ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Woodburn, OR

Nourish

Credentialing / Enrollment Lead

Portland, OR · Remote

We're an AI-native digital health system matching patients with 10,000+ Registered Dietitians ... This role is full-time and open to fully remote or NYC-based candidates. Key Responsibilities:

Varsity Tutors

NCLEX Tutor

Portland, OR · Remote

$25 - $40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

Charlie Health

Mental Health Group Specialist

Salem, OR · Remote

This is a full-time (W-2) , fully remote telehealth position designed for clinicians looking to ... If you are registered as a CSWA, such hours may be eligible towards your independent licensure, at ...

previous page

Showing results 41-60

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Woodburn, OR

Remote Utilization Review Rn information

See Woodburn, OR salary details

$22

$43

$71

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

As of Sep 3, 2026, the average hourly pay for remote utilization review rn in Woodburn, OR is $43.61, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $50.10 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 Woodburn, OR are hiring for Remote Utilization Review Rn jobs?

Cities near Woodburn, 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 Woodburn, OR as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $90,713 per year, or $43.6 per hour.

Medical Coder - Hematology/Oncology Clinic

BizTek People, Inc. | APA International Placement Consultants

Portland, OR • Remote

$20 - $26.50/hr

Contractor

Re-posted 21 days ago

Job description


Title: Medical Coder - Hematology/Oncology Clinic
Duration: 12 Weeks
Location: 100% Remote
Job Description
  • Review documentation ofprofessional services in EPIC, obtain copies of chart notes, reports(i.e., admission/discharge records, patient medical records) and any othersource of documentation available to ensure compliance with the Center forMedicare and Medicaid Services' (CMS) documentation of professionalservices and assign correct CPT, ICD-9-CM, and HCPCS codes. UtilizesICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify codespecificity and follow ICD-9-CM Official Guidelines for Coding andReporting and AMA Official Guidelines for CPT.
  • Enter billing informationinto EPIC Resolute.
  • Establish and maintainprocedures and other controls necessary in carrying out all insurancebilling activity.
  • Monitor activity forcompliance with federal and/or state laws regarding correct coding setforth by CMS and Oregon Medical Assistance program (OMAP).
  • Coordinate all billinginformation and ensure that all information is complete and accurate.
  • Resolve with providers, anyissues or questions which are found prior to submission to UMG forprocessing.
  • Coordinate with the RevenueCycle staff for audit of problem areas.
  • Perform audits for levels ofservice and diagnosis coding and provide feedback to Practice Managerand/or Revenue Cycle staff.

Requirements
Requirements
  • Two years of hospital orprofessional services experience reviewing, abstracting, and codingmedical records using ICD-10-CM and CPT coding;
  • Preferred: Medical oncologyoffice setting

Certification in one of the following:
  • Registered Health InformationAdministrator (RHIA), Registered Health Information Technician (RHIT),Certified Coding Specialist (CCS) through the American Health InformationManagement Association (AHIMA).
  • Active AHIMA membership maybe required for some positions. Certified Professional Coder (CPC) throughthe American Academy of Professional Coders

Apply