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Per Diem Utilization Review Jobs in Oregon (NOW HIRING)

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Per Diem Utilization Review information

What is a per diem utilization review?

Per Diem Utilization Review nurses are registered nurses who work on an as-needed basis to evaluate the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary responsibility is to review patient records and ensure that treatments and hospital stays meet established guidelines and standards, often for insurance or compliance purposes. Because they work per diem, their schedules are flexible and they may support hospitals, insurance companies, or other healthcare organizations during periods of high demand. This role requires strong clinical knowledge, attention to detail, and good communication skills to interact with both healthcare providers and payers.

What are the key skills and qualifications needed to thrive as a per diem utilization review?

To thrive as a Per Diem Utilization Review Nurse, you need a valid RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of CMS and insurance guidelines are typically required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and payers. These competencies are crucial for ensuring appropriate care delivery, compliance, and optimal resource utilization in a flexible work environment.

What are some common challenges faced by per diem utilization review staff, and how can they effectively manage these challenges?

Per Diem Utilization Review professionals often face challenges such as managing fluctuating workloads, staying updated on frequently changing payer requirements, and effectively communicating with various healthcare teams. Since scheduling can be variable, strong organizational skills and adaptability are essential. To manage these challenges, it's helpful to maintain up-to-date knowledge of current guidelines, utilize electronic health record systems efficiently, and foster collaborative relationships with clinical staff and case managers to ensure timely and accurate reviews.

What are the most commonly searched types of Utilization Review jobs in Oregon?

The most popular types of Utilization Review jobs in Oregon are:

Travel Nurse RN - Utilization Review

Medlivo

Portland, OR • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 16 days ago


Job description

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland, Oregon.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Minimum Requirements:-
Active RN license: Oregon & Washington/Multistate
BLS certification
Minimum 1 year of recent Case Management with Patient Care Coordinator (PCC) experience
Epic EMR experience
Experience working with Medicare and Medicaid
Must be available for Monday–Friday, 8-hour day shifts (40 hrs/week)

Medlivo Job ID #KAISJP00253249205. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits