Sr. Account Executive (Payment Integrity)
OR · On-site +1
... Utilization Management, Provider Management, CFO, SIU) * Have a deep Health Plan knowledge * Have ... Can manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE
OR · On-site +1
... Utilization Management, Provider Management, CFO, SIU) * Have a deep Health Plan knowledge * Have ... Can manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE
OR · On-site +1
... Utilization Management, Provider Management, CFO, SIU) * Have a deep Health Plan knowledge * Have ... Can manage multiple opportunities simultaneously #LI-MG1 #LI-REMOTE
Gresham, OR · Remote
This full-time remote role offers a unique opportunity for a social worker who is eager to make a ... Engage with insurance companies for pre-certification and utilization management, effectively ...
New
Gresham, OR · Remote
This full-time remote role offers a unique opportunity for a social worker who is eager to make a ... Engage with insurance companies for pre-certification and utilization management, effectively ...
New
This full-time remote position allows you to make a meaningful impact in the mental health field ... Engage with insurance companies to manage pre-certification processes and ensure proper utilization ...
New
This full-time remote position allows you to make a meaningful impact in the mental health field ... Engage with insurance companies to manage pre-certification processes and ensure proper utilization ...
New
Portland, OR · Remote
$90K - $104K/yr
This unique remote position allows you to provide essential mental health services while working ... Engage with insurance companies for pre-certification and utilization management, ensuring clients ...
New
Portland, OR · Remote
$90K - $104K/yr
This unique remote position allows you to provide essential mental health services while working ... Engage with insurance companies for pre-certification and utilization management, ensuring clients ...
New
Portland, OR · Remote
$20 - $22/hr
This position is 100% remote and full time. Responsibilities may include: * Performs quality ... AllMed provides clinical decision making and utilization management solutions to leading payer and ...
Portland, OR · Remote
$20 - $22/hr
This position is 100% remote and full time. Responsibilities may include: * Performs quality ... AllMed provides clinical decision making and utilization management solutions to leading payer and ...
OR · On-site +1
$87K - $157K/yr
... utilization management processes * Interact with the Medical Director, or designee, to discuss ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
OR · On-site +1
$87K - $157K/yr
... utilization management processes * Interact with the Medical Director, or designee, to discuss ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...
The Refueling and Remote Handling (RnRH) Supervisor leads a group of engineers that is responsible ... Adapts to changes in the work environment, manages competing demands and is able to deal with ...
Posted today
The Refueling and Remote Handling (RnRH) Supervisor leads a group of engineers that is responsible ... Adapts to changes in the work environment, manages competing demands and is able to deal with ...
Posted today
OR · On-site +1
$65K - $115K/yr
Clinical Supervisors report to the Group Clinical Manager. This is a salaried, exempt, full-time position. This is a remote position, requiring a high level of self-discipline and accountability.
OR · On-site +1
$65K - $115K/yr
Clinical Supervisors report to the Group Clinical Manager. This is a salaried, exempt, full-time position. This is a remote position, requiring a high level of self-discipline and accountability.
Hybrid / 100% Remote Supervisory Role: No Occasional Weekend Work: No About Us: Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid ...
Hybrid / 100% Remote Supervisory Role: No Occasional Weekend Work: No About Us: Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid ...
Hybrid / 100% Remote Supervisory Role: Yes Occasional Weekend Work: No About Us: Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid ...
Hybrid / 100% Remote Supervisory Role: Yes Occasional Weekend Work: No About Us: Yamhill Community Care is a nonprofit coordinated care organization dedicated to managing the healthcare for Medicaid ...
Salem, OR · On-site +1
$124K/yr
This requires a number of capabilities including knowledge of the CRM industry space and remote ... Supervises : None Compensation Range: Base salary $125,000 plus lucrative bonus based on sales.
Salem, OR · On-site +1
$124K/yr
This requires a number of capabilities including knowledge of the CRM industry space and remote ... Supervises : None Compensation Range: Base salary $125,000 plus lucrative bonus based on sales.
The remote environment encourages autonomy while fostering collaboration among team members to ... and management within a clinical setting. * Familiarity with utilization review processes and ...
New
The remote environment encourages autonomy while fostering collaboration among team members to ... and management within a clinical setting. * Familiarity with utilization review processes and ...
New
Portland, OR · On-site +1
$102K - $133K/yr
All manager and supervisor positions will be expected to report to their worksites full-time. Remote workdays remain an option to accommodate travel or occasionally focus on major work projects.
Portland, OR · On-site +1
$102K - $133K/yr
All manager and supervisor positions will be expected to report to their worksites full-time. Remote workdays remain an option to accommodate travel or occasionally focus on major work projects.
OR · On-site +1
$90K - $110K/yr
Remote: Experity offers Team Members the opportunity to work remotely or in an office ... Monitoring adoption, utilization, and customer outcomes. * Other duties as assigned. Education and ...
OR · On-site +1
$90K - $110K/yr
Remote: Experity offers Team Members the opportunity to work remotely or in an office ... Monitoring adoption, utilization, and customer outcomes. * Other duties as assigned. Education and ...
Conduct utilization reviews to insurance providers by delivering accurate clinical information ... Manage crises effectively during therapy sessions and support milieu staff in maintaining a ...
New
Conduct utilization reviews to insurance providers by delivering accurate clinical information ... Manage crises effectively during therapy sessions and support milieu staff in maintaining a ...
New
OR · On-site +1
$129K - $166K/yr
Perform other duties as assigned by supervisor. Competencies: * Systems Thinking: Ability to ... Bachelor's degree in Supply Chain Management, Industrial Engineering, Operations, or a related ...
OR · On-site +1
$129K - $166K/yr
Perform other duties as assigned by supervisor. Competencies: * Systems Thinking: Ability to ... Bachelor's degree in Supply Chain Management, Industrial Engineering, Operations, or a related ...
Communicate effectively with the Utilization Review and Business Department regarding patient ... Manage crises both in therapy sessions and within the treatment milieu, lending support to milieu ...
New
Communicate effectively with the Utilization Review and Business Department regarding patient ... Manage crises both in therapy sessions and within the treatment milieu, lending support to milieu ...
New
OR · On-site +1
$80K - $90K/yr
... supervisory procedures, and regulatory requirements. * Perform onsite and remote examinations ... Partner with Compliance, Legal, Risk Management, Operations, and supervisory personnel to address ...
OR · On-site +1
$80K - $90K/yr
... supervisory procedures, and regulatory requirements. * Perform onsite and remote examinations ... Partner with Compliance, Legal, Risk Management, Operations, and supervisory personnel to address ...
The role encompasses managing a diverse caseload of patients, delivering evidence-based therapeutic ... Conduct utilization reviews with insurance companies, advocating for necessary authorizations to ...
New
The role encompasses managing a diverse caseload of patients, delivering evidence-based therapeutic ... Conduct utilization reviews with insurance companies, advocating for necessary authorizations to ...
New
Hermiston, OR · Remote
$80K - $100K/yr
Conduct utilization reviews for various insurance companies, precisely providing essential clinical ... Manage crisis situations with composure, offering support to clients and collaborating with milieu ...
New
Hermiston, OR · Remote
$80K - $100K/yr
Conduct utilization reviews for various insurance companies, precisely providing essential clinical ... Manage crisis situations with composure, offering support to clients and collaborating with milieu ...
New
| Aspect | Remote Supervisor Utilization Management | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or supervisor certifications | RN, with clinical review certifications |
| Work Environment | Supervises teams, manages utilization processes remotely | Performs clinical reviews, assesses patient necessity remotely |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Insurance companies, third-party administrators |
| Primary Focus | Overseeing utilization management operations | Conducting 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.
The most popular types of Supervisor Utilization Management jobs in Oregon are:
For Remote Supervisor Utilization Management jobs in Oregon, the most frequently searched job titles are:
The top searched job categories for Remote Supervisor Utilization Management jobs in Oregon are:
Cities in Oregon with the most Remote Supervisor Utilization Management job openings:

Full-time
Re-posted 2 days ago
The Sales team is responsible for driving new business. We work closely with teams across the business to identify client pain points and highlight how our software is a solution to our client's problems. Discovery calls, relationship building and complex deals make our days diverse and exciting!
What you'll do...
This individual can be located anywhere in the US area
As part of our globally growing Healthcare Solutions sales team, you will be a key player in helping us scale our business and rolling out Shift Technology solutions to new clients. Your role in the Shift adventure will be to grow the Health Insurance business in the United States!
The Payment Integrity solution we provide is key to our customers and you will be managing C-level relationships within the country's Health insurance ecosystem.
What you bring...