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Utilization Case Manager Jobs in Oregon (NOW HIRING)

AMN Healthcare Revenue Cycle

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/24/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

GQR Global Markets

RN Case Manager

Portland, OR · On-site

$1.9K - $2.0K/wk

  • Medical

  • Dental

  • Vision

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 Care ...

New

GQR Global Markets

RN Case Manager

Prairie City, OR · On-site

$2.7K - $2.8K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Prairie City, Oregon Start Date: August 10, 2026 Profession: Registered Nurse (RN) Facility: Skilled Nursing ...

New

AMN Healthcare Revenue Cycle

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

AMN Healthcare Revenue Cycle

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

AMN Healthcare Revenue Cycle

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

AMN Healthcare Revenue Cycle

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

PacificSource

Utilization Management Clinician

Bend, OR · On-site

  • Medical

Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...

PacificSource

Utilization Management Clinician

Bend, OR · On-site

  • Medical

Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...

PacificSource

Utilization Management Clinician

Bend, OR · On-site

  • Medical

Provide utilization management (UM) services which promote quality, cost-effective outcomes by ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...

Multnomah County

Case Manager 2

Portland, OR · On-site

$32.88 - $40.45/hr

Knowledge of case management methods, principles, techniques, and resources (including information/referral, assessment, interviewing, patient/client advocacy, risk intervention, resource utilization)

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Oregon

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.

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 degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

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?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific 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:

Utilization Case Manager jobs near you

Travel Utilization Review

AMN Healthcare Revenue Cycle

Portland, OR • On-site

$1.8K - $2.7K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

AMN Healthcare Revenue Cycle is seeking a travel Utilization Review for a travel job in Portland, Oregon.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: Therapy
  • Start Date: 08/24/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours
  • Employment Type: Travel

Job Description & Requirements
RN Case Manager
StartDate: 8/24/2026 Pay Rate: $1800.00 - $2700.00
POSITION SUMMARY RN Case Manager
POSITION DUTIES DCP in an acute care settng
MINIMUM REQUIRED QUALIFICATIONS Oregon & WA RN or compact license active
Must have 1 year of case manager or PCC experience
PREFERRED QUALIFICATIONS Kaiser experience
LENGTH OF ASSIGNMENT 13 weeks
SHIFT / HOURS PER WEEK M-F, 8D, 40 GWW
SYSTEMS EPIC charting and experience with Medicaid/Medicare 
START DATE 8/24/26
Facility Location
Nestled at the junction of two great rivers, ringed by pristine forests and ancient volcanoes, Oregon’s largest city is a great base for exploring the rugged Northwest while on assignment. Regularly voted as one of the “most livable cities” in the nation, Portland boasts a vital arts scene, beautiful parks, an abundance of microbreweries and a relaxed, unhurried way of life.
Job Benefits
Becoming an AMN Healthcare professional gives you the incredible opportunity to gain critical career experience, work with new people, and earn a highly competitive salary—but the perks don't stop there. There are many additional benefits to enjoy, including:

  • Medical, dental and vision benefits
  • Earned time off and paid holidays
  • Paid continuing education time
  • 401(K) retirement planning
  • Short-term disability, life insurance, paid jury duty
  • Access to the largest network of facilities and providers in the country
  • Industry experienced workforce management team
  • Licensure and certification reimbursement

About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.

AMN Healthcare Revenue Cycle Job ID #3554427. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN Case Manager

About AMN Healthcare Revenue Cycle

AMN Healthcare is a leading force in the healthcare industry, committed to being the most trusted, innovative, and influential partner for healthcare organizations. With a focus on providing quality patient care, AMN Healthcare offers holistic solutions that reduce costs, streamline processes, and improve efficiencies. The company boasts over 30 years of experience and takes pride in staffing leading healthcare facilities with the nation's best travelers. As an industry leader, AMN Healthcare offers a diverse team dedicated to supporting healthcare workers and facilities, ensuring a personalized and supportive experience for both clients and candidates.

Benefits
  • Medical benefits
  • Dental benefits
  • Company provided housing options
  • Continuing Education

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