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Utilization Case Manager Jobs in Portland, OR (NOW HIRING)

RN Case Manager

Portland, OR ยท 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 ...

Case Manager 2

Portland, OR

$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)

Case Manager 2

Portland, OR ยท 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)

Case Manager - Case Management

Portland, 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:

Nurse Case Manager

Portland, OR ยท On-site

$76K - $111K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience. * Current Registered Nurse (RN) license. * Experience ...

Nurse Case Manager

Portland, OR ยท On-site +1

$76K - $111K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Experience: 4+ years of clinical nursing, hospital, utilization review, quality management, case management, or related healthcare experience. * Current Registered Nurse (RN) license. * Experience ...

Case Manager - Care 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:

Case Manager - Care 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:

Case Manager - Care 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:

Travel RN Case Manager

Portland, OR ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

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 ...

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Utilization Case Manager information

See Portland, OR salary details

$17

$38

$63

How much do utilization case manager jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization case manager in Portland, OR is $38.69, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $40.77 per hour, depending on experience, location, and employer.

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 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.

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 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 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 popular job titles related to Utilization Case Manager jobs in Portland, OR?

For Utilization Case Manager jobs in Portland, OR, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Portland, OR look for?

The top searched job categories for Utilization Case Manager jobs in Portland, OR are:

What cities near Portland, OR are hiring for Utilization Case Manager jobs?

Cities near Portland, OR with the most Utilization Case Manager job openings:

RN Case Manager

GQR Global Markets

Portland, OR โ€ข On-site

$1.9K - $2.0K/wk

Other

Medical, Dental, Vision

Posted 4 days ago


Job description

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 Estimated Pay: $1980.47 - $2075.47 Duration: 13 weeks Specialty: Case Management/Utilization Review Shift: Day

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a job--it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.