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Remote Utilization Review Rn Jobs in Bend, OR (NOW HIRING)

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 micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Pharmacovigilance Expert

Bend, OR · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

This is a full-time (W-2) , fully remote telehealth position designed for clinicians looking to ... If you are registered as a CSWA, such hours may be eligible towards your independent licensure, at ...

This is a full-time (W-2) , fully remote telehealth position designed for clinicians looking to ... If you are registered as a CSWA, such hours may be eligible towards your independent licensure, at ...

Remote Utilization Review Rn information

See Bend, OR salary details

$22

$44

$72

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

As of Aug 10, 2026, the average hourly pay for remote utilization review rn in Bend, OR is $44.61, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $51.25 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 near Bend, OR are hiring for Remote Utilization Review Rn jobs? Cities near Bend, OR with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Bend, OR as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $92,783 per year, or $44.6 per hour.

RN Clinical Educator - Ambulatory Care

St. Charles Health System

Bend, OR • On-site, Remote

$53.25 - $79.88/hr

Full-time

Posted 19 days ago


St. Charles Health System rating

7.2

Company rating: 7.2 out of 10

Based on 15 frontline employees who took The Breakroom Quiz


Job description

Pay range: $53.25 - $79.88
Ambulatory Nursing Administration - Remote/Hybrid - Bend, Oregon
(Travel to multiple locations within Central Oregon)
ST. CHARLES HEALTH SYSTEM
JOB DESCRIPTION
TITLE: RN Educator, Ambulatory Services
REPORTS TO POSITION: Chief Nursing Officer, Ambulatory Services
DEPARTMENT: Ambulatory Services
DATE LAST REVIEWED: July 2026
OUR VISION: Creating America's healthiest community, together
OUR MISSION: In the spirit of love and compassion, better health, better care, better value
OUR VALUES: Accountability, Caring and Teamwork
DEPARTMENT SUMMARY: St. Charles Ambulatory Care encompasses practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, urgent care, cardiology, pulmonology, rheumatology, general surgery, behavioral health, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care.
POSITION OVERVIEW: The RN Educator promotes nursing and allied health professional development and clinical practice scope guidance and competency through a matrix of roles including: learning facilitator, change agent, mentor, leader, champion for scientific inquiry, educator, advocate, consultant, and researcher to support the organization in the protection of the public, provision of quality care and creation of a healthy work environment. The RN Educator engages in the following standards of professional practice to succeed in the above roles as described: assessment of practice/knowledge gaps, identification of learning needs, outcomes identification, planning, implementation, and evaluation.
The RN Educator utilizes evidence-based practices and research to develop timely learning and professional growth opportunities for clinical caregivers. This position collaborates with clinical and administrative leadership, as well as Compliance, Legal, Human Resources, Safety, Quality, and staff to identify areas of need as it relates to clinical practice and professional development. In addition, this position serves as a role model of professional practice and behavior and is instrumental in creating a professional practice climate within the organization to meet the needs of the health care system mission, vision and values.
This position does not directly manage other caregivers; however, may be asked to review and provide feedback on the work of other caregivers.
ESSENTIAL FUNCTIONS AND DUTIES:
Partners with the Clinical Practice and Professional Development team to ensure evidence-based education for clinical practice is maintained by providing education on quality initiatives, strategic initiative, and compliance needs.
Partners with campus nurse leaders in caregiver education, which may include monitoring, mentoring, or facilitating education to align with the mission, vision, and values.
Conducts systematic and ongoing learning needs assessments of individuals and/or groups using a variety of techniques and sources.
Identifies educational objectives based on assessment data, quality improvement and regulatory/accrediting bodies' requirements.
Develops educational programs for nurses and allied health caregivers at all stages of their career development that are culturally sensitive, age appropriate, and family centered after a complete review, validation and prioritization of needs and within available budget, staff and other resources.
Plans, prepares, and maintains materials for use in educational programs for accuracy and relevance to the target audience.
Teaches content as needed and/or assigned within informal settings with a focus upon improvement of skills and retention of knowledge using appropriate strategies, technologies and adult learning principles.
Ensures that educational activities are implemented professionally and timely, adjusts content and teaching strategies appropriate to learner needs, and documents teaching/learning process and outcomes in accordance with standards.
Conducts evaluations of assigned educational programs to determine if the purpose and objectives have been achieved and to identify areas for improvement in course design, content, and delivery.
Supports principles of continuous improvement by acting as a change agent with energy and enthusiasm, functioning as a champion for Daily Management Systems such as: seeking perfection, curiosity, humble inquiry, process at the source and standard work. Leads and coaches all levels of leadership on visual management and countermeasures.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
Provides and maintains a safe environment for caregivers, patients and guests.
Supports the vision, mission and values of the organization in all respects.
May perform additional duties of similar complexity within the organization, as required or assigned.
EDUCATION:
Required: Bachelor's Degree in Nursing. Internal candidates may meet the Bachelor's degree requirement with verification of a Bachelor's degree in progress with an expected completion date within 24 months of the promotion date; progress will be reported periodically to the site CNO.
Preferred: Master's Degree in Nursing, or RN and Master's degree in data analytics, public health or related field.
LICENSURE/CERTIFICATION/REGISTRATION:
Required: Current Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. Valid Oregon driver's license and ability to meet SCHS driving requirements.
Preferred: Lean, CQE, CPHQ, or other industry-recognized quality certification.
EXPERIENCE:
Required: Minimum three to five (3-5) years clinic nursing experience. Experience with various teaching methodologies.
Preferred: Three (3) years as a clinical educator. Three (3) years of ambulatory nursing experience.
PERSONAL PROTECTIVE EQUIPMENT:
Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.
PHYSICAL REQUIREMENTS:
Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.
Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.
Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.
Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-25 pounds, operation of a motor vehicle.
Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.
Exposure to Elemental Factors
Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.
Blood-Borne Pathogen (BBP) Exposure Category
No Risk for Exposure to BBP
Schedule Weekly Hours:
40
Caregiver Type:
Regular
Shift:
First Shift (United States of America)
Is Exempt Position?
Yes
Job Family:
EDUCATOR
Scheduled Days of the Week:
Monday-Friday
Shift Start & End Time:
8am-5pm

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About St. Charles Health System

Sourced by ZipRecruiter

St. Charles Health System, located in Bend, OR, US, is a non-profit healthcare organization that operates within the healthcare and social assistance industry. The organization offers a comprehensive range of medical services including cancer care, heart, and vascular services, orthopedics, women’s services, and many more. Founded in 2001, St. Charles Health System has its roots tracing back to the early 1900s when Sisters of St. Joseph arrived in Bend. Over the years, the organization has relentlessly poured its resources into the health and prosperity of its communities and beyond.

Company size

1,001 - 5,000 Employees

Headquarters location

Bend, OR, US

Year founded

2001

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