Case Manager
Portland, OR · On-site
$54.37/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
Portland, OR · On-site
$54.37/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
RN Case Manager
Bend, OR · On-site
This position has the overall accountability for the utilization management and discharge planning for patients within the assigned caseload. The Case Manager collaborates with other members of the ...
Registered Nurse Case Manager
Springfield, OR · On-site
$49 - $79.74/hr
Promotes effective utilization and monitoring of resources. * Specializes in the care coordination ... Previous case/care management experience is preferred. * 3-5 years of experience in nursing ...
Registered Nurse Case Manager
Springfield, OR · On-site
$49 - $79.74/hr
Promotes effective utilization and monitoring of resources. * Specializes in the care coordination ... Previous case/care management experience is preferred. * 3-5 years of experience in nursing ...
Case Manager - Case Management
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
Portland, OR · On-site
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
Portland, OR · On-site
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
Portland, OR · On-site
$54.37/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
Portland, OR · On-site
$54.37/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Travel RN Case Manager
Portland, OR · On-site
$1.9K - $2.0K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Oregon Start Date: July 28, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
Travel RN Case Manager
Portland, OR · On-site
$1.9K - $2.0K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Oregon Start Date: July 28, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...
Case Manager - Case Management
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Case Manager - Case Management
$54.37 - $81.21/hr
... utilization management and resource management. * Working knowledge of Care Management models across the continuum. Knowledge/Skills: * Knowledge of six core components of case management:
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
The medical case manager provides telephonic case management in a workers' compensation environment ... Knowledge of utilization management, quality improvement, discharge planning, and or cost ...
The medical case manager provides telephonic case management in a workers' compensation environment ... Knowledge of utilization management, quality improvement, discharge planning, and or cost ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Utilization Case Manager information
What is a Utilization Case Manager?
A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.
What does a utilization case manager do?
A utilization case manager reviews and authorizes healthcare services to ensure they are necessary and appropriate, often working with insurance companies and healthcare providers. They analyze patient records, coordinate care plans, and ensure compliance with policies, typically using case management software and requiring strong communication skills.
How does a Utilization Case Manager typically collaborate with healthcare providers and insurance companies?
Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.
What jobs pay 4000 a week without a degree?
Utilization Case Managers typically do not earn $4,000 weekly without relevant experience or certifications; most roles in healthcare or social services pay less. High-paying jobs that can reach this level without a degree are rare and often involve specialized skills, sales, or entrepreneurship. Generally, achieving such income without a degree requires significant experience, licensing, or working in high-demand fields like real estate or certain trades.
What is the highest paid case manager?
The highest paid case managers are often those with advanced certifications, specialized skills, or experience in high-demand fields such as healthcare or insurance. Senior or managerial roles, such as Utilization Review Managers, can earn salaries exceeding $80,000 to $100,000 annually. Compensation varies based on location, industry, and level of responsibility.
Is being a MOA a good entry level job?
A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience with medical records, patient communication, and office procedures, which can serve as a foundation for advancing in healthcare careers. However, the job's suitability depends on individual career goals and the specific workplace environment.
What are the key skills and qualifications needed to thrive as a Utilization Case Manager, and why are they important?
To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.
What is the difference between Utilization Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, case management certification | RN license, certification in utilization review |
| Work Environment | Case management teams, hospitals, insurance companies | Utilization review departments, hospitals, insurance providers |
| Primary Focus | Coordinating patient care, discharge planning, resource allocation | Assessing medical necessity, reviewing patient records for appropriateness |
| Common Usage | Broader case management roles, patient advocacy | Specific review of medical necessity and insurance claims |
While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.
What are popular job titles related to Utilization Case Manager jobs in Oregon? For Utilization Case Manager jobs in Oregon, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Oregon look for? The top searched job categories for Utilization Case Manager jobs in Oregon are:
What cities in Oregon are hiring for Utilization Case Manager jobs? Cities in Oregon with the most Utilization Case Manager job openings:
Job description
Overview
You are the voice, the coordinator and the empathetic advocate of patients facing difficult situations. Your compassion for patients and families with acute and chronic health conditions knows no limits. You are committed to working with healthcare teams to ensure every patient receives the care, comfort and dignity they deserve. If this is how you define your role as a Case Manager, we invite you to consider this opportunity.
Responsibilities
Qualifications
Education:
Experience:
Knowledge/Skills:
Licensure
Pay Range
USD $54.37 - USD $81.21 /Hr.
Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you
You are the voice, the coordinator and the empathetic advocate of patients facing difficult situations. Your compassion for patients and families with acute and chronic health conditions knows no limits. You are committed to working with healthcare teams to ensure every patient receives the care, comfort and dignity they deserve. If this is how you define your role as a Case Manager, we invite you to consider this opportunity.
Responsibilities
- Coordinates and facilitates interdisciplinary provision of comprehensive, patient-centered, quality health care throughout the continuum for patients with acute and chronic health conditions.
- Fosters achievement of optimal health care outcomes within accepted standards of care.
- Serves as an expert resource to the healthcare team regarding the continuum of care, efficient use of resources, Best Practice protocols, team-based care, quality indicators and improvements, and regulatory requirements.
- Ensures a smooth transition of care between multiple health care environments with planned handoffs.
- Partners with patients and families in identifying health care issues and barriers to self-care in order to set priorities and engage in appropriate interventions.
- Demonstrates cultural agility and employs health literacy guidelines to provide education regarding self-management strategies.
- Utilizes rapid quality improvement cycles to continuously monitor, evaluate, measure, and report progress of interventions and outcomes.
- Paces the case to assure appropriate and fiscally sound care coordination across the continuum.
Qualifications
Education:
- Academic degree in nursing (BSN or higher) preferred.
Experience:
- This position requires extensive knowledge of disease management to include diagnostics, treatment and prognosis, community resources and healthcare reimbursement. Minimum 2 years clinical nursing experience required. Relevant experience in one or more of the following healthcare areas preferred:
- Coordination of community resources
- Care management of diverse patient populations
- Ambulatory Care
- Knowledge of levels of care throughout the health care continuum to include; inpatient, emergency care, rehab, home health, hospice, long term acute care, SNF, ICF, ALF with an overall understanding of utilization management and resource management.
- Working knowledge of Care Management models across the continuum.
Knowledge/Skills:
- Knowledge of six core components of case management:
- Psychosocial aspects
- Healthcare reimbursement
- Rehabilitation
- Healthcare management and delivery
- Principles of practice i.e. CMS guidelines, Interqual criteria
- Case Management concepts
- Excellent organizational skills
- Health literate oral and written communication skills for effective interaction with all members of the patient's health care team
- Knowledge of transitional planning to and from all venues
- Ability to determine and access appropriate community resources
- Ability to engage patient/family in discussion of health care goals and decisions with attention to cultural and health literacy implications
- Ability to adhere to and implement regulations in an effective manner. Must serve as a resource to all team members regarding regulatory issues.
- Keyboard skills and ability to navigate electronic systems applicable to job functions.
Licensure
- Current applicable state RN licensure.
- Case management certification preferred.
- BLS for Healthcare Providers from the American Heart Association required for all employees who perform this job in the state of Oregon.
Pay Range
USD $54.37 - USD $81.21 /Hr.
Our Commitment to Health and Equal Opportunity
Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.
If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.
Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.
To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you
About Legacy Healing Center
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
1 - 10 Employees
Headquarters location
Margate, FL, US
Year founded
2017