ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Beaverton, OR

Argenx

Nurse Case Manager, Oregon

Portland, OR · Remote

Review and educate the patients and/or caregivers on financial assistance programs that they may be ... Current RN License in good standing * Bachelor's degree required * 5+ years of clinical experience ...

ZoomCare

Psychiatric Nurse Practitioner

Portland, OR · On-site +1

$140K - $163K/yr

Remote Schedule (Must be located in Oregon) ESSENTIAL FUNCTIONS Reasonable accommodations may be ... Current Registered Nursing licensure in Oregon and Washington. * Master of Science in Nursing (MSN ...

Sensibly Sprouted

Registered Dietitian - Remote

Portland, OR · Remote

$33.25 - $44.50/hr

Registered Dietitian (RD/RDN) credential required. * Licensed in WA. * Outpatient MNT experience ... For further information, please review theKnow Your Rights notice from the U.S. Department of Labor.

previous pagenext page

Showing results 21-40

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Beaverton, OR

Remote Utilization Review Rn information

See Beaverton, OR salary details

$22

$43

$71

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

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Beaverton, OR is $43.99, according to ZipRecruiter salary data. Most workers in this role earn between $34.76 and $50.53 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 are popular job titles related to Remote Utilization Review Rn jobs in Beaverton, OR?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Beaverton, OR are:

What cities near Beaverton, OR are hiring for Remote Utilization Review Rn jobs?

Cities near Beaverton, OR with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Beaverton, OR as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $91,505 per year, or $44 per hour.

Workers Compensation Claims Adjuster

Imagine Staffing Technology

Portland, OR • Remote

$40 - $45/hr

Full-time

Re-posted 3 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.