Utilization Review RN
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days ... care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full ...
... pediatric, adolescent, adult and geriatric, based on population focus. Duties also include complex discharge planning and utilization review. Providence caregivers are not simply valued - they're ...
... pediatric, adolescent, adult and geriatric, based on population focus. Duties also include complex discharge planning and utilization review. Providence caregivers are not simply valued - they're ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$158K - $240K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$158K - $240K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$125K - $150K/yr
Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy ... Pediatric and/or ambulatory pharmacy practice experience. * Advanced Pharmacy Practice Residency OR ...
Portland, OR ยท On-site
$159 - $240/hr
Pediatric Clinical Pharmacist - Ambulatory Clinics The insights provided are generated by AI and ... Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy.
Portland, OR ยท On-site
$159 - $240/hr
Pediatric Clinical Pharmacist - Ambulatory Clinics The insights provided are generated by AI and ... Conducts prospective and retrospective drug utilization reviews to ensure optimal therapy.
Portland, OR ยท On-site
$61.75 - $74.25/hr
... utilization review and program development, (5) clinical policy development and application ... Neonate, Pediatric, Adolescent, Adult, Geriatric Consequently, the employee must be competent in ...
Portland, OR ยท On-site
$61.75 - $74.25/hr
... utilization review and program development, (5) clinical policy development and application ... Neonate, Pediatric, Adolescent, Adult, Geriatric Consequently, the employee must be competent in ...
Portland, OR ยท On-site
$2.4K/wk
Float within scope to adult inpatient, ED, and Pediatric units as needed, including to nearby ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Portland, OR ยท On-site
$2.4K/wk
Float within scope to adult inpatient, ED, and Pediatric units as needed, including to nearby ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Lake Oswego, OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy -- oncology, infusion, pediatrics, and more The broader your experience, the ...
Quick apply
Lake Oswego, OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy -- oncology, infusion, pediatrics, and more The broader your experience, the ...
OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy - oncology, infusion, pediatrics, and more The broader your experience, the more ...
Lake Oswego, OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy -- oncology, infusion, pediatrics, and more The broader your experience, the ...
Quick apply
Lake Oswego, OR ยท On-site
$60 - $72/hr
Experience in drug utilization reviews and maintaining accurate records * Deliver exceptional ... Specialty Pharmacy -- oncology, infusion, pediatrics, and more The broader your experience, the ...
... and compassionate Spanish speaking Pediatrician to join a collaborative, outpatient ... Participate in utilization and peer review programs which evaluates the quality of the medical ...
... and compassionate Spanish speaking Pediatrician to join a collaborative, outpatient ... Participate in utilization and peer review programs which evaluates the quality of the medical ...
| Aspect | Pediatric Utilization Review | Pediatric Case Manager |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications | Requires nursing, social work, or healthcare certifications |
| Work Environment | Reviewing medical records and insurance claims, often remotely or in office | Direct patient interaction, coordinating care, often in clinical or community settings |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, clinics, community health agencies |
While both roles focus on pediatric healthcare, Pediatric Utilization Review primarily involves evaluating medical necessity and insurance claims, whereas Pediatric Case Managers coordinate ongoing patient care and support families directly. Understanding these differences helps in choosing the right career path or job search focus.
For Pediatric Utilization Review jobs in Oregon, the most frequently searched job titles are:
The top searched job categories for Pediatric Utilization Review jobs in Oregon are:
Cities in Oregon with the most Pediatric Utilization Review job openings:

Portland, OR โข On-site
Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 14 days ago
Description
Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.
This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.
The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 439934
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 5016 RS UTILIZATION MGMT
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.