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Remote Optum Utilization Review Jobs in Portland, OR

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Remote Optum Utilization Review information

See Portland, OR salary details

$22

$44

$73

How much do remote optum utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote optum 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 is a Remote Optum Utilization Review?

A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.

What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?

To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.

How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?

As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.

What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Optum Utilization ReviewRemote UnitedHealthcare Utilization Review
CredentialsLicenses in relevant states, certifications like CCM or CRC often preferredLicenses in relevant states, certifications like CCM or CRC often preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & IndustryOptum, healthcare services and utilization managementUnitedHealthcare, health insurance and utilization review

Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.

What are the most commonly searched types of Optum Utilization Review jobs in Portland, OR?

The most popular types of Optum Utilization Review jobs in Portland, OR are:

What cities near Portland, OR are hiring for Remote Optum Utilization Review jobs?

Cities near Portland, OR with the most Remote Optum Utilization Review job openings:

Infographic showing various Remote Optum Utilization Review job openings in Portland, OR as of August 2026, with employment types broken down into 100% Full Time. Highlights an 10% Hybrid, and 90% Remote job distribution, with an average salary of $93,268 per year, or $44.8 per hour.

Full-Time Licensed Mental Health Therapist (Remote) - LCSW/LMFT/LPC

Sleep Better Healthcare Services, Inc.

Woodburn, OR • Remote

Full-time

Medical, Dental, Vision, Life

Posted 4 days ago


Job description

Position Overview

Join Sleep Better Healthcare Services, Inc. as a Full-Time Licensed Mental Health Therapist, where you will play a crucial role in providing exceptional mental health care through remote consultations. We are looking for an independent mental health professional who can navigate complex cases, deliver compassionate therapy, and offer expert assessments. This position allows flexibility within a supportive community health clinic framework while maintaining your professional independence.

About the Organization

Sleep Better Healthcare Services, Inc. is dedicated to transforming the landscape of mental health treatment. We are committed to eliminating stigma and enhancing access to licensed therapists. Our approach emphasizes collaboration, creativity, and an unwavering focus on providing personalized and comprehensive care tailored to the specific needs of our patients. By fostering connections between clients and community providers, we aim to elevate the entire mental health culture.

Work Environment

This position is fully remote, allowing for a flexible work-life balance while you provide services to a diverse client base in Woodburn, Oregon, and surrounding areas. Working within a community health clinic model, you will interact with a supportive team that prioritizes communication and collaboration. You will utilize advanced technological platforms for client management and therapy sessions, ensuring efficient and effective treatment delivery.

Key Responsibilities
  • Complete clinical documentation promptly at the time of service, ensuring all patient information is accurately recorded and up-to-date.
  • Establish and maintain therapeutic rapport with patients and their families, conducting thorough assessments for suicidality and potential danger to self or others.
  • Facilitate the admission assessments of new patients with professionalism, demonstrating a welcoming attitude and sensitivity to their needs.
  • Actively participate in weekly treatment team meetings, sharing treatment goals and progress while offering additional clinical support to team members as necessary.
  • Conduct utilization reviews to communicate with insurance companies, providing clinical information required for authorization processes.
  • Respond to calls and emails from family members within two hours during business hours and within 24 hours at all other times to ensure open lines of communication.
  • Coordinate continuously with the Utilization Review and Business Departments regarding patient authorization and payment, ensuring seamless transitions in care.
  • Initiate discharge planning on the day of admission; conduct sessions to prepare patients for a successful transition, ensuring they understand coping strategies and available resources.
  • Manage crises effectively within therapy sessions and provide support to milieu staff, fostering a collaborative and responsive treatment environment.
Patient Population / Client Focus

Our clientele encompasses a wide demographic, including individuals managing acute and chronic mental health conditions. As a therapist, you will provide care to a population that seeks to overcome barriers to mental health treatment, often facing stigma or limited resources. Your role will focus on empowering patients to achieve their mental wellness goals through tailored therapeutic approaches.

Qualifications
  • A valid independent mental health license in Oregon (LCSW, LMFT, LPC).
  • A minimum of a Master’s degree or doctorate in clinical psychology, counseling, or clinical social work from an accredited institution.
  • Demonstrated ability to manage a substantial caseload while collaborating with healthcare teams and support staff.
  • Proficient in electronic medical record systems for documentation and communication.
  • Strong written and verbal communication skills, particularly in electronic correspondence.
Preferred Experience
  • Prior experience in a community health setting or similar environments.
  • A passion for behavioral healthcare and a commitment to making a difference in the lives of clients.
  • Experience with crisis management and therapeutic interventions in diverse settings.
Compensation and Benefits

This full-time position offers an annual salary ranging from USD 50,000 to USD 70,000, commensurate with experience and qualifications. In addition to a competitive salary, we provide comprehensive medical, dental, and vision insurance, as well as life and disability insurance. Our therapists also receive professional liability insurance, access to an employee assistance program for mental health support, and a focus on reducing paperwork, allowing you to maximize your time spent with clients. Each therapist can expect a full caseload, enabling a fulfilling and effective practice.

Career Growth Opportunities

At Sleep Better Healthcare Services, we are committed to the growth and development of our staff. As a valued member of our team, you will have access to continuous training and professional development opportunities. We encourage our therapists to pursue advanced certifications and specialties within the field. As our organization grows, there will be opportunities for leadership roles and program development initiatives.

Why Join Our Team

We believe that a diverse team strengthens our ability to serve our community effectively. By joining Sleep Better Healthcare Services, you will be part of a dedicated organization that values innovation, collaboration, and compassionate care. Together, we will work to disrupt the barriers to mental health access and ensure better outcomes for every patient. If you are passionate about making meaningful changes in the world of behavioral healthcare, we invite you to apply.

Application Information

If you are interested in applying for the Full-Time Licensed Mental Health Therapist position, please submit your resume and a cover letter that highlights your qualifications, experience, and passion for mental health care. We look forward to welcoming you to our team and working together to foster a healthier community.