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Remote Utilization Review Manager Jobs in Bend, OR

Senior SCADA Engineer, EPC (Remote)

Bend, OR · On-site +1

$110K - $151K/yr

Mentor junior and mid-level engineers through technical review, knowledge sharing, and standards ... Effective utilization of project management, scheduling, and task management tools. Minimum Skills ...

Remote Sales

Bend, OR · On-site +1

$10K - $20K/wk

... review their needs. Prepare Personalized Solutions (4-5 hrs/week) Analyze client information to ... Manage Follow-Up (2 hrs/week) Coordinate with insurance carriers and support clients through the ...

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Showing results 1-20

Remote Utilization Review Manager information

See Bend, OR salary details

$41.1K

$96K

$176.7K

How much do remote utilization review manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for remote utilization review manager in Bend, OR is $96,017.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,800.00 and $115,500.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Bend, OR?

For Remote Utilization Review Manager jobs in Bend, OR, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Bend, OR look for?

The top searched job categories for Remote Utilization Review Manager jobs in Bend, OR are:

What cities near Bend, OR are hiring for Remote Utilization Review Manager jobs?

Cities near Bend, OR with the most Remote Utilization Review Manager job openings:

Full-Time Licensed Mental Health Counselor (LCSW, LMFT, LPC) - Remote

Bend, OR • Remote

Full-time

Medical, Dental, Vision, Life

Posted 22 days ago


Job description

Position Overview

Clearly Heard Counseling Services, LLC is seeking a dedicated and empathetic Licensed Mental Health Counselor to join our dynamic team. This full-time position allows you to provide high-quality mental health support to individuals and families in a remote setting, aligning with your passion for making a meaningful difference in the lives of your clients.

About the Organization

At Clearly Heard Counseling Services, we are committed to transforming mental health care by eliminating stigma and increasing accessibility. Our approach is rooted in collaboration, innovation, and client-centered care. We are proud of our reputation for success in the mental health industry, where we partner with clients and community providers to deliver comprehensive and personalized therapeutic services.

Work Environment

This position is fully remote, offering you the flexibility to work from the comfort of your own space while maintaining a robust connection with our outpatient office team. Our organization supports a culture of collaboration where team members engage in weekly meetings to discuss treatment strategies and foster a supportive clinical environment. Despite the remote setting, our team remains closely knit and focused on delivering exceptional care.

Key Responsibilities
  • Develop and maintain therapeutic rapport with clients and their families, conducting comprehensive assessments to evaluate risks such as suicidality or danger to self or others.
  • Conduct the admission process for new patients with professionalism and courtesy, ensuring they feel welcomed and supported from the first interaction.
  • Actively engage in weekly treatment team meetings, collaborating with colleagues to share insights, set treatment goals, and provide consistent clinical support.
  • Perform utilization reviews for insurance purposes by delivering detailed clinical documentation, ensuring authorization processes are navigated efficiently.
  • Maintain accessibility for clients and their families by responding to communications within two hours during business hours and within 24 hours after hours.
  • Ensure seamless communication with the Utilization Review Department and business teams regarding insurance authorizations and payments, guaranteeing continuity of care.
  • Initiate discharge planning upon admission to ensure clients are prepared for a smooth transition, completing discharge sessions to reinforce coping strategies and resources.
  • Effectively manage crises during sessions, providing support not just to patients but also to milieu staff in their interactions with clients.
  • Timely document all clinical interactions and treatment plans, adhering to best practices and ensuring compliance with organizational standards.
Patient Population / Client Focus

In this role, you will work with a diverse range of clients dealing with various mental health challenges. Your expertise will support individuals navigating anxiety, depression, trauma, and other behavioral health issues. Our client population reflects the community we serve in Bend, Oregon, allowing you to make a direct impact on local mental health outcomes.

Qualifications
  • An independent license in the state of Oregon (e.g., LCSW, LMFT, LPC) is required, allowing you to practice without supervision.
  • A Master’s or Doctorate degree in clinical psychology, counseling, or clinical social work from an accredited institution (e.g., MA, MS, MSW, MFT, MHC, PhD, PsyD).
  • A proven ability to manage a sizable caseload while engaging effectively with clients and support staff.
  • Strong communication skills for electronic correspondence and collaborative teamwork.
  • Proficient and efficient use of electronic medical records to enhance patient care and administrative processes.
Preferred Experience
  • Demonstrated passion for impacting the lives of clients and advancing the field of behavioral health.
  • Experience in providing mental health services in an outpatient setting, with skills in crisis management and therapeutic intervention.
  • Familiarity with trends in mental health care, particularly regarding accessibility and client-centered practices.
Compensation and Benefits
  • Competitive salary ranging from USD 80,000 to 100,000 per year, commensurate with experience and qualifications.
  • Comprehensive medical, dental, and vision insurance packages to support your health and well-being.
  • Life and disability insurance options to protect you and your family.
  • Professional liability insurance to safeguard your practice.
  • Access to an Employee Assistance Program that provides mental health support and resources.
  • Minimal administrative paperwork to allow you to focus primarily on client care.
  • Opportunity to manage a full caseload within a supportive environment.
Career Growth Opportunities

Joining Clearly Heard Counseling Services opens avenues for professional development and career advancement. We support continuing education, training, and professional certifications that enhance your skills and expertise. Our organization values your growth, and we strive to provide opportunities that align with your career aspirations.

Why Join Our Team

We are dedicated to building a diverse and inclusive workforce that reflects our commitment to the communities we serve. At Clearly Heard Counseling Services, you will have the chance to work with an inspiring team of mental health professionals who share a common goal of improving mental health outcomes. Together, we can change the culture of mental health care. If you are ready to make a positive impact, we encourage you to apply.

Application Information

If you’re excited about the opportunity to contribute to a transformative mental health organization, we’d love to hear from you! Please submit your resume and a cover letter detailing your qualifications and passion for the role to our recruitment team. Join us in our mission to provide exceptional mental health care and support to those in need.