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Director Remote Utilization Review Jobs in Oregon

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Director Remote Utilization Review information

What is a director of remote utilization review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a director of remote utilization review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a director of remote utilization review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.

What is the difference between Director Remote Utilization Review vs Utilization Review Nurse?

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

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

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

What cities in Oregon are hiring for Director Remote Utilization Review jobs?

Cities in Oregon with the most Director Remote Utilization Review job openings:

Infographic showing various Director Remote Utilization Review job openings in Oregon as of July 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Therapeutic Mental Health Counselor - Remote

Clearly Heard Counseling Services, LLC

Hermiston, OR โ€ข Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Life

Posted 18 days ago


Job description

Position Overview

Clearly Heard Counseling Services, LLC is seeking a dedicated and compassionate licensed mental health therapist to join our dynamic team. This full-time role allows you to make a significant impact in the mental health field by collaborating with clients from your own remote setting while focusing on providing quality patient care. With a salary range of $80,000 to $100,000, this position promises a rewarding career while contributing to the well-being of individuals and families.

About the Organization

At Clearly Heard Counseling Services, we strive to improve access to quality mental health care. Our mission is deeply rooted in eliminating stigma, bridging service gaps, and transforming the culture surrounding mental health treatment. We pride ourselves on being innovative as we partner with community providers and clients, ensuring that care is personalized and comprehensive for each individual we support.

Work Environment

This role is entirely remote, allowing for flexibility and the ability to maintain a work-life balance while serving clients in the Hermiston, Oregon area and beyond. As an outpatient office, we create a welcoming virtual space where our therapists can focus on what they do bestโ€”delivering exceptional mental health care.

Key Responsibilities
  • Engage in weekly collaborative treatment team meetings, actively discussing and setting treatment goals with fellow team members to ensure alignment and effective care delivery.
  • Conduct utilization reviews for various insurance companies, precisely providing essential clinical information to secure approval for treatment plans and ongoing care as required.
  • Maintain open lines of communication with clients' family members by responding to all inquiries via calls or emails within two hours during business hours and within 24 hours outside of business hours.
  • Coordinate with the Utilization Review and Business Department on matters of authorization and payments, ensuring seamless billing operations.
  • Establish continuity of care by effectively communicating with referral sources and outpatient providers at critical points: admission, midpoint, and discharge.
  • Initiate discharge planning on the day of the clientโ€™s admission, including delivering planned discharge sessions to review coping strategies and resources and confirming follow-up appointments.
  • Manage crisis situations with composure, offering support to clients and collaborating with milieu staff to uphold a therapeutic environment.
  • Ensure timely clinical documentation is completed accurately throughout the treatment phase, adhering to the requirement that all documentation is finalized at the point of care.
  • Build and nurture a therapeutic rapport with clients and their families, conducting necessary assessments for risk evaluation, including suicidality and threats of harm to self or others.
  • Facilitate smooth admission assessments for new clients, employing a sense of professionalism and warmth to create an inviting environment.
Patient Population / Client Focus

As a licensed mental health therapist with Clearly Heard Counseling Services, you will work with a diverse client population that spans various age groups, backgrounds, and mental health concerns. Your role is central to creating a safe space for clients to explore their challenges and work toward meaningful change. You will implement evidence-based therapeutic techniques tailored to meet the unique needs of each individual, ultimately promoting better health outcomes.

Qualifications
  • A master's or doctoral degree in clinical psychology, counseling, or social work from an accredited institution (e.g., MA, MSW, PsyD).
  • An independent license (e.g., LCSW, LMFT, LPC) to practice in the state of Oregon.
  • Demonstrated ability to manage a substantial caseload while effectively interfacing with various healthcare providers.
  • Proficiency in the use of electronic medical records and communication platforms to streamline processes and documentation.
Preferred Experience
  • Experience working in outpatient mental health settings or community-based organizations where collaboration and client-centered care are paramount.
  • Strong skills in crisis intervention and conflict resolution, with the capability to de-escalate situations when necessary.
  • A proven track record of effectively engaging in clinical outreach and conducting program tours to raise awareness and connect with potential clients.
Compensation and Benefits
  • Competitive salary ranging from $80,000 to $100,000 annually, reflecting your expertise and contributions.
  • Comprehensive benefits package, including life and disability insurance, medical, dental, and vision coverage.
  • Professional liability insurance to support your practice and accountability.
  • Employee assistance program for personal mental health support.
  • Minimal paperwork, allowing you to focus more time on providing direct client care.
  • A full caseload that ensures you have a busy and fulfilling schedule.
Career Growth Opportunities

Our organization is committed to fostering the professional development of our staff. As a licensed therapist, you will have access to continuous training, mentorship opportunities, and the ability to expand your clinical skills in various therapeutic modalities. We encourage our mental health professionals to explore leadership roles and advanced clinical positions as they grow within our organization.

Why Join Our Team

Joining Clearly Heard Counseling Services means being part of a forward-thinking team dedicated to improving the lives of our clients and our community. We value diversity and are committed to building a workforce that mirrors the demographics of those we serve. You will become an essential part of a supportive environment where your efforts are recognized, and your professional growth is nurtured. Take this opportunity to change lives and be an agent of change in mental health care.

Application Information

If you're ready to embark on a fulfilling career as a licensed mental health therapist with Clearly Heard Counseling Services, we encourage you to apply. Please submit your resume and a cover letter detailing your relevant experience and passion for mental health care. Join us in making a positive impact!