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Remote Utilization Review Rn Jobs in Portland, OR

DataAnnotation

RN

Hillsboro, OR · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse

Hillsboro, OR · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

Vancouver, WA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse

Vancouver, WA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Cambia Health Solutions

Appeals Clinician I

Beaverton, OR · Remote

$72K - $117K/yr

Are you an RN who finds yourself asking 'why' when a care decision doesn't feel right - and wishing ... Demonstrated competency in claim review and experience using billing and claims forms. * Proven ...

Cambia Health Solutions

Appeals Clinician I

Vancouver, WA · Remote

$72K - $117K/yr

Are you an RN who finds yourself asking 'why' when a care decision doesn't feel right - and wishing ... Demonstrated competency in claim review and experience using billing and claims forms. * Proven ...

Cambia Health Solutions

Appeals Clinician I

Portland, OR · Remote

$72K - $117K/yr

Are you an RN who finds yourself asking 'why' when a care decision doesn't feel right - and wishing ... Demonstrated competency in claim review and experience using billing and claims forms. * Proven ...

Firefly Health

Nurse Practitioner

Portland, OR · On-site +1

$130K - $150K/yr

... registered nurses, health guides, and other cross-functional colleagues. This is a great ... Work independently in a remote setting from a private, HIPAA-compliant home office. * Be timely ...

Firefly Health

Nurse Practitioner

Portland, OR · Remote

$130K - $150K/yr

... registered nurses, health guides, and other cross-functional colleagues. This is a great ... Work independently in a remote setting from a private, HIPAA-compliant home office. * Be timely ...

Aledade

Clinical Risk Educator, Remote

Portland, OR · Remote

By analyzing review outcomes, they pinpoint specific areas for improvement in coding and clinical ... Active nursing credential as Registered Nurse (RN), Licensed Practical Nurse (LPN), or ...

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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 Jun 11, 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 the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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.
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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
RN

RN

DataAnnotation

Hillsboro, OR • Remote

$40 - $60/hr

Part-time

Posted 16 days ago

Job description

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and setting your own schedule.

We are looking for an existing Medical Expert (this is an independent contractor position) to help advance AI development. You’ll be part of a growing community of over 100,000 professionals who are driving real-world impact in AI development.

Our platform offers an engaging blend of flexibility and challenge: you’ll work closely with state-of-the-art AI models to take on health/medical tasks that include solving challenging problems and synthesizing insights through data analysis and visualization. Your work directly contributes to refining intelligent systems that learn, adapt, and evolve.

To get started, once you sign up for an account, you'll take a short assessment (this serves as our version of an interview). If you pass that assessment, you’ll receive an email confirmation, and paid work will become available to you through our platform.

We are interested in a wide range of expertise, so relevant backgrounds include: MDs, PAs, and Nurses.

Advantages of contracting with us:

  • You'll be able to choose which projects you want to work on and when
  • You work on your own schedule, on your own computer, from the comfort of your own home
  • Projects are paid hourly starting at $50-$60 USD per hour, with bonus rates available on some projects

Responsibilities:

  • Give AI chatbots diverse and complex healthcare-related problems and evaluate their outputs
  • Evaluate the quality produced by AI models for correctness and performance
  • Ensure the medical accuracy of model performance

Qualifications:

  • Fluency in English (native or bilingual level)
  • A current or in progress medical degree

Note: Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This job is only available to those in the US, Canada, UK, Ireland, Australia, and New Zealand. Those located outside of these countries will not see work or assessments available on our site at this time. This is an independent contractor position.

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