Portland, OR ยท On-site
$76K - $111K/yr
Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience. * Current Registered Nurse (RN) license. * Experience ...
Portland, OR ยท On-site
$76K - $111K/yr
Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience. * Current Registered Nurse (RN) license. * Experience ...
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 ...
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 ...
Hermiston, OR ยท On-site
Partner with insurance providers to secure authorizations and ensure appropriate utilization of ... Case Management Certification (CCM or equivalent) * Experience with discharge planning or case ...
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Hermiston, OR ยท On-site
Partner with insurance providers to secure authorizations and ensure appropriate utilization of ... Case Management Certification (CCM or equivalent) * Experience with discharge planning or case ...
Medford, OR ยท On-site
$49.33 - $67.84/hr
... utilization, and/or case management - or the equivalent in education and/or experience - is ... required Please note: Preference will be given to candidates having both preferred experience and ...
Medford, OR ยท On-site
$49.33 - $67.84/hr
... utilization, and/or case management - or the equivalent in education and/or experience - is ... required Please note: Preference will be given to candidates having both preferred experience and ...
Gresham, OR ยท 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:
Gresham, OR ยท 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:
$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:
$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:
$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:
$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:
Portland, OR ยท On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Portland, OR ยท On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
$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:
$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:
Portland, OR ยท 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:
Portland, OR ยท 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:
$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:
$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:
Gresham, OR ยท 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:
Gresham, OR ยท 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:
Portland, OR ยท 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:
Portland, OR ยท 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:
$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:
$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:
$71K - $89K/yr
... performing Utilization Review and Service Authorizations for members of all books of business ... Certification in case management (CCMC) required or ability to obtain within 24 months of hire.
$71K - $89K/yr
... performing Utilization Review and Service Authorizations for members of all books of business ... Certification in case management (CCMC) required or ability to obtain within 24 months of hire.
| 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.
For Utilization Case Manager jobs in Oregon, the most frequently searched job titles are:
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Cities in Oregon with the most Utilization Case Manager job openings:
