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Remote Utilization Review Rn Jobs in Portland, OR

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 ...

Renalogic

Bilingual Clinical Nurse Coach (RN)

Portland, OR · On-site +1

$78K - $100K/yr

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

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Remote Utilization Review Rn information

See Portland, OR salary details

$22

$44

$73

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

As of Sep 5, 2026, the average hourly pay for remote utilization review rn in Portland, OR is $44.84, according to ZipRecruiter salary data. Most workers in this role earn between $35.43 and $51.49 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 Portland, OR?

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

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

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

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

Cities near Portland, 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 Portland, OR as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $93,268 per year, or $44.8 per hour.

Field RN (Hospice) Full Time

Adventist Health

Portland, OR • On-site, Remote

$43.98 - $65.91/hr

Full-time

Re-posted 3 days ago

Adventist Health rating

7.7

Company rating: 7.7 out of 10

Based on 246 frontline employees who took The Breakroom Quiz

163rd of 898 rated healthcare providers

Job description


$10,000 Sign-On Incentive for eligible rehires and external hires that meet required qualifications and conditions for payment.
Our home health and hospice agencies are located throughout California, Hawaii, Oregon and Washington. They serve the entire community and offer personalized in-home care, and many have been recipients of Home Care Elite awards.
So whether you're looking for the buzz of a large city, the tranquility of nearby mountain bike trails or something in between, we encourage you to explore our organization.
Job Summary:
Provides compassionate, patient-centered care to individuals with terminal illnesses, focusing on comfort, dignity, and quality of life. Collaborates as part of an interdisciplinary team to deliver skilled nursing care in homes, facilities, or hospice centers. Assesses patient needs, manages symptoms, administers medications, educates families, and coordinates care plans. Supports patients and their loved ones through end-of-life care, ensuring emotional, spiritual, and clinical needs are met in accordance with hospice philosophy and regulatory standards.
Job Requirements:
Education and Work Experience:
  • Bachelor's Degree in Nursing (BSN): Preferred
  • Five years' hospice nursing experience: Preferred

Licenses/Certifications:
  • Registered Nurse (RN) licensure in the state of practice: Required
  • Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required
  • Valid Driver's License (DL) and must be at least 21 years of age or older: Required
  • Current automobile insurance and a reliable automobile: Required

Essential Functions:
  • Conducts initial and ongoing assessments of patients' physical, emotional, psychosocial, and spiritual needs and develop and update individualized plans of care in coordination with physicians and the interdisciplinary team.
  • Delivers skilled nursing care including medication management, pain and symptom control, and wound care and educate patients and families on disease process, symptom expectations, medications, and hospice philosophy. Provides emotional support and crisis intervention to patients and families as needed.
  • Communicates regularly with RN case managers, physicians, social workers, chaplains, hospice aides, and other team members. Participates in interdisciplinary team meetings to review and revise care plans.
  • Ensures timely and accurate documentation in the electronic medical record (EMR) in compliance with regulatory requirements. Ensures compliance with all Medicare, Medicaid, and state/federal hospice regulations.
  • Participates in the on-call rotation and respond promptly to after-hours patient needs.
  • Performs other job-related duties as assigned.

Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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