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Per Diem Remote Rn Jobs in Oregon (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Portland, OR · Remote

$40/hr

... online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the ... Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions ...

Varsity Tutors

NCLEX-RN Tutor

Eugene, OR · Remote

$40/hr

... online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the ... Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions ...

Varsity Tutors

NCLEX-RN Tutor

OR · Remote

$40/hr

... online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the ... Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions ...

HealthEdge

Appeals RN (Temporary)

$50/hr

Registered Nurse with current unrestricted Registered Nurse license required. Certification in Case ... Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work ...

Terrestris LLC

Remote Medical Coder

Portland, OR · On-site +1

$30/hr

Monday - Friday (except Federal holidays), 40 hours per week between the hours of 8:00 am-4:30 pm ... American Health Information Management Association (AHIMA), including Registered Health Information ...

Centene

Clinical Review Nurse - Concurrent Review

OR · Remote

$27.02 - $48.55/hr

This is a 100% remote position that supports out Health Plan in Oregon, must have or willing to ... License/Certification: * LPN - Licensed Practical Nurse - State Licensure required * RN - ...

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Per Diem Remote Rn information

What is a Per Diem Remote RN job?

A Per Diem Remote RN job is a flexible nursing position where a registered nurse works on an as-needed basis from a remote location. These nurses typically provide telehealth services, case management, triage, or health coaching. Instead of a fixed schedule, they pick up shifts based on employer demand and their availability. This role is ideal for RNs seeking flexibility while maintaining clinical practice.

What are the key skills and qualifications needed to thrive in the Per Diem Remote Rn position, and why are they important?

To succeed as a Per Diem Remote RN, you need an active RN license, strong clinical judgment, and experience in telehealth or remote patient care. Familiarity with telemedicine platforms, EHR systems, and secure digital communication tools is important, as well as certification in BLS or ACLS. Outstanding organizational skills, self-motivation, and compassionate communication help you excel in a remote and flexible work environment. These abilities ensure you deliver safe, effective care and maintain strong patient engagement, even from a distance.

What does a typical workday look like for a Per Diem Remote RN, and how is the schedule structured?

As a Per Diem Remote RN, your daily routine typically involves assessing and managing patient needs via telehealth platforms, documenting care in electronic health records, and providing health education or triage services. Your schedule is highly flexible, allowing you to select shifts based on your availability rather than following a set weekly pattern. You'll collaborate virtually with healthcare providers, case managers, and support teams, while remaining responsive to patient inquiries throughout your shifts. This autonomy can offer a better work-life balance, though it may also require you to adapt quickly to changing demands and maintain strong self-discipline when working remotely.
More about Per Diem Remote Rn jobs
What are the most commonly searched types of Remote Rn jobs in Oregon? The most popular types of Remote Rn jobs in Oregon are:
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What job categories do people searching Per Diem Remote Rn jobs in Oregon look for? The top searched job categories for Per Diem Remote Rn jobs in Oregon are:
What cities in Oregon are hiring for Per Diem Remote Rn jobs? Cities in Oregon with the most Per Diem Remote Rn job openings:
Per Diem Remote Rn jobs near you
Infographic showing various Per Diem Remote Rn job openings in Oregon as of May 2026, with employment types broken down into 33% Full Time, and 67% Part Time. Highlights an 100% In-person job distribution.
Registered Nurse / RN - Utilization Management I

Registered Nurse / RN - Utilization Management I

CareOregon

Portland, OR • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 8 days ago

CareOregon rating

7.6

Company rating: 7.6 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

184th of 259 rated insurance

Job description

Registered Nurse / RN - Utilization Management I
The Registered Nurse - Utilization Management I is responsible for supporting specific utilization management (UM) program functions within the Clinical Operations department. UM program functions include Benefit Management, Benefit Review, Appeals and Grievances and Health Related Services (HRS). Together they support the healthcare needs of members, determine the best medically appropriate services, and apply clinical-based criteria for decision-making while managing medical expenses.
NOTE: This position focuses on Appeals and Grievance.
Estimated Hiring Range:
$102,330.00 - $125,070.00
Bonus Target:
Bonus - SIP Target, 5% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.
Essential Responsibilities
General Duties
  • Communicate with members and/or providers in a professional manner and in accordance with State and Federal requirements as needed to complete requests.
  • Maintain confidentiality of all discussions, records, and other data in connection with quality management activities according to professional standards.
  • Refer members to care coordination per policies and procedures.
  • Maintain accurate and complete documentation.
  • Collaborate with Medical Directors to determine medical necessity and appropriateness of care for benefits requested and/or rendered.
  • Work with clinical support staff to ensure service requests, authorizations and/or grievances are managed in accordance with state and federal guidelines.
  • Identify and refer potential quality of care issues for peer review.
  • Ensure that authorization decisions are based on organizational policy and state and federal coverage rules.
  • Gather and submit documents for third party case review; this includes all documentation and follow-up activities.
  • Issue denial notices based on established unit protocols and state and/or federal requirements.
  • Assist with periodic audits, general quality management and improvement activities, and other regulatory activities as needed.
  • Foster collaboration with teams across the Clinical Operations department to ensure work and goals are met.
  • Meet or exceed department production, timelines, and quality standards established for level I.
  • May participate in departmental workgroups or projects as assigned.
  • Support testing for system updates and implementations as assigned.
  • May help train new staff and teammates as assigned.
  • Cross train in additional functional focus areas as assigned.

Duties Specific to Functional Focus Area
  • Benefit Management
    • Review provider pre-service requests and determine benefit coverage according to Medicare, Medicaid and/or organizational guidelines.
  • Benefit Review
    • Determine appropriate level of care and length of stay for inpatient members to include hospitals, skilled nursing facilities, long term acute care hospitals, inpatient rehabilitation hospitals, and respite care programs.
    • Review inpatient admission for re-insurance clinical reporting.
  • Appeals and Grievance
    • Assemble evidence and build clinical cases for administrative hearings or Independent Review Entity (IRE) reviews.
    • Function as a CareOregon representative in administrative hearings.
    • Assist with the analysis and summary of data for written reports and public presentations as needed.
    • Communicate with members, providers, health plan administrators to manage grievances and appeals and provide case status updates as needed.
    • Investigate and use clinical judgement to identify quality of care or safety issues and present findings to an oversight committee.
  • Health Related Services
    • Review provider and member submitted HRSN and Flexible Services requests and determine benefit eligibility according to Medicaid and/or organizational guidelines.

Experience and/or Education
Required
  • Current unrestricted Oregon RN license
  • Minimum 2 years RN experience [OR 1 year RN experience AND 3 years' experience in healthcare setting role(s) such as billing, coding, medical assistant, etc.]

Preferred
  • More than 1 year RN experience
  • Healthcare utilization management experience in the functional focus area (Appeals and Grievance, Benefits Review or Benefit Management)
  • Experience with Medicaid and/or Medicare utilization management

Knowledge, Skills and Abilities Required
Knowledge
  • Knowledge of Medicaid health plan and Medicare benefits
  • Knowledge of applicable DMAP rules and regulations
  • Knowledge of ICD-10, CPT, and HCPCS codes
  • Familiarity with the principles of utilization management
  • Familiarity with healthcare documentation systems

Skills and Abilities
  • General computer skills including use of Microsoft Office applications and internet search functions
  • Ability to use review criteria in accordance with departmental policies
  • Ability to adhere to HIPAA regulations e.g., maintaining confidentiality of protected health information
  • Ability to interpret and apply complex policies and procedures
  • Ability to review work for accuracy
  • Ability to independently prioritize work
  • Ability to use critical thinking and problem-solving skills
  • Strong spoken and written communication skills
  • Strong interpersonal and customer service skills
  • Ability to work effectively with diverse individuals and groups
  • Ability to learn, focus, understand, and evaluate information and determine appropriate actions
  • Ability to accept direction and feedback, as well as tolerate and manage stress
  • Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
  • Ability to hear and speak clearly for at least 3-6 hours/day

Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home
We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.
We are an equal opportunity employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

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