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Senior Rn Utilization Review Nurse Jobs in Portland, OR

Providence Service

Utilization Review RN

Portland, OR · On-site

Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...

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Senior Rn Utilization Review Nurse information

See Portland, OR salary details

$22

$44

$73

How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for senior rn utilization review nurse 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 does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

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

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.

What is the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Portland, OR?

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

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

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

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

Cities near Portland, OR with the most Senior Rn Utilization Review Nurse job openings:

Senior Rn Utilization Review Nurse jobs near you
Infographic showing various Senior Rn Utilization Review Nurse job openings in Portland, 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 $93,268 per year, or $44.8 per hour.

Travel Nurse RN - Utilization Review

Medlivo

Hillsboro, OR • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Job description

Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro, Oregon.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

Requirements:
- Active Oregon RN or Washington RN license, or Compact RN license
- BLS
- Minimum 1 year of Case Manager or Patient Care Coordinator (PCC) experience
- EPIC experience
- Experience with Medicare and Medicaid
- Previous Kaiser Permanente experience preferred

Medlivo Job ID #KAISJP00253838. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Medlivo


Benefits
  • Dental benefits
  • Vision benefits
  • 401k retirement plan
  • Health Care FSA
  • Life insurance
  • Sick pay
  • Holiday Pay
  • Medical benefits

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