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Remote Utilization Review Rn Jobs in Oregon (NOW HIRING)

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 41-60

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 Sep 5, 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 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 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 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 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 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.

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

Clearly Heard Counseling Services, LLC

Independence, OR โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 2 days ago

New


Job description

Position Overview

Join our dedicated team at Clearly Heard Counseling Services, LLC as a Licensed Mental Health Therapist, where you will play a critical role in providing compassionate and effective mental health support to individuals and families. This full-time, remote position empowers you to make a significant difference in the lives of those struggling with mental health challenges while fostering a culture of healing and understanding.

About the Organization

At Clearly Heard Counseling Services, we are pioneers in the mental health field committed to transforming the stigma associated with mental health care. Our innovative approach revolves around personalized treatment strategies designed to bridge the gaps in service delivery and cultivate a supportive environment. We collaborate closely with clients and community providers to offer comprehensive care that addresses the unique needs of each individual.

Work Environment

This position provides the flexibility of a remote work setting, which allows our therapists to maintain a healthy work-life balance while completing necessary duties, such as patient consultations via video conferencing. Our outpatient office ensures that clinical operations are managed efficiently, allowing you to focus on providing the highest standard of care to your patients.

Key Responsibilities
  • Be readily available to family members or loved ones, returning all calls and emails within two hours during business hours and within 24 hours at all other times.
  • Maintain clear communication with the Utilization Review and Business Departments regarding authorizations and payments, ensuring all necessary clinical documentation is completed promptly.
  • Conduct thorough discharge planning beginning on the first day of admission and facilitate discharge sessions that cover coping strategies, transition plans, and available resources.
  • Effectively manage crisis situations during sessions by employing evidence-based therapeutic techniques while providing support to milieu staff in their interactions with patients.
  • Build meaningful therapeutic relationships with patients and their families, conducting risk assessments for suicidality and potential harm.
  • Facilitate seamless admissions by conducting assessments with professionalism and courtesy, actively engaging in clinical outreach as needed.
  • Collaborate in weekly treatment team meetings to evaluate treatment goals, adapting strategies as necessary to enhance patient care.
  • Provide clinical support related to authorization processes to insurance companies, ensuring accurate and timely approvals for patient services.
Patient Population / Client Focus

Your primary focus will be individuals within our community experiencing a range of mental health issues, including anxiety, depression, and trauma-related disorders. As an integral member of our team, you will help these individuals navigate their challenges, fostering resilience and personal growth through tailored therapeutic approaches. Our diverse client population reflects the communityโ€™s unique needs, and by joining us, you will contribute to more equitable mental health care.

Qualifications
  • A Masterโ€™s or Doctorate degree in clinical psychology, counseling, or clinical social work from an accredited institution.
  • An independent license (LCSW, LMFT, LPC) valid in your state of residence.
  • Demonstrated passion for enhancing the lives of individuals through effective behavioral care.
  • Proficiency in navigating electronic medical records and strong email communication skills.
  • A capability to manage a large caseload effectively while interfacing with other providers and support staff.
Preferred Experience
  • Experience in crisis intervention and management within a therapeutic setting.
  • Familiarity with the intricacies of insurance utilization review and the authorization process.
  • Proven track record of establishing therapeutic rapport quickly and effectively.
Compensation and Benefits

We offer a competitive salary range of USD 80,000 โ€“ 100,000 annually, commensurate with experience, along with a comprehensive benefits package that includes:

  • Professional liability insurance to protect your practice.
  • An employee assistance program dedicated to supporting your mental health.
  • Minimized paperwork to allow you to focus on patient care.
  • A full caseload, providing a busy yet fulfilling schedule.
  • Comprehensive medical, dental, and vision insurance.
  • Life and disability insurance, ensuring peace of mind for you and your family.
Career Growth Opportunities

At Clearly Heard Counseling Services, we prioritize the professional development of our team members. By joining us, you will have access to ongoing training, supervision, and opportunities for advancement within the organization as we grow. Our commitment to your growth ensures that you can develop your skills and make a significant impact on mental health care in our community.

Why Join Our Team

In joining Clearly Heard Counseling Services, you become part of a dynamic and committed team that reflects the communities we serve. We value diversity and inclusion in our workplace and actively work towards a more equitable mental health system. By contributing your expertise, you will help shape the future of behavioral care and foster a supportive environment for both patients and colleagues.

Application Information

If you are passionate about mental health and eager to make a meaningful impact in the lives of others, we encourage you to apply for this rewarding opportunity. Please submit your resume and cover letter detailing your qualifications and interest in the role to our HR department. We look forward to welcoming you to our team and working collectively to improve mental health outcomes within our community.