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Director Remote Utilization Review Jobs in Portland, OR

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Director Remote Utilization Review information

See Portland, OR salary details

$22

$44

$73

How much do director remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for director remote utilization review in Portland, OR is $44.84, according to ZipRecruiter salary data. Most workers in this role earn between $35.43 and $51.49 per hour, depending on experience, location, and employer.

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 Portland, OR?

The most popular types of Remote Utilization Review jobs in Portland, OR are:

Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC) - Full-Time

Clearly Heard Counseling Services, LLC

Fairview, 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 licensed mental health therapist to join our innovative team. This remote, full-time position focuses on providing high-quality outpatient therapy services to clients, with a commitment to improving mental health access and eliminating stigma.

About the Organization

At Clearly Heard Counseling Services, we believe in the power of effective therapy and the importance of a holistic approach to mental well-being. Located in Fairview, Oregon, our organization has made significant strides in transforming mental health culture by implementing evidence-based practices tailored to each patientโ€™s unique needs. We collaborate with clients and community providers to ensure comprehensive and individualized treatment pathways that promote positive outcomes.

Work Environment

As a remote healthcare provider, you will work independently while being fully supported by our dynamic, multidisciplinary team. You will have access to various digital tools and platforms that facilitate seamless communication and documentation, allowing you to focus on delivering exceptional patient care. We foster an environment of support and continuous learning, ensuring that our therapists have the resources they need to thrive.

Key Responsibilities
  • Maintain timely and professional communication with clients, families, and referral sources, ensuring all calls and emails are returned promptlyโ€”within two hours during business hours and within 24 hours otherwise.
  • Collaborate closely with the Utilization Review and Business Departments to manage authorizations, ensuring a smooth billing process.
  • Lead discharge planning from the day of admission, conducting thorough discharge sessions to confirm that patients understand their aftercare plans, coping strategies, and necessary resources.
  • Effectively manage crises during therapy sessions, providing necessary support to both clients and milieu staff, and collaborating with the treatment team to uphold the highest clinical quality.
  • Complete all clinical documentation accurately and timely, ensuring compliance with treatment protocols and standards.
  • Establish and nurture therapeutic rapport with clients, performing regular assessments for suicidality and risk of harm to self or others.
  • Conduct professional admissions assessments, welcoming new patients with courtesy and kindness, and participating actively in clinical outreach activities.
  • Engage in weekly treatment team meetings to discuss patient progress, treatment goals, and collaborate with fellow clinicians to provide comprehensive care.
  • Provide utilization reviews for insurers, supplying necessary clinical documentation for initial and continued stay authorizations.
Patient Population / Client Focus

Our therapists serve a diverse clientele with varying mental health needs, including anxiety, depression, trauma, and family issues. By providing individualized treatment plans and fostering an inclusive atmosphere, we ensure that all individualsโ€”regardless of backgroundโ€”receive compassionate and effective care aligned with their personal goals.

Qualifications
  • A Masterโ€™s or Doctorate degree in Clinical Psychology, Counseling, or Clinical Social Work from an accredited program.
  • An independent licensure in the state of Oregon (LCSW, LMFT, or LPC).
  • Proficiency with electronic medical record systems and excellent electronic communication skills.
  • A passionate commitment to improving lives through mental health services.
Preferred Experience
  • Experience managing a robust caseload while maintaining high standards of care.
  • Familiarity with broader healthcare systems and the ability to effectively interface with large providers and support teams.
Compensation and Benefits

We offer a competitive annual salary ranging from $80,000 to $100,000, depending on experience, as well as a comprehensive benefits package that includes:

  • Professional liability insurance to protect your practice.
  • An Employee Assistance Program (EAP) for additional mental health support.
  • Minimized paperwork to allow you more time for patient care.
  • A full caseload providing a fulfilling and busy work schedule.
  • Comprehensive medical, dental, and vision insurance coverage.
  • Life and disability insurance for added financial protection.
Career Growth Opportunities

At Clearly Heard Counseling Services, we are committed to the professional development of our staff. Therapists will have opportunities for ongoing education, mentorship, and involvement in professional committees, paving the way for advancement within our organization and in the larger mental health field.

Why Join Our Team

We are dedicated to building a diverse workforce that reflects the communities we serve and enhances the quality of care we provide. As part of our team, you will play a crucial role in shaping the future of behavioral healthcare while working in a supportive and progressive environment. Join us in making a significant impact on the lives of our patients and the broader community.

Application Information

If you are passionate about mental health and meet the qualifications outlined above, we invite you to apply. Become part of a committed team that is changing lives and fostering a healthier future for all. We look forward to your application!