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Remote Rn Insurance Jobs in Oregon (NOW HIRING)

Healthcare Support Staffing

Remote HEDIS Specialist

OR · On-site +1

Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico Licensed RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able ...

Centene

Clinical Appeals Coordinator

OR · On-site +1

$33.71 - $60.67/hr

License/Certification: LPN, LVN, or RN license. Specialty Therapy Requirement: Master's degree in ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Clinical Appeals Coordinator

OR · On-site +1

$33.71 - $60.67/hr

Must have an unencumbered RN, LVN or LPN license in the state of Oregon. This position will work ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Lumimeds

Healthcare Content Creator (LP/NP/RN/PA/MD)

OR · On-site +1

LP (Licensed Pharmacist), NP (Nurse Practitioner), RN (Registered Nurse), PA (Physician Assistant ... Fully remote, U.S.-based * Time commitment: ~4-10 hours/month, flexible scheduling around shoots ...

Umpqua Health

Utilization Review Clinician

Roseburg, OR · On-site +1

$80K - $94K/yr

UTILIZATION REVIEW CLINICIAN REMOTE Ability to travel on-site to 3031 NE STEPHENS ST. ROSEBURG, OR ... Licensed Marriage and Family Therapist (LMFT) * Registered Nurse (RN) with Behavioral Health ...

ASANTE

Quality Improvement Advisor 2

Grants Pass, OR · On-site +1

$90K - $123K/yr

... remote work Starting Wage for this exempt position : $90,084.80-$123,864.00, depending on ... * RN: Registered Nurse licensed by Oregon State Board of Nursing- required * PMP: Project ...

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Remote Rn Insurance information

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$7

$44

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How much do remote rn insurance jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote rn insurance in Oregon is $44.66, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $52.88 per hour, depending on experience, location, and employer.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What are popular job titles related to Remote Rn Insurance jobs in Oregon?

For Remote Rn Insurance jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Remote Rn Insurance jobs in Oregon look for?

The top searched job categories for Remote Rn Insurance jobs in Oregon are:

What cities in Oregon are hiring for Remote Rn Insurance jobs?

Cities in Oregon with the most Remote Rn Insurance job openings:

Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $92,901 per year, or $44.7 per hour.

Utilization Management Program Manager-RN

Eugene, OR • Remote

Samaritan Health Services

6.8

Company rating: 6.8 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

499th of 893 rated healthcare providers

People enjoy working here

Recommended by parents

Respectful managers

Learn more about Samaritan Health Servicesexternal

Full-time

Re-posted 19 days ago

Job description

Summary


  • Samaritan Health Plans (SHP) provides health insurance options to Samaritan employees, community employers, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures: InterCommunityHealth Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans. As part of an Integrated Delivery System, Samaritan Health Plans is strategically and operationally aligned with Samaritan Health Services' mission of Building Healthier Communities Together. This is a remote position in which we are able to employ in the following states: Arizona, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Mexico, North Carolina, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, or Wisconsin Our ideal candidate will have the following experience:
    • Health plan utilization management
    • Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
    • Data analysis to include reporting results and developing improvement plans
    • Quality Management experience in a healthcare setting

  • JOB SUMMARY/PURPOSE

    • Executes program(s) that meet the needs of the organization, employees and/or customers. Plans, initiates, oversees execution of all elements for assigned program(s). Leads the development, implementation and management of assigned program(s) and associated projects. Oversees process from planning to completion. Works with multiple internal teams, vendors, clients. Responsible for explaining, training, and mentoring the entire organization on the program. Collaborates with SHS system experts to ensure focus, alignment, and best practices for the program.
  • EXPERIENCE/EDUCATION/QUALIFICATIONS
    • Current unencumbered Oregon RN License required within 90 days of hire. BSN preferred. Master's degree in a related field preferred.
    • One (1) year clinical nursing experience plus four (4) years health plan utilization management experience required.
    • Experience or training in the following required:
      • Health care delivery systems and/or managed care patients.
      • Computer applications including electronic documentation (e.g., MS Office, EPIC, Clinical Care Advanced).
    • Experience in the following preferred:
      • Team leadership.
      • Case management.
      • Medicare and Medicaid rules and regulations and health plan benefit structure and policy.
  • KNOWLEDGE/SKILLS/ABILITIES
    • Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
    • Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
    • Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
    • Communication and team building – Lead effectively with excellent verbal and written communication. Delegates and initiates/manage cross-functional teams and multi-disciplinary projects.
  • PHYSICAL DEMANDS
    • (1 - 10% of the time) (11 - 33% of the time) (34 - 66% of the time) (67 – 100% of the time) LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs LIFT (Knee to chest: 24"-54") 0 – 20 Lbs LIFT (Waist to Eye: up to 54") 0 - 20 Lbs CARRY 1-handed, 0 - 20 pounds BEND FORWARD at waist KNEEL (on knees) WALK – LEVEL SURFACE ROTATE TRUNK Standing REACH - Upward PUSH (0 - 20 pounds force) PULL (0 - 20 pounds force) CARRY 2-handed, 0 - 20 pounds ROTATE TRUNK Sitting REACH - Forward FINGER DEXTERITY PINCH Fingers GRASP Hand/Fist

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