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Remote Utilization Review Rn Jobs in Camas, WA (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Portland, OR · 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 ...

Adventist Health

Field RN (Hospice) Full Time

Portland, OR · 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 ...

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 ...

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Remote Utilization Review Rn information

See Camas, WA salary details

$24

$47

$78

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

As of Aug 14, 2026, the average hourly pay for remote utilization review rn in Camas, WA is $48.00, according to ZipRecruiter salary data. Most workers in this role earn between $37.93 and $55.10 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 Camas, WA are hiring for Remote Utilization Review Rn jobs?

Cities near Camas, WA 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 Camas, WA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $99,833 per year, or $48 per hour.

Nurse Case Manager

StanCorp Financial Group, Inc.

Portland, OR • On-site, Remote

$76K - $111K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

The next part of your journey is right around the corner - with The Standard.
A genuine desire to make a difference in the lives of others is the foundation for everything we do. With a customer-first mindset and an intentional focus on building strong teams, we've been able to uphold our legacy of financial stability while investing in new, innovative technologies that support the needs of our customers. Our high-performance culture focused on operational excellence thrives thanks to remarkable people united by compassion and a customer-first commitment. Are you ready to make a difference?
Job Summary
As a Nuse Case Manager, you will assess medical information, treatment plans, and functional capacity to support disability claim decisions and help claimants achieve safe and timely return-to-work outcomes. You will partner with claim specialists, physicians, employers, vocational experts, and claimants to evaluate medical conditions, identify barriers to recovery, and recommend appropriate treatment and workplace accommodations. This role also supports disability prevention and return-to-work initiatives by providing medical expertise, education, and consultation to internal teams and employer groups.
Key Responsibilities
  • Review medical records, treatment plans, and diagnostic information to assess functional capacity and disability duration.
  • Consult with claim professionals and healthcare providers to evaluate medical conditions and treatment appropriateness.
  • Collaborate with claimants, physicians, employers, and vocational specialists to support recovery and return-to-work plans.
  • Identify medical issues, inconsistencies, or limitations that may impact claim eligibility or outcomes.
  • Provide medical education, consultation, and disability prevention support to internal teams and employer groups.

Skills and Background You'll Need
Education: Bachelor's degree in Nursing, Health Sciences, or a related field.
Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience.
  • Current Registered Nurse (RN) license.
  • Experience reviewing medical records and assessing functional capacity, treatment plans, and disability-related medical conditions.
  • Knowledge of disability management, return-to-work practices, and medical case management.
  • Ability to collaborate effectively with physicians, claim professionals, employers, and other stakeholders.
  • Ability to obtain a Certified Case Manager (CCM) or Certified Professional Disability Management (CPDM) designation within two years of hire.

Key Behaviors of a Successful Candidate
  • Customer Focus: Builds trust through responsive service, thoughtful communication, and a commitment to achieving positive outcomes for claimants and customers.
  • Collaboration: Partners effectively with cross-functional teams, healthcare providers, and external stakeholders to solve problems and support return-to-work goals.

Why Join The Standard?
We have built an enduring legacy of stability, financial strength and exceptional customer service through the contributions of the service-oriented people who choose to work at The Standard. To ensure we can attract and retain the best talent, when you join The Standard you can expect:
  • A rich benefits package including medical, dental, vision and a 401(k) plan with matching company contributions
  • An annual incentive bonus plan
  • Generous paid time off including 11 holidays, 2 wellness days, and 8 volunteer hours annually - PTO increases with tenure
  • A supportive, responsive management approach and opportunities for career growth and advancement
  • Paid parental leave and adoption/surrogacy assistance
  • An employee giving program that double matches your donations to eligible nonprofits and schools

In addition to the competitive salary range below, our employee-focused benefits support work-life balance. Learn more about working at The Standard.
  • Eligibility to participate in an incentive program is subject to the rules governing the program and plan. Any award depends on a variety of factors including individual and organizational performance.

The actual compensation for this role will be based on a combination of education and experience, knowledge and skills, position budget, internal equity, and market data.
Salary Range:
$76,250.00 - $111,500.00
Positions will be posted for at least 5 days from original posting date.
Standard Insurance Company, The Standard Life Insurance Company of New York, Standard Retirement Services, Inc., StanCorp Mortgage Investors, LLC, StanCorp Investment Advisers, Inc., and American Heritage Life Insurance Company and American Heritage Service Company, marketed as The Standard, are Affirmative Action/Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, national origin, gender identity, sexual orientation, age, disability or veteran status or any other condition protected by federal, state or local law. Except where precluded by state or federal law, The Standard will consider for employment qualified applicants with arrest and conviction records pursuant to the San Francisco Fair Chance Ordinance. The Standard offers a drug- and alcohol-free work environment where possession, manufacture, transfer, offer, use of or being impaired by an illegal substance while on The Standard's property, or in other cases which the company believes might affect operations, safety or reputation of the company is prohibited. The Standard requires a criminal background investigation and employment, education and licensing verification as a condition of employment. After any conditional offer of employment is made, the background check will include an individualized assessment based on the applicant's specific record and the duties and requirements of the specific job. Applicants will be provided an opportunity to explain and correct background information. All employees of The Standard must be bondable.

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