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Umpqua Health Jobs (NOW HIRING)

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization--we're a community-driven Coordinated Care Organization (CCO) dedicated to improving ...

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving ...

Care Coordinator

Roseburg, OR · Remote

$80K - $92K/yr

CARE COORDINATOR REMOTE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization--we're a community-driven Coordinated Care Organization (CCO ...

Care Coordinator

Roseburg, OR · On-site +1

$80K - $92K/yr

ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO ...

Care Coordinator

Roseburg, OR · On-site +1

$80K - $92K/yr

ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO ...

Care Coordinator

Roseburg, OR · Remote

$80K - $92K/yr

ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization--we're a community-driven Coordinated Care Organization (CCO ...

Care Coordinator

Roseburg, OR · Remote

$80K - $92K/yr

ROSEBURG, OR 97470 EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization--we're a community-driven Coordinated Care Organization (CCO ...

Customer Care Specialist

Roseburg, OR · On-site

$41K - $46K/yr

CUSTOMER CARE ONSITE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization--we're a community-driven Coordinated Care Organization (CCO ...

Customer Care Specialist

Roseburg, OR · On-site

$41K - $46K/yr

CUSTOMER CARE ONSITE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO ...

Solutions Engineer

Roseburg, OR · On-site +1

$100K - $118K/yr

SOLUTIONS ENGINEER REMOTE, must be an Oregon Resident EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven ...

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Umpqua Health information

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How much do umpqua health jobs pay per hour?

As of Jul 25, 2026, the average hourly pay for umpqua health in the United States is $30.75, according to ZipRecruiter salary data. Most workers in this role earn between $16.59 and $39.66 per hour, depending on experience, location, and employer.

What can I expect from the work environment and team culture at Umpqua Health?

Umpqua Health fosters a collaborative, patient-centered work environment where team members are encouraged to communicate openly and support each other in delivering quality care. Employees work alongside professionals from various disciplines, including clinical staff, administrative personnel, and care coordinators, providing opportunities for cross-functional learning and professional growth. The organization values diversity, ongoing education, and innovation, offering opportunities for advancement and skill development. You’ll find a supportive atmosphere that invests in both employee well-being and the health of the communities served.

What are the key skills and qualifications needed to thrive in the Umpqua Health position, and why are they important?

To thrive at Umpqua Health, candidates typically need a background in healthcare administration, clinical practice, or health plan operations, along with relevant education or licensure based on the specific position. Familiarity with healthcare management software, electronic health record (EHR) systems, and regulatory compliance is highly valuable. Strong interpersonal skills, attention to detail, and a commitment to serving diverse populations set applicants apart. These skills ensure effective patient care, efficient operations, and a positive impact on community health outcomes.

What is a Umpqua Health job?

A Umpqua Health job refers to a position within Umpqua Health, a healthcare organization that provides medical services and managed care in Douglas County, Oregon. Jobs at Umpqua Health vary and may include roles in administration, clinical care, customer service, and healthcare management. Employees work to improve patient outcomes, promote community wellness, and support healthcare operations. Open positions can range from entry-level to specialized healthcare roles requiring certifications or degrees.

More about Umpqua Health jobs
Infographic showing various Umpqua Health job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 77% Full Time, 16% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $63,964 per year, or $30.8 per hour.
Utilization Review Nurse

Utilization Review Nurse

Umpqua Health

Roseburg, OR • Remote

$85K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago


Job description


UTILIZATION REVIEW NURSE 
REMOTE
Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. 

EMPLOYMENT TYPE: Full-Time, Exempt

About Umpqua Health

At Umpqua Health, we’re more than a healthcare organization—we’re a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care.
ESSENTIAL JOB RESPONSIBILITIES

  • Perform clinical assessments and prior authorizations to determine medical necessity
  • Escalate complex cases to Medical Directors and request additional documentation as needed
  • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
  • Liaise with internal departments to resolve eligibility, benefits, or service issues
  • Participate in discharge planning for members transitioning from acute, long-term, or residential care
  • Conduct audits and support quality improvement initiatives
  • Provide training and mentorship on UM protocols and workflows
  • Maintain relationships with community providers and service organizations
  • Ensure compliance with organizational policies, clinical standards, and federal/state regulations
  • Perform other nursing-related duties as assigned

CHALLENGES

  • Working with a variety of personalities, maintaining a consistent and fair communication style.
  • Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS

  • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state
  • Graduation from an accredited nursing program
  • Minimum 5 years of direct patient care experience
  • Proficiency with Microsoft Office, EHR systems, and UM software
  • Strong clinical knowledge, communication, and organizational skills
  • No suspension, exclusion, or debarment from federal healthcare programs

PREFERRED QUALIFICATIONS

  • 2+ years of utilization review or case management experience in managed care
  • Oregon residency and license
  • Bilingual or translation skills a plus
  • Experience with quality improvement audits and diverse team collaboration
  • Ability to work independently in fast-paced environments
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $85,000- $105,340
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more
 
Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

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