical Review QC Auditor

$68.57K - $104.84K/yr

Experience in the OR, ICU, or ER as an RN highly preferred * Required minimum of 2 year of recent ... Remote

next page

Showing results 1-20

People also search for

All JobsCentene Remote Rn JobsCentene Remote Rn Jobs in Oregon

Centene Remote Rn information

See Oregon salary details

$1K

$2.1K

$3.2K

How much do centene remote rn jobs pay per week?

As of May 31, 2026, the average weekly pay for centene remote rn in Oregon is $2,068.15, according to ZipRecruiter salary data. Most workers in this role earn between $1,617.31 and $2,419.23 per week, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Centene Remote RN, and why are they important?

To thrive as a Centene Remote RN, you need a current RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations. Familiarity with care management software, telehealth platforms, and Centene-specific systems is typically required. Excellent communication, self-motivation, and strong organizational skills are essential soft skills for remote collaboration and effective patient engagement. These skills are crucial for ensuring quality care coordination, regulatory compliance, and seamless communication in a virtual healthcare environment.

What does a typical workday look like for a Centene Remote RN, and how does remote nursing differ from traditional bedside roles?

As a Centene Remote RN, your day typically involves conducting telephonic or virtual assessments, coordinating care plans, and collaborating with multidisciplinary teams to support members’ health needs. Unlike traditional bedside roles, remote nursing emphasizes case management, patient education, and ongoing follow-up rather than direct clinical procedures. You'll use electronic health records and communication platforms extensively, so strong organizational and communication skills are essential. The remote environment offers greater autonomy and flexibility but also requires proactive engagement to maintain effective teamwork and patient outcomes.

What is a Centene Remote RN?

A Centene Remote RN is a registered nurse who works for Centene Corporation, a large managed care company, primarily from a remote or home-based setting. These nurses provide care coordination, case management, health assessments, and support to members over the phone or via digital platforms rather than in-person. Their responsibilities often include educating patients, monitoring health conditions, and collaborating with healthcare providers to ensure members receive appropriate care. This role allows for flexibility and the opportunity to support patients across different locations.

What is the difference between Centene Remote Rn vs Centene Remote Lpn?

AspectCentene Remote RnCentene Remote Lpn
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote healthcare setting, patient assessments, care planningRemote healthcare setting, basic patient care, documentation
Employer & Industry UsageMajor healthcare provider, insurance industry

The main difference between Centene Remote Rn and Centene Remote Lpn lies in the required credentials and scope of practice. RNs typically handle more complex patient assessments and care planning, while LPNs focus on basic patient care and documentation. Both roles are remote and serve within the healthcare and insurance industry, but RNs generally have a broader scope of practice and higher responsibilities.

What are popular job titles related to Centene Remote Rn jobs in Oregon? For Centene Remote Rn jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Centene Remote Rn jobs in Oregon look for? The top searched job categories for Centene Remote Rn jobs in Oregon are:
Centene Remote Rn jobs near you
Infographic showing various Centene Remote Rn job openings in Oregon as of May 2026, with employment types broken down into 6% Locum Tenens, 9% Internship, 9% As Needed, 58% Full Time, 15% Temporary, and 3% Nights. Highlights an 100% Remote job distribution, with an average salary of $107,544 per year, or $51.7 per hour.
Utilization Review Nurse

Utilization Review Nurse

Umpqua Health

Roseburg, OR • On-site, Remote

$85K - $105.34K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 28 days ago

Job description

UTILIZATION REVIEW NURSE
REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations.
EMPLOYMENT TYPE: Full-Time, Exempt
About Umpqua Health
At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care.
ESSENTIAL JOB RESPONSIBILITIES
  • Perform clinical assessments and prior authorizations to determine medical necessity
  • Escalate complex cases to Medical Directors and request additional documentation as needed
  • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
  • Liaise with internal departments to resolve eligibility, benefits, or service issues
  • Participate in discharge planning for members transitioning from acute, long-term, or residential care
  • Conduct audits and support quality improvement initiatives
  • Provide training and mentorship on UM protocols and workflows
  • Maintain relationships with community providers and service organizations
  • Ensure compliance with organizational policies, clinical standards, and federal/state regulations
  • Perform other nursing-related duties as assigned

CHALLENGES
  • Working with a variety of personalities, maintaining a consistent and fair communication style.
  • Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS
  • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state
  • Graduation from an accredited nursing program
  • Minimum 5 years of direct patient care experience
  • Proficiency with Microsoft Office, EHR systems, and UM software
  • Strong clinical knowledge, communication, and organizational skills
  • No suspension, exclusion, or debarment from federal healthcare programs

PREFERRED QUALIFICATIONS
  • 2+ years of utilization review or case management experience in managed care
  • Oregon residency and license
  • Bilingual or translation skills a plus
  • Experience with quality improvement audits and diverse team collaboration
  • Ability to work independently in fast-paced environments
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $85,000- $105,340
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more

Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

Apply