Work Environment This position is fully remote, allowing for a flexible work-life balance while you ... Conduct utilization reviews to communicate with insurance companies, providing clinical information ...
New
Work Environment This position is fully remote, allowing for a flexible work-life balance while you ... Conduct utilization reviews to communicate with insurance companies, providing clinical information ...
New
Work Environment This position is fully remote, allowing for a flexible work-life balance while you ... Conduct utilization reviews to communicate with insurance companies, providing clinical information ...
New
Portland, OR ยท Remote
In this full-time, remote position, you will play a crucial role in delivering high-quality mental ... Conduct utilization reviews for insurance providers, delivering the necessary clinical information ...
New
Portland, OR ยท Remote
In this full-time, remote position, you will play a crucial role in delivering high-quality mental ... Conduct utilization reviews for insurance providers, delivering the necessary clinical information ...
New
... in a remote telehealth setting. As part of our virtual team, you will interact with clients via ... Collaborate closely with both the Utilization Review Department and Business Office to facilitate ...
New
... in a remote telehealth setting. As part of our virtual team, you will interact with clients via ... Collaborate closely with both the Utilization Review Department and Business Office to facilitate ...
New
Washougal, WA ยท Remote
$90K - $110K/yr
... remote team. This full-time position is designed for licensed professionals who are passionate ... Familiarity with the utilization review processes within mental health care. * Experience ...
New
Washougal, WA ยท Remote
$90K - $110K/yr
... remote team. This full-time position is designed for licensed professionals who are passionate ... Familiarity with the utilization review processes within mental health care. * Experience ...
New
Portland, OR ยท Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
Quick apply
Portland, OR ยท Remote
$55K - $67K/yr
Interface with Admissions, Verification of Benefits, Utilization Review, and Clinical teams in ... li-remote Based on the nature of this role, you will need to complete several state background ...
Portland, OR ยท Remote
$40 - $45/hr
Remote anywhere in US Hire Type: Contingent Pay Range: $40 - $45 Work Model: Remote Work Shift ... utilization reviews. * Foster and maintain professional client relationships and deliver high ...
Quick apply
Portland, OR ยท Remote
$40 - $45/hr
Remote anywhere in US Hire Type: Contingent Pay Range: $40 - $45 Work Model: Remote Work Shift ... utilization reviews. * Foster and maintain professional client relationships and deliver high ...
Portland, OR ยท Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
Quick apply
Portland, OR ยท Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
Monitor project budgets and labor utilization. * Review subcontractor proposals and change orders ... This is a remote position.
Quick apply
Monitor project budgets and labor utilization. * Review subcontractor proposals and change orders ... This is a remote position.
This full-time, remote position offers a unique opportunity to provide mental health services that ... Conduct utilization reviews with insurance companies to provide clinical information for obtaining ...
New
This full-time, remote position offers a unique opportunity to provide mental health services that ... Conduct utilization reviews with insurance companies to provide clinical information for obtaining ...
New
As a licensed professional therapist in this remote position, you will play a crucial role in ... Conduct utilization reviews with insurance providers to secure necessary authorizations for ...
New
As a licensed professional therapist in this remote position, you will play a crucial role in ... Conduct utilization reviews with insurance providers to secure necessary authorizations for ...
New
This remote position is pivotal in providing essential counseling services within a hospice setting ... Maintaining a manageable caseload while performing ongoing case management and utilization reviews ...
New
This remote position is pivotal in providing essential counseling services within a hospice setting ... Maintaining a manageable caseload while performing ongoing case management and utilization reviews ...
New
Vancouver, WA ยท Remote
$90K - $105K/yr
This full-time, remote position will play a vital role in providing mental health services at our ... Engage with insurance companies for pre-certification, and manage utilization reviews to facilitate ...
New
Vancouver, WA ยท Remote
$90K - $105K/yr
This full-time, remote position will play a vital role in providing mental health services at our ... Engage with insurance companies for pre-certification, and manage utilization reviews to facilitate ...
New
This full-time, remote position allows for flexibility while you provide quality care to clients in ... Conduct utilization reviews with insurance companies by providing comprehensive clinical details to ...
New
This full-time, remote position allows for flexibility while you provide quality care to clients in ... Conduct utilization reviews with insurance companies by providing comprehensive clinical details to ...
New
Utilization of a user-friendly telehealth platform for counseling sessions. Key Responsibilities ... Engage in regular case reviews and team meetings to discuss client progress and share best ...
New
Utilization of a user-friendly telehealth platform for counseling sessions. Key Responsibilities ... Engage in regular case reviews and team meetings to discuss client progress and share best ...
New
Portland, OR ยท Remote
$20 - $22/hr
... 100% remote and full time. Responsibilities may include: * Performs quality assurance review of ... Promotes effective and efficient utilization of company resources. * Participates in various ...
Portland, OR ยท Remote
$20 - $22/hr
... 100% remote and full time. Responsibilities may include: * Performs quality assurance review of ... Promotes effective and efficient utilization of company resources. * Participates in various ...
Portland, OR ยท Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Portland, OR ยท Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Portland, OR ยท On-site +1
$150K - $200K/yr
Conduct and oversee regular customer meetings to review new opportunities, quality issues ... utilization and to identify alternative plans to meet objectives when resources are not available ...
Portland, OR ยท On-site +1
$150K - $200K/yr
Conduct and oversee regular customer meetings to review new opportunities, quality issues ... utilization and to identify alternative plans to meet objectives when resources are not available ...
We pride ourselves on creating a supportive and inclusive atmosphere within our remote work setting ... Participate in regular case reviews and treatment planning meetings to evaluate the effectiveness ...
New
We pride ourselves on creating a supportive and inclusive atmosphere within our remote work setting ... Participate in regular case reviews and treatment planning meetings to evaluate the effectiveness ...
New
Portland, OR ยท Remote
$90K - $110K/yr
Work Environment Your role will be primarily remote, allowing for a flexible work-life balance ... Participate in case consultations and peer review meetings to continually improve the quality and ...
New
Portland, OR ยท Remote
$90K - $110K/yr
Work Environment Your role will be primarily remote, allowing for a flexible work-life balance ... Participate in case consultations and peer review meetings to continually improve the quality and ...
New
This full-time remote role provides an exciting opportunity for a passionate professional who is ... Proficiency in clinical documentation and utilization of electronic health record (EHR) systems for ...
New
This full-time remote role provides an exciting opportunity for a passionate professional who is ... Proficiency in clinical documentation and utilization of electronic health record (EHR) systems for ...
New
$22.69 - $27.28
2% of jobs
$27.28 - $31.87
9% of jobs
$35.01 is the 25th percentile. Wages below this are outliers.
$31.87 - $36.45
21% of jobs
The median wage is $40.17 / hr.
$36.45 - $41.04
23% of jobs
$41.04 - $45.63
13% of jobs
$49.20 is the 75th percentile. Wages above this are outliers.
$45.63 - $50.22
10% of jobs
$50.22 - $54.81
8% of jobs
$54.81 - $59.40
5% of jobs
$59.40 - $63.99
5% of jobs
$63.99 - $68.58
2% of jobs
$68.58 - $73.16
2% of jobs
$22
$44
$73
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
The most popular types of Utilization Review jobs in Portland, OR are:
For Remote Utilization Review jobs in Portland, OR, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review jobs in Portland, OR are:
Cities near Portland, OR with the most Remote Utilization Review job openings:

Woodburn, OR โข Remote
Full-time
Medical, Dental, Vision, Life
Posted 3 days ago
New
Join Sleep Better Healthcare Services, Inc. as a Full-Time Licensed Mental Health Therapist, where you will play a crucial role in providing exceptional mental health care through remote consultations. We are looking for an independent mental health professional who can navigate complex cases, deliver compassionate therapy, and offer expert assessments. This position allows flexibility within a supportive community health clinic framework while maintaining your professional independence.
About the OrganizationSleep Better Healthcare Services, Inc. is dedicated to transforming the landscape of mental health treatment. We are committed to eliminating stigma and enhancing access to licensed therapists. Our approach emphasizes collaboration, creativity, and an unwavering focus on providing personalized and comprehensive care tailored to the specific needs of our patients. By fostering connections between clients and community providers, we aim to elevate the entire mental health culture.
Work EnvironmentThis position is fully remote, allowing for a flexible work-life balance while you provide services to a diverse client base in Woodburn, Oregon, and surrounding areas. Working within a community health clinic model, you will interact with a supportive team that prioritizes communication and collaboration. You will utilize advanced technological platforms for client management and therapy sessions, ensuring efficient and effective treatment delivery.
Key ResponsibilitiesOur clientele encompasses a wide demographic, including individuals managing acute and chronic mental health conditions. As a therapist, you will provide care to a population that seeks to overcome barriers to mental health treatment, often facing stigma or limited resources. Your role will focus on empowering patients to achieve their mental wellness goals through tailored therapeutic approaches.
QualificationsThis full-time position offers an annual salary ranging from USD 50,000 to USD 70,000, commensurate with experience and qualifications. In addition to a competitive salary, we provide comprehensive medical, dental, and vision insurance, as well as life and disability insurance. Our therapists also receive professional liability insurance, access to an employee assistance program for mental health support, and a focus on reducing paperwork, allowing you to maximize your time spent with clients. Each therapist can expect a full caseload, enabling a fulfilling and effective practice.
Career Growth OpportunitiesAt Sleep Better Healthcare Services, we are committed to the growth and development of our staff. As a valued member of our team, you will have access to continuous training and professional development opportunities. We encourage our therapists to pursue advanced certifications and specialties within the field. As our organization grows, there will be opportunities for leadership roles and program development initiatives.
Why Join Our TeamWe believe that a diverse team strengthens our ability to serve our community effectively. By joining Sleep Better Healthcare Services, you will be part of a dedicated organization that values innovation, collaboration, and compassionate care. Together, we will work to disrupt the barriers to mental health access and ensure better outcomes for every patient. If you are passionate about making meaningful changes in the world of behavioral healthcare, we invite you to apply.
Application InformationIf you are interested in applying for the Full-Time Licensed Mental Health Therapist position, please submit your resume and a cover letter that highlights your qualifications, experience, and passion for mental health care. We look forward to welcoming you to our team and working together to foster a healthier community.