2

Supervisor Utilization Review Remote Jobs in Oregon

Showing results 21-40

Supervisor Utilization Review Remote information

What does a supervisor utilization review remote do?

A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.

What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?

To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.

What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?

Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.

What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?

AspectSupervisor Utilization Review RemoteUtilization Review Nurse
CredentialsRN license, possibly supervisor certificationRN license, certification in utilization review often preferred
Work EnvironmentRemote, supervisory role overseeing review teamsRemote or onsite, performing case assessments
Employer & IndustryHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.

What cities in Oregon are hiring for Supervisor Utilization Review Remote jobs?

Cities in Oregon with the most Supervisor Utilization Review Remote job openings:

Remote Licensed Mental Health Therapist (LCSW, LMFT, LPC)

Sleep Better Healthcare Services, Inc.

Grants Pass, OR • Remote

Full-time

Medical, Dental, Vision, Life

Posted 4 days ago


Job description

Position Overview

Sleep Better Healthcare Services, Inc. is seeking a dedicated and compassionate Licensed Mental Health Therapist to join our remote team in Grants Pass, Oregon. This full-time position allows you to support clients in a virtual setting, offering them the flexibility needed for their mental health journeys. Your role will focus on enhancing the lives of our diverse patient population by delivering high-quality therapeutic services while adhering to the highest standards of clinical practice.

About the Organization

At Sleep Better Healthcare Services, Inc., we are at the forefront of transforming the mental health landscape. We are committed to eliminating stigma and enhancing access to mental health resources. Our organization prides itself on fostering a culture that prioritizes individual treatment plans and collaborative care between therapists, clients, and community providers. We have built a reputation for creative and personalized approaches to mental health care, striving to provide comprehensive support to every individual we serve.

Work Environment

This position offers a remote work setting, providing you with the flexibility to manage your schedule and work from the comfort of your own home. You'll be part of an integrated outpatient treatment team that values your contributions and supports your professional growth. Despite the remote nature of this position, we maintain strong communication through weekly team meetings and collaborative platforms, ensuring that our therapeutic approach remains cohesive and effective.

Key Responsibilities
  • Manage crises effectively during therapy sessions, providing immediate support and intervention as necessary.
  • Collaborate with milieu staff to ensure patients and their families receive comprehensive support throughout the treatment process.
  • Conduct timely clinical documentation during each session, adhering to professional standards and ensuring continuity of care.
  • Establish strong therapeutic rapport with patients and their support systems, performing thorough assessments for risks such as suicidality.
  • Facilitate admission assessments, welcoming new patients with professionalism and courtesy to create a positive first impression.
  • Actively participate in clinical outreach and program tours as needed, showcasing our services and fostering community relationships.
  • Engage in weekly consultations with the treatment team to discuss patient progress and treatment goals, and provide additional support for colleagues as needed.
  • Conduct utilization reviews with insurance companies, supplying necessary clinical information for authorization and continued care.
  • Be responsive to inquiries from family members and loved ones, ensuring professional communication within two hours during working hours.
  • Communicate effectively with the Utilization Review and Business Departments regarding insurance authorizations and payment processes.
  • Begin discharge planning from the day of admission, ensuring patients have a transition plan in place that includes necessary coping skills and resources.
Patient Population / Client Focus

You will work with a wide range of patients, including individuals with anxiety, depression, trauma, and other mental health challenges. Our patient population reflects diverse backgrounds and experiences, allowing you the opportunity to engage meaningfully with each individual. Your role will be crucial in providing therapeutic support tailored to the unique needs of each client and fostering their path towards recovery and mental well-being.

Qualifications
  • A Master’s or Doctorate degree in clinical psychology, counseling, or clinical social work from an accredited program (e.g., MA, MS, MSW, MFT, MHC, PhD, PsyD).
  • Active and independent licensure in the state of Oregon (e.g., LCSW, LMFT, LPC).
  • Proven ability to handle a substantial caseload while maintaining the highest standards of care.
  • A genuine passion for positively impacting the lives of others through behavioral health care.
  • Strong proficiency in operating electronic medical records systems.
  • Excellent communication skills, particularly in electronic correspondence.
Preferred Experience
  • Experience working with diverse populations and understanding the nuances of cultural variables in mental health.
  • Familiarity with telehealth practices and technology to support virtual care.
  • Background in crisis intervention and risk assessment protocols.
Compensation and Benefits

The salary range for this position is competitive, offering between USD 50,000 and 70,000 annually, commensurate with experience. We provide a comprehensive benefits package, including medical, dental, and vision insurance, life and disability insurance, malpractice insurance, and an employee assistance program for mental health support. Minimal administrative burdens will allow you to focus on what you do best—helping our clients achieve their therapeutic goals.

Career Growth Opportunities

Joining Sleep Better Healthcare Services, Inc. opens the doors to continuous professional development. Our commitment to training and personal growth ensures you have access to workshops, seminars, and certifications relevant to your field. As a member of our team, you will have opportunities to expand your role, participate in leadership training, and enhance your skillset, positioning yourself for advancement within the organization.

Why Join Our Team

Become part of a dynamic team dedicated to transforming mental health care. At Sleep Better Healthcare, we embrace diversity and inclusivity, fostering an environment where every therapist's unique skills and perspectives are valued. We invite you to contribute your expertise and passion for mental health as we work collaboratively to support our clients and communities. If you're looking for an opportunity to make a significant impact within a supportive organization, we encourage you to apply!

Application Information

If you are ready to embark on a fulfilling career with Sleep Better Healthcare Services, Inc., please submit your resume and cover letter detailing your qualifications and experience. We look forward to reviewing your application and exploring the potential for you to join our innovative and compassionate team.