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Utilization Manager Jobs in Remote, OR (NOW HIRING)

Physician - Cardiology

Coos Bay, OR

$334.90K - $378.40K/yr

Evaluation and management services, interpretation of EKG, echocardiography, cardiac nuclear ... Utilization of appropriate risk calculators as part of patient assessment is expected. Integration ...

Physician - Cardiology

Coos Bay, OR

$334.90K - $378.40K/yr

Evaluation and management services, interpretation of EKG, echocardiography, cardiac nuclear ... Utilization of appropriate risk calculators as part of patient assessment is expected. Integration ...

Occupational Therapist

Myrtle Point, OR · On-site

$37.75 - $49.75/hr

... management. Uphold professional conduct that reflects Reliant Rehabilitation's commitment to ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

IWT

Sutherlin, OR · On-site

... utilization reviews. * Develop and implement policies and procedures to ensure smooth and efficient operations, ensuring regular updates of documentation and training materials. * Manage budgets and ...

... utilization reviews. * Develop and implement policies and procedures to ensure smooth and efficient operations, ensuring regular updates of documentation and training materials. * Manage budgets and ...

Director of Operations

Sutherlin, OR · On-site

$135.93K - $210K/yr

... utilization reviews. * Develop and implement policies and procedures to ensure smooth and efficient operations, ensuring regular updates of documentation and training materials. * Manage budgets and ...

Director of Operations

Sutherlin, OR · On-site

$135.93K - $210K/yr

... utilization reviews. * Develop and implement policies and procedures to ensure smooth and efficient operations, ensuring regular updates of documentation and training materials. * Manage budgets and ...

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Utilization Manager information

See Remote, OR salary details

$39K

$90.9K

$167.3K

How much do utilization manager jobs pay per year?

As of May 29, 2026, the average yearly pay for utilization manager in Remote, OR is $90,922.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,400.00 and $109,400.00 per year, depending on experience, location, and employer.

What Is a Utilization Manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by Utilization Managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What does a Utilization Manager do?

A Utilization Manager is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their primary goal is to ensure that patients receive the right care at the right time while also controlling costs for hospitals, insurance companies, or healthcare organizations. Utilization Managers review patient records, coordinate with healthcare providers, and use clinical guidelines to make informed decisions about treatment approvals or denials. They play a key role in maintaining quality care and regulatory compliance.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

What are popular job titles related to Utilization Manager jobs in Remote, OR? For Utilization Manager jobs in Remote, OR, the most frequently searched job titles are:
What cities near Remote, OR are hiring for Utilization Manager jobs? Cities near Remote, OR with the most Utilization Manager job openings:
Infographic showing various Utilization Manager job openings in Remote, OR as of May 2026, with employment types broken down into 83% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $90,922 per year, or $43.7 per hour.
Family Practice Assistant Clinical Manager

Family Practice Assistant Clinical Manager

Evergreen Family Medicine

Roseburg, OR

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description

Family Practice Assistant Clinical Manager

Evergreen Family Medicine is committed to providing excellent care for your family with clinics in Roseburg, Sutherlin and Myrtle Creek Oregon. Evergreen Family Medicine serves outpatient needs, including Urgent Care, Family Practice, Women's Health, Occupational Health, and school-based telehealth.

Evergreen Family Medicine is a Drug Free Workplace. All candidates that are offered employment will be required to pass a pre-employment drug screen and background check.


Responsibilities and Duties:

  • Maintains confidentiality according to HIPAA regulations and EFM Policies
  • Adheres strictly to EFM departmental standards and policies, including state and federal regulations
  • Communicates effectively and professionally with co-workers, managers and patients via phone, email or in person
  • Plans, schedules, coordinates, and assigns work; establishes goals and priorities for nursing and support staff in a health care setting.
  • Provides supervision over the assessment, planning, implementation, and evaluation of patient care in an assigned heath care setting.
  • Assesses available resources, patient needs, and workflow and assigns staffing based on findings and patient acuity.
  • Assists in the development and implementation of staff education and orientation, specific job-related training, and other approaches to provide the opportunities for staff flexibility and development.
  • Assists in resolving problems encountered by the employee or patient.
  • Coordinates and participates in the development of the performance evaluation program for functions within the nursing staff, monitors and documents performance, provides ongoing feedback regarding levels of performance, and formally evaluates employees in relation to performance, and training.
  • Assists in the development and implementation of the interview and hiring process.
  • Implements safety and quality improvement standards and develops procedures to ensure compliance.
  • Implements and interprets policies and procedures. Assists in developing, recommending, and coordinating the implementation of new procedures for the assigned functions of the nursing staff. Develop and implement nursing protocols and standing orders within all nursing guidelines.
  • Give necessary instructions in the performance of special clinical or health procedures in the utilization and maintenance of new equipment.
  • Maintains personnel productivity at acceptable levels.
  • Participates in various company and community outreach functions and committees. (i.e. health fairs, volunteer programs, QI Committee, PCPCH Committee, etc.).
    • Performs full performance level professional nursing work and enhances professional growth and development through participation in educational programs, reviewing current literature, in-service meetings, workshops, and research.
    • Help develop and oversee PCPCH Clinical positions.
    • All other assigned and necessary duties.
    • Ensures on a daily basis to promote an environment filled with teamwork, a positive outlook and constant professionalism


Qualifications and Skills:

  • CCMA or LPN or RN license
  • 2 years with lead or supervisor experience.
  • Minimum 5 years' experience.
  • Critical Thinking and Problem-Solving Skills - Identifies problems; determines accuracy and relevance of information; uses sound judgment to generate and evaluate alternatives, and to make recommendations.
  • Interpersonal Skills - Must possess the necessary tact to deal effectively with patients, physicians, and employees.
  • Integrity/Honesty - Contributes to maintaining the integrity of the organization; displays high standards of ethical conduct and understands the impact of violating these standards on the organization and themselves.
  • Knowledgeable - Knowledge of common illnesses/diseases, commonly prescribed medications, and medical terminology.
  • Team Building - Manages the group process, encourages and facilitates cooperation, pride, trust, and group identity; fosters commitment to team spirit, and works with other to achieve goals.
  • Strong Leadership Skills


Physical requirements:

  • Prolonged periods sitting at a desk and working on a computer.
  • The employee is frequently required to walk; use hands and fingers, handle, or feel; and reach forward with hands and arms.
  • The employee is occasionally required to sit and stoop, kneel, or crouch.
  • Must be able to withstand physical and emotional stress.
  • Requires long hours of standing and moving.
  • Must be able to lift up to 15 - 35 pounds at times.

Our culture and values are every employee's responsibility: The needs of our patient come first S.P.I.R.I.T

  • Stewardship
  • Patient & Population Focused Health Care
  • Integrity
  • Respect
  • Innovation
  • Teamwork


Benefits:

  • Health, Dental, Vision benefits
  • Life Insurance
  • 401k with a company match up to 6%
  • Paid Time Off


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