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Remote Utilization Review Rn Jobs in Beaverton, OR

Varsity Tutors

NCLEX-PN Tutor

Portland, OR · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

PeaceHealth

Coder III - Hospital Coding

Vancouver, WA · Remote

$34.74 - $52.12/hr

May assist with internal coding reviews, expanded coordination of efforts with CDI nurses, and ... Registered Health Information Technician or * Required: Certified Coding Specialist or * Required:

New

Nourish

Credentialing / Enrollment Lead

Portland, OR · Remote

We're an AI-native digital health system matching patients with 10,000+ Registered Dietitians ... This role is full-time and open to fully remote or NYC-based candidates. Key Responsibilities:

Varsity Tutors

NCLEX Tutor

Portland, OR · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Moda Health

Govt Prior Auth Coord I

Portland, OR · On-site +1

$21.30 - $23.96/hr

Consults the RN, Manager or Supervisor on complex cases. * Responsible for daily administrative ... the review of claims or denial of requested services. * Analyze authorizations for correct ...

New

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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.

Coder I - Home & Community Care Admin (Remote)

PeaceHealth

Vancouver, WA • On-site, Remote

$23.74 - $35.62/hr

Full-time, Per diem

Vision, Retirement

Re-posted 8 days ago

PeaceHealth rating

7.7

Company rating: 7.7 out of 10

Based on 175 frontline employees who took The Breakroom Quiz

165th of 898 rated healthcare providers

Job description

PeaceHealth is seeking a Coder I - Home & Community Care Admin for a Per Diem/Relief, 0.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $23.74 - $35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
Job Summary
Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data.
Essential Functions
  • Review medical record documentation and codes diagnoses and procedures using ICD-10-CM and CPT4 coding conventions for the purpose of reimbursement, research, and compliance with federal and third-party payor regulations.
  • Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
  • Abstract information form medical records following established methods and procedures.
  • Identifies problem documents and works with submitting departments to correct errors, including potential charging errors.
  • Reviews and corrects claim and code edits as required.
  • Performs other duties as assigned.

Qualifications
Education
  • Accredited Program Required: Coding or a combination of education and experience that provides the caregiver with the requisite knowledge, skills and abilities to perform the job or
  • Preferred: Completion of a formal coding certificate/education program

Experience
  • Minimum of 1 year Preferred: Directly related work experience abstracting and coding information using ICD-10-CM and CPT-4 coding systems

Credentials
  • One of the following credentials is Required within 1 Year from date of hire:
    • Certified Professional Coder - Apprentice
    • Registered Health Information Administrator
    • Registered Health Information Technician
    • Certified Coding Associate
    • Certified Coding Specialist
    • Certified Outpatient Coder
    • Certified Professional Coder - Hospital
    • Certified Inpatient Coder

Skills
  • Proficient in MS Office (Required)
  • Effective written and verbal communication skills (Required)
  • Ability to understand and carry out instructions furnished in written, verbal or diagram form (Required)
  • Demonstrated good judgment and decision-making skills (Required)
  • Good organizational skills and attention to detail (Required)
  • Knowledge of Medicare/Centers for Medicaid Services (CMS) requirements (Required)
  • Understands outpatient CCI & OCE edits and modifier assignment in compliance with coding guidelines. (Required)
  • Ability to work in an independent and/or remote environment. (Required)
  • 3M or other CAC experience strongly (Preferred)
  • Epic EMR experience (Preferred)

Working Conditions
Lifting
  • Consistently operates computer and other office equipment.
  • Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
  • Sedentary work.

Environmental Conditions
  • Predominantly operates in an office environment.

Mental/Visual
  • Ability to communicate and exchange accurate information.
  • The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

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About PeaceHealth

Sourced by ZipRecruiter

PeaceHealth, based in Vancouver, WA, is a not-for-profit Catholic health system employing approximately 16,000 caregivers, a multi-specialty medical group practice with more than 1,200 providers and 10 medical centers serving both urban and rural communities in Washington, Oregon, Alaska. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, the legacy of its founding Sisters continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn! We offer competitive compensation, a robust benefitspackage and a collaborative, Mission-driven work environment! To learn more please visit: jobs.peacehealth.org. Questions? Review our Employment FAQor email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Vancouver, WA, US

Year founded

1890

Social media

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