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Remote Overlake Hospital Rn Jobs in Portland, OR

Clarvida

Psychiatric Registered Nurse Part Time

Camas, WA · Remote

$43 - $54/hr

... hospitals, or reside in assisted living facilities / adult family homes, and have difficult ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...

Community Care Partners

Triage RN (Remote)

Portland, OR · On-site +1

The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This ...

Emerging Health

Clinical Liaison RN

Portland, OR · Remote

$100K - $118K/yr

Job type: Full-time. Hyrid in hospital and clinical setting. Pay range: $100,000 - $118,000.00 ... Required skills: 1. Registered Nurse (RN) License in Oregon and Washington required. 2. Bachelor ...

Emerging Health

Clinical Liaison RN

Portland, OR · Remote

Job type: Full-time. Hyrid in hospital and clinical setting. Pay range: $100,000 - $118,000.00 ... Required skills: 1. Registered Nurse (RN) License in Oregon and Washington required. 2. Bachelor ...

Adventist Health

LPN (Hospice) Full Time

Portland, OR · On-site +1

$26.80 - $40.17/hr

Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to ... Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics ...

Adventist Health

LPN (Home Health) Part Time

Portland, OR · On-site +1

$26.80 - $40.17/hr

Provides care for assigned patients, under the supervision of an Registered Nurse (RN) according to ... Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics ...

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Remote Overlake Hospital Rn information

See Portland, OR salary details

$1.1K

$2.4K

$3.5K

How much do remote overlake hospital rn jobs pay per week?

As of Jul 26, 2026, the average weekly pay for remote overlake hospital rn in Portland, OR is $2,421.31, according to ZipRecruiter salary data. Most workers in this role earn between $1,998.08 and $2,813.46 per week, depending on experience, location, and employer.

What is the difference between Remote Overlake Hospital Rn vs On-site Overlake Hospital Rn?

AspectRemote Overlake Hospital RnOn-site Overlake Hospital Rn
Work EnvironmentTelehealth/remote patient monitoringHospital floor or clinical setting
Required CredentialsRN license, possibly telehealth trainingRN license, clinical experience
Employer & IndustryOverlake Hospital, healthcareOverlake Hospital, healthcare

The main difference between Remote Overlake Hospital Rn and on-site Overlake Hospital Rn lies in the work environment. Remote RNs provide patient care via telehealth platforms, requiring strong communication skills and telehealth training, while on-site RNs work directly in hospital settings, focusing on bedside care. Both roles require an RN license and are integral to Overlake Hospital's healthcare services, but they differ in daily tasks and work location.

What are the most commonly searched types of Overlake Hospital Rn jobs in Portland, OR? The most popular types of Overlake Hospital Rn jobs in Portland, OR are:
What are popular job titles related to Remote Overlake Hospital Rn jobs in Portland, OR? For Remote Overlake Hospital Rn jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Remote Overlake Hospital Rn jobs in Portland, OR look for? The top searched job categories for Remote Overlake Hospital Rn jobs in Portland, OR are:
What cities near Portland, OR are hiring for Remote Overlake Hospital Rn jobs? Cities near Portland, OR with the most Remote Overlake Hospital Rn job openings:
Remote Overlake Hospital Rn jobs near you
Infographic showing various Remote Overlake Hospital Rn job openings in Portland, OR as of June 2026, with employment types broken down into 4% As Needed, 29% Part Time, and 67% Contract. Highlights an 38% Physical, 3% Hybrid, and 59% Remote job distribution, with an average salary of $125,908 per year, or $60.5 per hour.
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 4 days ago

CareOregon rating

8.3

Company rating: 8.3 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

121st of 298 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.
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 Prior Authorization UM
  • 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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