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Insurance Utilization Review Jobs in Portland, OR

Providence Service

Utilization Review RN

Portland, OR · On-site

Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays ...

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Insurance Utilization Review information

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$22

$44

$73

How much do insurance utilization review jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for insurance 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 are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are popular job titles related to Insurance Utilization Review jobs in Portland, OR?

For Insurance Utilization Review jobs in Portland, OR, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Portland, OR look for?

The top searched job categories for Insurance Utilization Review jobs in Portland, OR are:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 22% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $91,646 per year, or $44.1 per hour.

Travel Utilization Review

AMN Healthcare Revenue Cycle

Portland, OR • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 14 days ago

Job description

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Portland, Oregon.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: Therapy
  • Start Date: 08/17/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00
POSITION SUMMARY RN Case Manager
POSITION DUTIES DCP in an acute care setting
MINIMUM REQUIRED QUALIFICATIONS OR and WA license; passing VI
PREFERRED QUALIFICATIONS previous Kaiser experience
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK 12:30 AM-8:30 AM; M-F; EOW
SYSTEMS Epic
START DATE 8/17/26
Facility Location
Nestled at the junction of two great rivers, ringed by pristine forests and ancient volcanoes, Oregon’s largest city is a great base for exploring the rugged Northwest while on assignment. Regularly voted as one of the “most livable cities” in the nation, Portland boasts a vital arts scene, beautiful parks, an abundance of microbreweries and a relaxed, unhurried way of life.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3547751. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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