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Remote Utilization Review Rn Jobs in Oregon (NOW HIRING)

Registered Nurse (Telehealth/SUD)

OR ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a 100% remote, full-time, W2 position. We are looking for RNs who: * Have an active ... Obtain and review drug testing results and recommend further testing as appropriate, guided by ...

Nurse Navigator - Remote (Overnight)

OR ยท On-site +1

$35 - $37/hr

This position is for a full -time, remote Registered Nurse who is willing to think creatively and utilize their clinical skills in the field of Telehealth! We are seeking motivated Registered Nurses ...

Clinical Review QC Auditor

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ... Experience in the OR, ICU, or ER as an RN highly preferred * Required minimum of 2 year of recent ...

Clinical Review QC Auditor

$68K - $104K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to ... Experience in the OR, ICU, or ER as an RN highly preferred * Required minimum of 2 year of recent ...

NCLEX-RN Tutor

Portland, OR ยท Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

Eugene, OR ยท Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

NCLEX-RN Tutor

OR ยท Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Registered Nurse, Clinical Delivery

OR ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal ... Remote within the United States. This role requires 100% of work to be performed in a remote office ...

Receive and Review Lab Results from Pre-screening Program: Autonomously evaluate flagged abnormal ... Remote within the United States. This role requires 100% of work to be performed in a remote office ...

Undergraduate Nursing Content Manager

OR ยท On-site +1

  • Medical

  • Retirement

  • PTO

Strong understanding of both RN and PN scope of practice * Fluency in English with excellent ... Self-motivated; Thrive working with remote and distributed teams * Strong preference given to ...

Payment Integrity Nurse I

Medford, OR ยท Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ...

Payment Integrity Nurse I

Portland, OR ยท Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ...

Payment Integrity Nurse I

Salem, OR ยท Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ...

Payment Integrity Nurse I

Bend, OR ยท Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ...

Payment Integrity Nurse I

Beaverton, OR ยท Remote

$66K - $106K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

As a member of the Post Service Claim Review team, our Payment Integrity Nurse I conducts post ... Bachelor's degree (or higher) in a health or human services-related field (psychiatric RN or ...

Remote HEDIS Specialist

OR ยท On-site +1

Assists the Manager in the coordination and preparation of the HEDIS medical record review which ... RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able to ...

Field RN (Hospice) Full Time

Portland, OR ยท On-site +1

$43.98 - $65.91/hr

Registered Nurse (RN) licensure in the state of practice: Required * Cardiopulmonary Resuscitation ... Participates in interdisciplinary team meetings to review and revise care plans. * Ensures timely ...

Showing results 21-40

Remote Utilization Review Rn information

See Oregon salary details

$22

$44

$72

How much do remote utilization review rn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote utilization review rn 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.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

What cities in Oregon are hiring for Remote Utilization Review Rn jobs?

Cities in Oregon with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Oregon as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $92,985 per year, or $44.7 per hour.

Registered Nurse (Telehealth/SUD)

Boulder Care

OR โ€ข On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago


Job description

Boulder Care is looking for Registered Nurses who are aligned with Harm Reduction principles and have experience supporting patients receiving buprenorphine-based treatment for opioid use disorder in an outpatient setting.

This is a 100% remote, full-time, W2 position.ย 

We are looking for RNs who:

  • Have an active, unrestricted RN license in your state of residency
  • Have a minimum of 2 years of specialized nursing experience inย outpatient substance use disorder treatment.
  • Are interested in full-time work (40 hours a week) with a Monday-Friday schedule:
    • 1pm - 9pm EST (10am - 6pm Pacific Time)ย 

If this sounds like you, please continue applying.

About the role
  • This position isย 100% remote but you must reside in one of the following states: AL, AK, AZ, CO, FL, GA, KS, ID, IN, MD, MI, NM, NY, NC, NV, OH, OR, PA, TN, TX, WA, and WY
  • The Registered Nurse works directly with patients to deliver medication-assisted recovery for substance use disorder (SUD) and empowers patients in their recovery journeys in coordination with the Care Team (primarily Nurse Practitioners, Medical Assistants and Peer Recovery Specialists)
  • Our team delivers compassionate and empathetic telephonic, text-based, and video-based (telehealth) patient engagement and monitoring
  • Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply
Success in this roleย Essential Functions - Patient Care (50%)
  • Provide compassionate, empathetic telephonic, text based & video-based (Telehealth) patient engagement and monitoring, assisted by clinical decision support tools
  • Provide support to patients within the Boulder application to ensure successful engagement and initiation of treatment
  • Educate patients about addiction, medications, and available support services; answer questions regarding treatment and program protocols, and provide guidance to patients and providers within scope of practice
  • Provide opioid overdose prevention, education, and reversal, safer consumption education, and safer sex education and testing
  • Access Prescription Drug Monitoring Program information, facilitate patient adherence monitoring protocols, for each assigned patient
  • Assess progress, patient functioning, and stage in recovery; in collaboration with other care team members and the patient, develop and update treatment care plans for each individual
  • Assess and advocate for acute withdrawal management
  • Assess for pain and collaborate findings with Clinician
  • Provide Buprenorphine initiation education and follow upย 
  • Maintain effective, proactive, and superior follow-up communication with patients, providers and care team
  • Maintain an accurate and updated medical record of individual patient progress during all clinical interactions
  • Identify and provide crisis intervention, within scope of practice
  • If applicable: facilitate placement for adjunctive or higher level of care; maintain contact with these placements to provide continuity of care and to streamline transitions of careย 
  • Obtain and review drug testing results and recommend further testing as appropriate, guided by clinical decision support tools
Essential Functions - Care Coordination (30%)
  • Coordinate with multidisciplinary care teams via telehealth to guide treatment planning and delivery including the following functions;ย 
  • Collaborate with pharmacies to facilitate medication refills and support patients with medication-related concerns
  • Collaborate with outside providers and community care agencies to maintain accurate and timely data exchanges between all organizations and individuals involved in patient care
  • Assist with the management of patient appointments with other care team members and referrals outside of Boulder
  • Report patient change in status (e.g. high risk for returning to use) and potential support services to prescribing clinicians in a timely manner
  • Provide patient updates and outcomes reports to the prescribing provider in alignment with Boulder Care goals
Essential Functions - Administrative (20%)
  • Meetings (department, company-wide, ECHO, meetings with your manager)
  • Maintain HIPAA and 42 CFR Part 2 compliance and all levels of required patient confidentiality
  • Manage and maintain individual schedule of assigned patients
  • Chart prep
Requirements for the role
  • Bachelor's Degree in Nursing, preferred
  • Preference given to candidates with 2+ years specialized nursing experience in outpatient substance use disorder treatmentย 
  • Embrace a harm reduction philosophical approach to care
  • Compassion, empathy, and deep dedication to patient care
  • Excellent written and verbal communicationย 
  • Extraordinary customer service skills, computer skills and record keeping
  • Ability to handle multiple tasks simultaneously and prioritize based on severity of need, while working independently with minimal supervision
  • Ability to achieve specified outcomes in collaboration with all members of the leadership team
  • Demonstrates quality in clinical performance as evidenced by creativity in problem solving and interdisciplinary communications
  • Ability to work collaboratively with medical staff including Clinicians, Care Advocates , Peers, Case Managers and colleagues in all aspects of care provision
  • Experience in office-based nursing preferred
  • Knowledge of Hepatitis C, HIV preferred
  • Membership in a relevant professional nursing organization (e.g. International Nurses Society on Addiction) or specialty certification (e.g. CARN) preferred
  • Aย dedicated, private workspaceย with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
  • Due to privacy protocols, we are unable to employ individuals who are or have previously been patients at Boulder Care
Expected hours of work
  • 40 hours per week (salaried)ย 
  • Shift Options: Monday-Fridayย 
    • 1pm - 9pm EST (10am - 6pm Pacific Time)ย 
Compensation
  • Pay range: $80,000 - $95,000 (determined by several factors including your relevant skills, education, and experience)
Hiring Process
  • Phone Interview: 30-minute phone
  • Panel Interview: 60-minute video
  • Final Interview (may be requested): 20-minute video
  • Tentative start date: August 2026
Some of Boulder's amazing benefits for regular, full-time employees:
  • Health, Dental and Vision coverage through Cigna
  • Short-Term Disability
  • Mental Health Services
  • 4 weeks of PTO accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
  • Sick leave accrued at 1 hr for every 30 hrs paid
  • 9 Paid Holidays per year
  • 12 weeks of 100% paid parental leave for the birth or adoption of a child (eligible after 6 months of employment)
  • 401(k) retirement savings
  • Remote friendly with hardware provided to complete your work duties
  • We also cover costs associated with licensing, credentialing, and malpractice

Our values

  • Patients always come first
  • Our opportunity is also our duty
  • Move the industry forward, follow the data
  • Facts to change minds, empathy to change hearts
  • Turn bold ideas into even bolder action
  • Strong individuals, stronger together
  • Boulder Care recognizes the value that lived experience can provide to our organization, community, and patients. Applicants with lived experience and/or training as a peer recovery specialist are encouraged to apply.