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Kaiser Utilization Management Jobs in Oregon (NOW HIRING)

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Kaiser Utilization Management information

See Oregon salary details

$41.2K

$94.6K

$172.3K

How much do kaiser utilization management jobs pay per year?

As of Aug 25, 2026, the average yearly pay for kaiser utilization management in Oregon is $94,609.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,200.00 and $110,500.00 per year, depending on experience, location, and employer.

What is Kaiser Utilization Management?

Kaiser Utilization Management refers to the process within Kaiser Permanente that evaluates the necessity, appropriateness, and efficiency of healthcare services provided to members. Utilization management professionals review medical cases to ensure that treatments and procedures are medically necessary and align with established guidelines. Their goal is to optimize healthcare outcomes while controlling costs and preventing unnecessary services, ensuring members receive the right care at the right time.

What are the key skills and qualifications needed to thrive as a Kaiser Utilization Management professional?

To thrive in Kaiser Utilization Management, you need a solid background in clinical healthcare (often as an RN or other licensed clinician), understanding of medical necessity criteria, and experience with healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of guidelines such as Milliman or InterQual are typically required. Excellent communication, critical thinking, and organizational skills set standout professionals apart in this role. These competencies ensure effective resource management, regulatory compliance, and quality patient care within the healthcare system.

How does a Kaiser Utilization Management professional typically collaborate with healthcare providers to ensure appropriate patient care?

Kaiser Utilization Management professionals work closely with physicians, nurses, and other healthcare team members to review patient cases and ensure that treatments and services are medically necessary and align with organizational guidelines. This collaboration often involves case discussions, care planning meetings, and providing recommendations for alternative care options when appropriate. Open communication and a collaborative approach help ensure patients receive high-quality care while also managing resources efficiently. Professionals in this role regularly interact with both clinical and administrative staff to resolve issues and support optimal patient outcomes.

What is the difference between Kaiser Utilization Management vs Kaiser Case Manager?

AspectKaiser Utilization ManagementKaiser Case Manager
Primary RoleReview and authorize healthcare services based on medical necessityCoordinate and manage patient care plans and services
CertificationsTypically requires medical or nursing credentials, possibly certifications in utilization reviewOften requires nursing or social work credentials, with case management certifications
Work EnvironmentUtilization review departments within health plans or hospitalsDirect patient interaction, care coordination teams, healthcare facilities
Industry UsageCommonly employed by health insurance providers like KaiserEmployed in healthcare settings, insurance companies, or integrated health systems

While both roles are integral to healthcare management at Kaiser, Utilization Management focuses on reviewing services for appropriateness, whereas Case Managers actively coordinate patient care and services. Understanding these differences helps clarify career paths and job expectations within Kaiser’s healthcare system.

What are popular job titles related to Kaiser Utilization Management jobs in Oregon?

For Kaiser Utilization Management jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Kaiser Utilization Management jobs in Oregon look for?

The top searched job categories for Kaiser Utilization Management jobs in Oregon are:

Kaiser Utilization Management jobs near you
Infographic showing various Kaiser Utilization Management job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $94,609 per year, or $45.5 per hour.

RN Care Coordinator, Inpatient (32hrs, Days)

Clackamas, OR • On-site

Kaiser Permanente
See more jobs at Kaiser Permanenteexternal

Other

Medical

Posted 27 days ago

Job description

Description:
Job Summary:
Inpatient Care Managers are Registered Nurses who independently assure patients are admitted to the correct level of care for accurate billing and reimbursement, provide quality, cost effective clinical coordination/care management in acute care and emergency care settings, manage patients with routine and complex transition planning needs by independently assessing needs, developing, and implementing plans of care for transitions across care settings. Inpatient Care Manager also serve as expert consultants and educators for physicians and other health care team members for discharge and transitional care, coordination of internal and community resources, and support the evaluation and improvement of systems of care to support the optimal utilization of health care resources, while maintaining quality of patient care. The Inpatient Care Manager assumes primary accountability for anticipating, assessing, developing, implementing, documenting, advising, and communicating a safe transition plan of care for patients with complex care needs.
Essential Responsibilities:
  • Coordinates post-discharge patient care needs to assure the timely and effective discharge of routine and complex patients from the hospital setting.
  • Independently and proactively completes and documents patient assessments which are thorough, timely, age appropriate, and reflect psychosocial support systems, care needs, health plan benefits, level of care determinations for hospitalized patients.
  • Coordinates and communicates with patients, families, and the health care team to develop mutually agreeable plans of care that optimize the use of resources to support the particular needs of individual patients.
  • Facilitates resolution of issues which present barriers to safe transfers through the use of patient/team care conferences to assure the efficient transition to a lower level of care and to assure the patient/family receives the right care at the right time so that quality and utilization of resources are simultaneously enhanced.
  • Ensures systematic and ongoing contact with interdisciplinary staff and continuing care services to assure the safe transition of patients across care settings.
  • In collaboration with the interdisciplinary health care team, ensures regulatory and compliance standards are met.
  • Perform duties as requested.
Basic Qualifications:
Experience
  • Minimum of two years combined RN experience in the following areas:
  • Med/Surg (hospital acute care)
  • ICU (hospital acute care)
  • Emergency Department
  • Home Health
  • Skilled Nursing Facilities
  • Hospice
  • Long Term Acute Care
  • Inpatient Rehab
  • Utilization Management
Education
  • Successful completion of an RN program by date of hire.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • This job requires credentials from multiple states. Credentials from the primary work state are required at hire. Additional Credentials from the secondary work state(s) are required post hire.
  • Registered Nurse License (Washington) within 6 months of hire OR Compact License: Registered Nurse within 6 months of hire
  • Registered Nurse License (Oregon) within 6 months of hire
  • Basic Life Support within 3 months of hire
Additional Requirements:
  • Demonstrated ability to interrelate with physicians, nurses, support staff, and patients in interdisciplinary approach.
  • Demonstrated ability to work as part of a team and work as a constant patient advocate.
  • Basic physical, psychosocial, functional assessment skills.
  • Familiar with care process related to discharge and transitional facilities and services.
  • Thorough knowledge of principles of teaching and delegation, assessment skills and care planning, and appropriate
  • utilization of acute hospital, long-term care, and home care resources.
  • Able to develop concise and thorough documentation of patient clinical assessment and care needs.
  • Highly effective problem solving, written and verbal communication, customer service, organizational and time
  • management skills.
  • Ability to effectively provide culturally competent care.
  • Ability to navigate conflict in high pressure situations.
  • Ability to use fixed and mobile technological devices.
Preferred Qualifications:
  • Knowledge of appropriate utilization of acute hospital and Kaiser Permanente internal resources.
  • Knowledge of Medicare and Medicaid regulations related to eligibility requirements: hospital, nursing facilities, home
  • health, hospice, and Durable Medical Equipment (DME).
  • Knowledge of utilization management principles and tools.
  • Demonstrated clinical judgment and customer-focused service skills.
  • Knowledge of principles of patient teaching, disease prevention measures, and physical assessment as it relates to the
  • needs of patient and the next level of care.
  • Certified in Case Management.
  • BSN or bachelors degree and MSN.

Primary Location: Oregon,Clackamas,Kaiser Sunnyside Medical Center
Scheduled Weekly Hours: 32
Shift: Day
Workdays: Sun, Mon, Tue, Wed, Thu, Fri, Sat
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Part-time
Job Type: Standard
Worker Location: Onsite
Employee Status: Regular
Employee Group/Union Affiliation: W05|AFT|Local 5017
Job Level: Individual Contributor
Department: Sunnyside Medical Center - UR-Discharge Planning - 1001
Pay Range: $59.29 - $90.44 / year Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: No
On-site: Work location is on-site (KP designated office, medical office building or hospital). Worker location must align with Kaiser Permanente's Authorized States policy. Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

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