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Utilization Management Assistant Jobs in Oregon (NOW HIRING)

Standish Management

Engagement Manager

Portland, OR · On-site

Manage engagement keeping in mind client needs, staff utilization and overall engagement efficiency ... Review all communications to the client and its investors on an ongoing basis * Assist with ...

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Utilization Management Assistant information

See Oregon salary details

$30.7K

$51.2K

$73.5K

How much do utilization management assistant jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization management assistant in Oregon is $51,169.00, according to ZipRecruiter salary data. Most workers in this role earn between $44,400.00 and $51,300.00 per year, depending on experience, location, and employer.

What is a utilization management assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.

What are the key skills and qualifications needed to thrive as a utilization management assistant?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges utilization management assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

Is utilization management assistant a good job?

Utilization Management Assistants support healthcare organizations by reviewing medical records and authorizations to ensure appropriate care and cost management. The role typically requires attention to detail, knowledge of healthcare policies, and proficiency with electronic health records systems. It can offer stable employment with opportunities for advancement in healthcare administration.

What are the most commonly searched types of Utilization Management jobs in Oregon?

The most popular types of Utilization Management jobs in Oregon are:

Utilization Management Assistant jobs near you
Infographic showing various Utilization Management Assistant job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $51,169 per year, or $24.6 per hour.

Travel Nurse RN - Clinical Document Improvement Specialist

ALOIS Healthcare

Beaverton, OR • On-site

Contractor

Medical

Posted 4 days ago

Job description

ALOIS Healthcare is seeking a travel nurse RN Clinical Document Improvement Specialist for a travel nursing job in Beaverton, Oregon.

Job Description & Requirements
  • Specialty: Clinical Document Improvement Specialist
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Clinical Documentation Specialist RN – Beaverton, OR
  • Location: Beaverton, OR
  • Assignment: REMOTE
  • Time Zone: Must be located in the Pacific Time Zone
  • Shift: Day, 5x8s
  • Schedule: Monday–Friday, 8:00 AM–5:00 PM
  • Start Date: ASAP
  • Contract Length: 13 weeks
  • Hours: Full-time through October; possibility of reduced hours afterward based on need
  • First-Time Travelers: Accepted
Requirements
  • RN license: Oregon RN license must be active/in hand at submission
  • BLS required
  • Clinical Experience: 5 years required
  • Utilization Review or Quality Assurance: 2 years required
  • Medical Case Management: 2 years preferred
  • Managed Care or Workers’ Compensation: 2 years preferred
  • Education: MSN preferred
  • EPIC experience: Preferred
  • Travel experience: Not required
Key Clinical Documentation Skills
  • Acute hospital experience
  • Concurrent and retrospective review
  • Clinical documentation improvement
  • Physician queries and query resolution
  • Verbal and written physician queries
  • ICD-10 and CPT coding
  • Denials and audits
  • Severity of Illness (SOI)
  • Hospital Acquired Conditions (HAC)
  • Detection of complications/secondary diagnoses
  • Review of H&P and discharge summaries
  • Management of physician responses
  • Clinical staff education/training
  • HIPAA compliance
Primary Responsibilities
  • Perform utilization management and medical necessity reviews
  • Evaluate appropriateness of requested health services
  • Develop and update medical policies, criteria, and treatment protocols
  • Conduct prospective and retrospective reviews
  • Consult with physicians, medical directors, and committees
  • Identify and investigate quality-of-care issues
  • Coordinate with Health Plan Utilization Management and Care Management teams
  • Provide case management and treatment interventions
  • Support cost-effective care and early return to work for workers’ compensation cases
  • Analyze provider profiling and benchmarking data
  • Develop provider education and quality improvement plans
  • Provide medical consultation and training to non-clinical staff
  • Track disputed surgical cases and prepare litigation reports
  • Identify cases requiring catastrophic case management
  • Code diagnoses/procedures and document review findings
  • Maintain timely and accurate review documentation
  • Participate in Quality Committee and continuous quality improvement activities
  • Review provider medical records and assist with quality improvement programs

REMOTE OPPORTUNITY Requirements RN license: Oregon RN license must be active/in hand at submission BLS required Clinical Experience: 5 years required Utilization Review or Quality Assurance: 2 years required Medical Case Management: 2 years preferred Managed Care or Workers’ Compensation: 2 years preferred

About ALOIS Healthcare

Why ALOIS Healthcare?

ALOIS means “brave warrior” and that’s what you are- Warrior in Scrubs! Just as you advocate for your patients, we will advocate for you. The pay you deserve. The support you need. We’re in your corner for every battle – because you shouldn’t settle for anything less when it comes to your career.

We offer:

·      Industry-leading pay

  • Generous cost of living and housing stipends

·      Opportunities for referral, sign-on, and extension bonuses

·      Weekly health insurance or health insurance Marketplace weekly bonus

·      Continuing education credits

We’re proud to be recognized globally as a certified minority-owned staffing supplier.

At ALOIS Healthcare:

·      Everyone Matters

·      We are Performance Driven

·      We are Open, Honest and Direct

·      We are Transparent

·      We are Inclusive

·      We Do the Right Thing

We care about you - and your success is our success.

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