2

Remote Utilization Review Rn Jobs in Portland, OR

Bilingual Clinical Nurse Coach (RN)

Portland, OR ยท 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 ...

RN Hospital Claims Auditor

Portland, OR ยท On-site +1

$78K - $98K/yr

Prior experience in review of medical records. * Proficiency with Microsoft Office applications and ... A reliable, high-speed, hard-wired internet connection required to support remote or hybrid work.

Showing results 41-60

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 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:

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.

Remote Mental Health Counselor (LCSW, LMFT, LPC) - Full-Time

Clearly Heard Counseling Services, LLC

Happy Valley, OR โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 18 days ago


Job description

Position Overview

Clearly Heard Counseling Services, LLC is seeking a dedicated and compassionate Licensed Mental Health Therapist (LCSW, LMFT, LPC) to join our team on a full-time basis. This remote position allows you to engage with clients through telehealth services, providing essential mental health support while utilizing innovative therapeutic methods. You will play a vital role in fostering a culture of mental wellness and overcoming stigma associated with mental health care.

About the Organization

At Clearly Heard Counseling Services, we are committed to transforming the mental health landscape. Our organization, which has garnered recognition for its impactful work, strives to eliminate barriers to accessing mental health services. We prioritize collaboration with clients and community providers, ensuring that our approach is not only creative but also personalized and inclusive. Our mission revolves around delivering high-quality mental health care while advocating for the shared understanding and acceptance of mental health issues.

Work Environment

This role is entirely remote, which allows you to work from the comfort of your home while maintaining a structured schedule that encourages a healthy work-life balance. Our telehealth platform enables seamless communication and interaction with clients, utilizing secure technology for video and messaging sessions. Our supportive team environment fosters ongoing collaboration and professional development, providing you with the resources necessary for effective client management and care.

Key Responsibilities
  • Conduct comprehensive admission assessments for new clients in a professional manner, ensuring a welcoming experience as they begin their therapeutic journeys.
  • Collaborate with your peers in weekly treatment team meetings, discussing progress and adjusting treatment goals for each client to facilitate their recovery.
  • Manage client care by providing utilization reviews to insurance providers, equipping them with the necessary clinical information to secure authorization for treatment.
  • Maintain open and timely communication with clients and families, responding to all communications within two hours during operational hours and within 24 hours otherwise.
  • Engage with the Utilization Review and Business Departments to coordinate care and ensure seamless transitions for patients at various stages of their treatment.
  • Initiate discharge planning on the day of admission, conducting discharge sessions to confirm that clients have coping strategies and understand their next steps.
  • Actively manage crises during sessions, providing guidance and support to both clients and milieu staff to uphold the highest standards of care.
  • Ensure accurate and timely documentation throughout the treatment process, adhering to best practices for clinical record-keeping.
  • Establish and nurture therapeutic rapport with clients while assessing risk factors related to suicidality or harm to self or others.
Patient Population / Client Focus

You will work effectively with a diverse range of clients, each facing unique challenges in their mental health journeys. Our therapeutic focus encompasses individuals experiencing anxiety, depression, trauma, and various mental health disorders. Your role will involve understanding and addressing the unique needs of each client, ensuring they feel understood and supported throughout their treatment.

Qualifications
  • A Masterโ€™s or Doctorate degree in clinical psychology, counseling, or clinical social work (e.g., MA, MS, MSW, MFT, MHC, PhD, PsyD) from an accredited program.
  • An independent mental health license in the state of Oregon or your state of residence (e.g., LCSW, LMFT, LPC).
  • A proven ability to manage a comprehensive caseload efficiently while interacting effectively with various support staff and providers.
  • Strong electronic medical record (EMR) proficiency and solid communication capabilities, including written and verbal skills.
Preferred Experience
  • Demonstrated passion for enacting positive change in the field of mental health and an eagerness to impact the lives of clients and their families.
  • Experience utilizing telehealth platforms and engaging with clients in a virtual setting.
  • A background in crisis intervention and management techniques.
Compensation and Benefits

This full-time position offers an attractive salary range of USD 80,000 to 100,000 per year, commensurate with your experience and qualifications. In addition to a competitive salary, you will also enjoy:

  • Comprehensive medical, dental, and vision insurance plans.
  • Life and disability insurance coverage for added peace of mind.
  • Professional liability insurance to protect your practice.
  • An employee assistance program providing mental health support and resources.
  • Minimal paperwork to allow you to focus on client care.
  • A full caseload that promises a busy and fulfilling schedule.
Career Growth Opportunities

We value professional development and offer opportunities for growth within our organization. You will have access to training programs, workshops, and ongoing support to enhance your skills and advance your career in mental health. Clearly Heard Counseling Services fosters an environment where you can thrive, take on leadership roles, and engage in special projects that align with your interests.

Why Join Our Team

Becoming a part of Clearly Heard Counseling Services means joining a mission-driven team passionate about making a difference in the mental health field. We actively seek to build a diverse workforce that reflects the backgrounds of the patients we serve and the communities we are part of. If you are committed, empathetic, and passionate about mental health, we encourage you to apply!

Application Information

Interested candidates should submit their resume along with a cover letter outlining their qualifications and interest in this position. We look forward to learning how you can contribute to our team and help us advance the mission of Clearly Heard Counseling Services.