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Remote Supervisor Utilization Management Jobs in Oregon

Centene

RN Supervisor, Appeals, Managed Care, UM

OR · On-site +1

$75K - $135K/yr

Collaborates with utilization management team to resolve complex care member issues * Maintains ... REMOTE RN candidates may reside in any state but a current and active RN license from the state of ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ...

Centene

Remote Medical Director, Appeals

OR · On-site +1

$236K - $449K/yr

Provides medical leadership of all for utilization management, cost containment, and medical ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

NV5

Remote Sensing Technician

... Developers, IT, Project Management Professionals, and more. At NV5 Geospatial, we are a ... Proficient and experienced in utilization of cloud-based technology * Capable of independent ...

Centene

Utilization Review Clinician - Behavioral Health

OR · Remote

$27.02 - $48.55/hr

... Management/Health Services team. Centene is a diversified, national organization offering ... Position is remote. Hours are Monday-Friday 8:00 am-5:00 pm PST. Occasional weekends and a regular ...

HealthEdge

UM RN - Behavioral Health

... of the utilization/benefit management program. RESPONSIBILITIES/TASKS: * Utilizes clinical ... Remote, US Type of Employment: Full-time, permanent FLSA Classification (USA Only): Exempt Work ...

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Remote Supervisor Utilization Management information

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Medical Officer (CMO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees or certifications, and they oversee large healthcare organizations or systems.

How to make 2000 a week working from home?

A Remote Supervisor Utilization Management can earn $2,000 or more weekly by working full-time, managing multiple cases efficiently, and possessing relevant certifications such as CCM or ANCC. Increasing experience, demonstrating strong organizational skills, and working for organizations with higher pay scales can also help achieve this income level.

Is a utilization manager the same as a risk manager?

A utilization management supervisor focuses on evaluating healthcare services to ensure appropriate and efficient use of resources, often within insurance or healthcare organizations. A risk manager, on the other hand, identifies and mitigates potential risks to an organization, which can include financial, legal, or safety concerns. While both roles involve assessment and decision-making, they serve different functions and require distinct skill sets.

How to make $1000 a week remotely?

A Remote Supervisor Utilization Management role can pay around $1,000 or more per week depending on experience, certifications, and workload. Earning this amount typically involves managing a high volume of cases, utilizing strong organizational skills, and working full-time hours, often with overtime or bonuses for productivity. Building expertise in utilization review and maintaining relevant credentials can help increase earning potential in remote management positions.

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are the most commonly searched types of Supervisor Utilization Management jobs in Oregon? The most popular types of Supervisor Utilization Management jobs in Oregon are:
What are popular job titles related to Remote Supervisor Utilization Management jobs in Oregon? For Remote Supervisor Utilization Management jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Remote Supervisor Utilization Management jobs in Oregon look for? The top searched job categories for Remote Supervisor Utilization Management jobs in Oregon are:
What cities in Oregon are hiring for Remote Supervisor Utilization Management jobs? Cities in Oregon with the most Remote Supervisor Utilization Management job openings:
Remote Supervisor Utilization Management jobs near you
Infographic showing various Remote Supervisor Utilization Management job openings in Oregon as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.
Utilization Management Program Manager-RN

Utilization Management Program Manager-RN

Samaritan Health Services

Salem, OR • Remote

Full-time

Posted 18 days ago

Samaritan Health Services rating

7.5

Company rating: 7.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

230th of 890 rated healthcare providers

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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