Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is ... Maintain confidentiality of all discussions, records, and other data in connection with quality ...
Registered Nurse / RN - Utilization Management I The Registered Nurse - Utilization Management I is ... Maintain confidentiality of all discussions, records, and other data in connection with quality ...
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Remote Care Management Nurse
Portland, OR · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... Are you a Registered Nurse looking to transition out of bedside care and into a role that still ...
Psychiatric Registered Nurse Part Time
Camas, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Psychiatric Registered Nurse Part Time
Camas, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Camas, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Camas, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Battle Ground, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Vancouver, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Vancouver, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Psychiatric Registered Nurse Part Time
Ridgefield, WA · Remote
$43 - $54/hr
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Registered Nurse - Community Based Vancouver WA area part time 20 hours a week In this integral ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Registered Nurse - AI Trainer
Hillsboro, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Quick apply
Registered Nurse - AI Trainer
Hillsboro, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Registered Nurse - AI Trainer
Vancouver, WA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Quick apply
Registered Nurse - AI Trainer
Vancouver, WA · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Registered Nurse - AI Trainer
Portland, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Quick apply
Registered Nurse - AI Trainer
Portland, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Registered Nurse - AI Trainer
Gresham, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Quick apply
Registered Nurse - AI Trainer
Gresham, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Registered Nurse - AI Trainer
Beaverton, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
Quick apply
Registered Nurse - AI Trainer
Beaverton, OR · Remote
$50 - $60/hr
Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... data analysis and visualization. Your work directly contributes to refining intelligent systems ...
(RN) Care Manager- Jail Transition Re-entry Program (REMOTE)
Vancouver, WA · Remote
$26.41 - $59.21/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years ...
(RN) Care Manager- Jail Transition Re-entry Program (REMOTE)
Vancouver, WA · Remote
$26.41 - $59.21/hr
... RNs may conduct medication reconciliation as needed. • 25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications • At least 2 years ...
Remote Rn Data Abstractor information
See Portland, OR salary details
$7.90 - $14.14
0% of jobs
$14.14 - $20.37
0% of jobs
$20.37 - $26.61
4% of jobs
$26.61 - $32.84
18% of jobs
$33.66 is the 25th percentile. Wages below this are outliers.
$32.84 - $39.07
20% of jobs
The median wage is $41.64 / hr.
$39.07 - $45.31
18% of jobs
$50.92 is the 75th percentile. Wages above this are outliers.
$45.31 - $51.54
16% of jobs
$51.54 - $57.78
10% of jobs
$57.78 - $64.01
6% of jobs
$64.01 - $70.24
4% of jobs
$70.24 - $76.48
3% of jobs
$7
$44
$76
How much do remote rn data abstractor jobs pay per hour?
How much does a nurse abstractor make?
What are the typical daily responsibilities of a Remote RN Data Abstractor?
As a Remote RN Data Abstractor, your daily responsibilities generally include reviewing electronic health records and extracting key clinical data according to specific project or regulatory guidelines. You'll input this information into secure databases, ensure accuracy, and follow up to clarify any ambiguous or incomplete documentation with healthcare providers. While you may work independently, periodic virtual meetings and collaboration with clinical quality teams or project managers are common. Staying organized and up-to-date with changing guidelines is also a key part of the role, making attention to detail and self-motivation particularly important.
What is a Remote RN Data Abstractor job?
A Remote RN Data Abstractor is a registered nurse who reviews and extracts clinical data from medical records for quality improvement, compliance, and research purposes. They work remotely, analyzing patient charts to ensure accuracy and adherence to healthcare guidelines. This role often requires experience with electronic health records (EHRs), attention to detail, and knowledge of medical coding and terminology. It is commonly used for quality reporting, accreditation, or clinical registry submissions.
What does an RN data abstractor do?
How to become a nurse data abstractor?
What is the highest paid remote nursing job?
What are the key skills and qualifications needed to thrive in the Remote Rn Data Abstractor position, and why are they important?
To excel as a Remote RN Data Abstractor, you need a current RN license, strong clinical knowledge, and experience with medical record review and data abstraction. Familiarity with electronic health records (EHRs), medical coding systems such as ICD-10, and clinical quality measures is highly beneficial. Strong attention to detail, time management, and effective written communication are crucial soft skills in this remote position. These competencies ensure accurate and efficient data collection, support compliance with regulatory standards, and enable seamless collaboration across distributed healthcare teams.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 19 days ago
CareOregon rating
7.6
Based on 7 frontline employees who took The Breakroom Quiz
191st of 281 rated insurance
Job description
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.
About CareOregon
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Portland, OR, US
Year founded
1994