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Remote Utilization Review Rn Jobs in Oregon City, OR

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 ...

New

Children's Clinic PC

Advice RN

Tualatin, OR · Remote

JOB SUMMARY The Advice RN provides clinical & administrative support to clinicians & other health ... Implement and monitor quality assurance measures for advice services, conducting regular reviews of ...

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 Oregon City, OR salary details

$22

$45

$73

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

As of Aug 7, 2026, the average hourly pay for remote utilization review rn in Oregon City, OR is $45.25, according to ZipRecruiter salary data. Most workers in this role earn between $35.77 and $51.97 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 are popular job titles related to Remote Utilization Review Rn jobs in Oregon City, OR? For Remote Utilization Review Rn jobs in Oregon City, OR, the most frequently searched job titles are:
What cities near Oregon City, OR are hiring for Remote Utilization Review Rn jobs? Cities near Oregon City, 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 Oregon City, OR as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $94,110 per year, or $45.2 per hour.

Triage RN (Remote)

Community Care Partners

Portland, OR • On-site, Remote

Full-time

Re-posted 18 hours ago

Job description

Position Summary:
The Triage RN is responsible for using discretion and independent judgment in coordinating the delivery of quality patient care. This position requires skill in planning and organizing care. This position applies advanced nursing clinical skills in maintaining patient records within an electronic medical record, preparing written reports, teaching other nursing-related skills, and maintaining effective working relationships with others.
Essential Functions and Responsibilities:
1. Analytical ability to solve clinical nursing issues and conduct quality improvement research utilization projects.
2. Ability to effectively delegate appropriate patient care activities.
3. Effective verbal and written communication skills appropriate to the patient populations served.
4. Ability to multitask.
5. Basic computer proficiency inclusive of ability to access, enters, and interpret computerized data/information.
6. Effective interpersonal skills to facilitate communication with various members of the health care team, patients, and families.
7. Organizational skills to set priorities and efficiently complete assigned work.
8. Ability to effectively manage stress due to critical issues related to patient care, changing organizational climate and personnel issues.
9. Perform other duties as assigned.
Requirements and Qualifications:
• Education: Associate Degree in Nursing (ADN) or a Bachelor of Science in Nursing (BSN).
• Certificate/License: Active State of Oregon Registered Nurse (RN) license.
• Experience: A minimum of five (5) years of nursing experience is required. Primary Care experience preferred.
• Location: Candidates must currently live in OR and preferably reside in either Lane, Marion, Polk or Yamhill County or the Portland Metro area. Relocation assistance is not provided for this role, and we are unable to consider out-of-state applicants at this time.
Working Conditions and Physical Demands:
• Requires prolonged sitting, frequent standing, bending, stooping and occasional lifting of up to 25 pounds. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, telephone, photocopier, calculator and other office equipment. Requires normal range of hearing and eye sight to record, prepare and communicate appropriate reports. Requires an uninhibited driver's license to accommodate travel to off -site meetings and workgroup sessions.
Community Care Partners is an Equal Opportunity Employer (EEO).
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