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Remote Utilization Management Jobs in Oregon (NOW HIRING)

AMSURG

Project Mgr, Strategic Initiatives

PROJECT MANAGER, STRATEGIC INITIATIVES REMOTE Company Overview: AMSURG is an independent leader in ... Track and manage project timelines, deliverables, and resource utilization to ensure projects are ...

Ascension

UKG Business Intelligence Manager

Remote Department: Workforce Management Schedule: Full-time | Day shift Salary Range: $116,413.30 ... Identify and eliminate bottlenecks in UKG Pro processes to maximize capacity utilization, optimize ...

Donorbox

Enterprise Customer Success Manager

OR · On-site +1

About Donorbox Donorbox is a leading fundraising platform and donor management system for nonprofit ... Advocate for and optimize our product to increase client revenue and utilization. * Provide ...

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Ascension

Manager Pharmacy Solutions

$138K - $195K/yr

Remote with up to 25% Travel Department/Specialty: Supply Chain Management & Pharmacy Logistics ... utilization assessments and complex financial analysis to deliver data-driven strategic ...

GHX

Delivery Manager I

OR · On-site +1

$23.55 - $29.32/hr

... and utilization of subscribed Managed Services products and services. This position will be ... This position requires effective time management skills, passion for customer advocacy, performance ...

Epicor

Consulting Services Consultant | EDI

OR · On-site +1

$94K - $151K/yr

Assists aligned Project Manager with organizing and controlling tasks within the work plan ... Meet utilization targets and complete project deliverables on time. * Demonstrate a high level of ...

GHX

Managed Services Analyst II

OR · On-site +1

$19.71 - $24.50/hr

This position requires effective time management skills, thorough attention to detail, and a high ... Support building out dashboards compiling account health, service utilization, and operational ...

Exol

Transportation Manager, Network Strategy

OR · On-site +1

$95K - $130K/yr

... utilization, and overall network performance. The ideal candidate will have experience in ... Experience with Transportation Management Systems, preferably Manhattan Active TM. * Strong ...

GHX

Implementation Consultant III - eCommerce

OR · On-site +1

$74K - $98K/yr

The Implementation Consultant III is responsible for managing the implementation of GHX products ... utilization. Presenting product functionality, creating documentation for project objectives ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Oregon

Remote Utilization Management information

See Oregon salary details

$22

$44

$72

How much do remote utilization management jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for remote utilization management in Oregon is $44.70, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $51.35 per hour, depending on experience, location, and employer.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

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

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Oregon?

The most popular types of Utilization Management jobs in Oregon are:

What are popular job titles related to Remote Utilization Management jobs in Oregon?

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

What job categories do people searching Remote Utilization Management jobs in Oregon look for?

The top searched job categories for Remote Utilization Management jobs in Oregon are:

What cities in Oregon are hiring for Remote Utilization Management jobs?

Cities in Oregon with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Oregon as of July 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $92,985 per year, or $44.7 per hour.

Workers Compensation Claims Adjuster

Imagine Staffing Technology

Portland, OR • Remote

$40 - $45/hr

Full-time

Re-posted 14 days ago

Job description

Job Profile
Job Title: Claims Adjuster
Location: Remote anywhere in US
Hire Type: Contingent
Pay Range: $40 - $45
Work Model: Remote
Work Shift: Monday-Friday 8 am – 4:30 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
We are seeking an experienced Workers’ Compensation Claims Adjuster to join our team for a contingent assignment. The ideal candidate will have 3–4 years of relevant Oregon workers’ compensation claims handling experience and preferably hold Oregon certification. This role involves analyzing mid- to high-level claims, determining benefits due, ensuring compliance with state requirements, and managing claims through resolution while maintaining exceptional client and claimant communication.
Role & Responsibility:
Tasks That Will Lead to Your Success
  • Manage and adjudicate workers’ compensation claims, including determining compensability, calculating benefits, and ensuring accurate reserves.
  • Monitor and file all necessary state-required documentation within statutory deadlines.
  • Develop and implement detailed action plans for timely claim resolution, including coordination of return-to-work efforts.
  • Approve claim payments and settlements in accordance with authority guidelines.
  • Identify and manage subrogation opportunities and negotiate settlements to reduce client exposure.
  • Maintain consistent communication with claimants, employers, medical providers, attorneys, and clients.
  • Ensure claim files are accurately documented and properly coded.
  • Handle complex lifetime medical and defined-period medical claims, including reviewing state and physician filings and evaluating treatment recommendations from utilization reviews.
  • Foster and maintain professional client relationships and deliver high-quality service.
Skills & Experience
Qualifications That Will Help You Thrive
  • High School Diploma or GED required.
  • Bachelor’s degree preferred.
  • Oregon certification preferred.
  • 3–4 years of workers’ compensation claims handling experience in Oregon required.
  • Equivalent combination of education and claims management experience will be considered.
  • Strong understanding of Oregon workers’ compensation regulations, offsets, and disability duration.
  • Knowledge of medical management practices and Social Security/Medicare procedures related to workers’ compensation.
  • Excellent oral and written communication skills, including the ability to deliver professional presentations.
  • Proficient in Microsoft Office and claims management software systems.
  • Strong analytical, organizational, and negotiation skills.
  • Ability to work both independently and collaboratively in a team environment.
  • Commitment to meeting and exceeding service expectations.