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Remote Utilization Management Nurse Jobs in Remote, OR

Head of AI

OR · Remote

Geography: United States and Canada (remote/hybrid depending on location) * Travel: Up to 25-40 ... Lead the delivery team for AI across NA including building and managing talent and ensuring ...

Head of AI

OR · On-site +1

... management and operations * * Help support the Head of Data and AI P&L: revenue, gross margin, utilization, bench, subcontractor mix, and investment planning. * Set operating rhythm: QBRs, forecast ...

CARE COORDINATOR REMOTE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, w ... This role manages a caseload of members, conducts in-home assessments, and collaborates with a ...

Care Coordinator Licensed

Roseburg, OR · On-site +1

$80K - $92K/yr

CARE COORDINATOR REMOTE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, w ... This role manages a caseload of members, conducts in-home assessments, and collaborates with a ...

Showing results 21-25

Remote Utilization Management Nurse information

See Remote, OR salary details

$21

$42

$68

How much do remote utilization management nurse jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote utilization management nurse in Remote, OR is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $48.51 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

What are popular job titles related to Remote Utilization Management Nurse jobs in Remote, OR?

For Remote Utilization Management Nurse jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management Nurse jobs in Remote, OR look for?

The top searched job categories for Remote Utilization Management Nurse jobs in Remote, OR are:

What cities near Remote, OR are hiring for Remote Utilization Management Nurse jobs?

Cities near Remote, OR with the most Remote Utilization Management Nurse job openings:

Infographic showing various Remote Utilization Management Nurse job openings in Remote, OR as of August 2026, with employment types broken down into 71% Full Time, and 29% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,860 per year, or $42.2 per hour.

Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC)

Expressive Session Mental Health Services, Inc.

Coos Bay, OR • Remote

Full-time

Medical, Retirement

Posted 4 days ago


Job description

Position Overview

Expressive Session Mental Health Services, Inc. is seeking a dedicated and compassionate Licensed Mental Health Counselor to join our remote team. In this full-time position, you will leverage your expertise to support teenagers and young adults struggling with various mental health challenges. Your role will be integral in fostering positive mental health outcomes and helping clients navigate their emotional journeys.

About the Organization

At Expressive Session Mental Health Services, Inc., we specialize in providing comprehensive behavioral health services aimed at improving the mental wellbeing of our clients. Our mission is to empower individuals and the broader community through understanding, support, and effective interventions tailored specifically for young people. We pride ourselves on our dedication to integrating compassionate care with evidence-based practices in an inclusive and nurturing environment.

Work Environment

This position is fully remote, allowing you to create a flexible work environment that fosters your productivity and work-life balance. You will be part of a collaborative community health clinic atmosphere, engaging virtually with a multidisciplinary team that includes other counselors, psychologists, nurses, and specialists committed to delivering high-quality mental health care. Our team atmosphere encourages continuous learning and improvement while maintaining a focus on patient-centered care.

Key Responsibilities
  • Conduct individual therapy sessions utilizing various therapeutic modalities to address diverse mental health issues, including anxiety, depression, trauma, and challenges relating to executive functioning.
  • Develop comprehensive and personalized treatment plans that are responsive to each client's unique circumstances, goals, and needs.
  • Stay current with best practices and evidence-based interventions through ongoing professional development, attending workshops, and engaging in peer consultation within the team.
  • Maintain accurate, timely documentation of client progress and treatment outcomes in compliance with organizational standards and regulatory requirements.
  • Collaborate with colleagues from different disciplines to provide holistic care and make informed referrals when necessary, enhancing the treatment experience for clients.
  • Participate in team meetings to discuss case progress, share insights, and contribute to collective problem-solving efforts to ensure the highest standard of client care.
Patient Population / Client Focus

Our primary focus is on teenagers and young adults, ages 12 to 25, navigating the complexities of mental health challenges that arise during formative years. Our clients may struggle with various mental health issues, including but not limited to anxiety, depression, relationship difficulties, and identity challenges. Through a warm and understanding approach, you will provide a safe space for clients to express themselves and work towards overcoming their obstacles.

Qualifications
  • A Master’s degree in Counseling, Social Work, Marriage and Family Therapy, or Mental Health Counseling is required.
  • Active state licensure as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), or Licensed Professional Counselor (LPC).
  • Strong clinical skills and a proven ability to establish rapport and build trust with a diverse range of clients.
  • Excellent verbal and written communication skills, demonstrated through clear and empathetic interactions with clients and teamwork.
  • A commitment to ongoing professional development, and willingness to embrace new treatment modalities.
Preferred Experience
  • Experience working with adolescents and young adults in a mental health setting.
  • Proficiency in managing high caseload volumes while maintaining a high quality of service delivery.
  • Skills in motivating clients, maintaining enthusiasm, and fostering an encouraging therapeutic environment.
  • Experience with telehealth tools and virtual client management systems is a plus.
Compensation and Benefits

This full-time position offers a competitive annual salary ranging from USD 100,000 to 105,000, based on your caseload and professional experience. Our comprehensive benefits package includes:

  • Health insurance to support your overall wellbeing.
  • Retirement plans to help secure your financial future.
  • Opportunities for continuing education and professional development to enhance your skills.
  • A supportive and collaborative work environment that values mental health for both our counselors and clients.
Career Growth Opportunities

At Expressive Session Mental Health Services, Inc., we believe in nurturing the professional growth of our team members. You will have access to training resources, workshops, and mentorship programs to further your career in the mental health field. With the potential for future roles in leadership or specialized practice areas, your contributions can pave the way for your advancement within the organization.

Why Join Our Team

If you are ready to make a meaningful impact in the lives of individuals who need your expertise, we invite you to apply and become a part of our committed team. Here at Expressive Session Mental Health Services, Inc., you will find an enriching work environment where your skills are valued, and your passion for mental health care can make a true difference.

Application Information

To be considered for this rewarding opportunity, please submit your resume along with a cover letter detailing your relevant experience and your vision for contributing to our team. We look forward to hearing from you and exploring how you can play a vital role in enhancing the mental health of our community.