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Utilization Review Coordinator Remote Jobs in Oregon

Strengthening and empowering all of the communities we serve. SEO Coordinator Remote-based position ... Perform quality assurance reviews on website and blog content, identifying optimizations and ...

Strengthening and empowering all of the communities we serve. SEO Coordinator Remote-based position ... Perform quality assurance reviews on website and blog content, identifying optimizations and ...

Care Coordinator Licensed

Roseburg, OR ยท On-site +1

$80K - $92K/yr

CARE COORDINATOR REMOTE EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO ...

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Utilization Review Coordinator Remote information

What does a utilization review coordinator do when working remotely?

A Utilization Review Coordinator working remotely is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services and procedures. They review medical records, treatment plans, and insurance policies to ensure compliance with regulations and that patients receive proper care without unnecessary costs. Remote UR Coordinators collaborate with healthcare providers, payers, and patients primarily through electronic records and virtual communication, maintaining strong organizational and analytical skills. Their goal is to optimize patient outcomes while managing healthcare resources effectively.

How does a utilization review coordinator typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Coordinator, you will regularly communicate with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Your main responsibilities include reviewing patient records, making coverage determinations, and ensuring compliance with regulatory guidelines. Collaboration often involves clarifying medical necessity, gathering additional documentation, and participating in virtual team meetings to discuss complex cases. Strong communication skills and comfort with digital tools are essential for seamless coordination across remote teams.

What are the key skills and qualifications needed to thrive as a utilization review coordinator remote?

To thrive as a Utilization Review Coordinator Remote, you need a strong background in healthcare, knowledge of medical terminology, and often an active RN or LPN license. Familiarity with utilization management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and collaborating with providers. These skills ensure accurate, efficient case reviews and compliance with regulations, which are vital for optimizing patient care and managing healthcare costs.

What cities in Oregon are hiring for Utilization Review Coordinator Remote jobs?

Cities in Oregon with the most Utilization Review Coordinator Remote job openings:

Infographic showing various Utilization Review Coordinator Remote job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC)

Sleep Better Healthcare Services, Inc.

Sweet Home, OR โ€ข Remote

Full-time

Medical, Dental, Vision, Life

Posted 19 days ago


Key responsibilities

  • Manage the authorization and payment process by collaborating with the Utilization Review Department and Business Department to facilitate seamless client admissions and discharges.

  • Lead discharge planning from the moment of admission, ensuring that all clients have a clear understanding of their transition plans and available resources before they leave care.

  • Provide immediate crisis intervention and support during therapy sessions, helping clients navigate challenging circumstances effectively while partnering with milieu staff.


Job description

Position Overview

Sleep Better Healthcare Services, Inc. is seeking a dedicated and compassionate Licensed Mental Health Counselor to join our team on a full-time, remote basis. In this pivotal role, you will provide essential therapeutic services that help clients navigate their mental health challenges and improve their overall well-being. Your expertise will be instrumental in enhancing the quality of care for our diverse patient population as you contribute to a supportive and integrated treatment environment.

About the Organization

At Sleep Better Healthcare Services, we are committed to transforming the mental health landscape. Our organization has played a key role in reducing stigma surrounding mental health and increasing access to licensed therapists. Our team prides itself on delivering personalized and comprehensive treatments, utilizing innovative methods to collaborate closely with clients and community providers. We are dedicated to creating a mental health culture that prioritizes care and support.

Work Environment

This position is entirely remote, allowing for a flexible work-life balance while providing high-quality care to clients in Sweet Home, Oregon. You will primarily work in an outpatient setting, which gives you the opportunity to engage with clients through virtual platforms that enhance accessibility. Our organization's commitment to minimal administrative burdens ensures that you can focus on providing impactful therapy without the stress of excessive paperwork.

Key Responsibilities
  • Manage the authorization and payment process by collaborating with the Utilization Review Department and Business Department to facilitate seamless client admissions and discharges.
  • Lead discharge planning from the moment of admission, ensuring that all clients have a clear understanding of their transition plans and available resources before they leave care.
  • Provide immediate crisis intervention and support during therapy sessions, helping clients navigate challenging circumstances effectively while partnering with milieu staff.
  • Ensure timely and thorough clinical documentation throughout the treatment journey, with a focus on completing necessary paperwork at the time of service.
  • Establish strong therapeutic rapport with clients and their families, actively assessing for any risks of harm to self or others.
  • Conduct intake assessments and facilitate the admission process for new patients, presenting them with a welcoming and professional experience.
  • Participate actively in weekly treatment team meetings, communicating treatment goals and collaborating with other team members to provide continuous quality care.
  • Deliver utilization reviews to insurance companies, ensuring that appropriate clinical information is provided for initial authorizations and continued care.
  • Maintain strong communication with family members or loved ones, ensuring all inquiries are returned promptly, within a two-hour timeframe during business operations.
Patient Population / Client Focus

You will work with a diverse group of clients, each with unique needs and challenges. Our patient population encompasses individuals facing various mental health conditions, including anxiety disorders, depressive disorders, trauma-related issues, and more. Your role will involve addressing these diverse needs through tailored therapeutic approaches and effective treatment planning, ensuring that every client feels heard, valued, and supported throughout their recovery journey.

Qualifications
  • Masterโ€™s or doctorate degree in Clinical Psychology, Counseling, or Clinical Social Work from an accredited institution.
  • An independent mental health license in the state where you reside, such as LCSW, LMFT, or LPC.
  • Strong proficiency in utilizing electronic medical record systems for efficient documentation and patient management.
  • Exceptional written and verbal communication skills for effective engagement with clients and other stakeholders.
  • A proven passion for improving lives through impactful mental health care.
Preferred Experience
  • Experience managing a diverse caseload and collaborating effectively with multidisciplinary teams and support staff.
  • Familiarity with insurance utilization review processes and documentation requirements.
  • Prior experience in outpatient mental health settings preferred.
Compensation and Benefits

We offer a competitive salary range of USD 50,000 to 70,000 per year, commensurate with experience and qualifications. Our benefits package includes comprehensive medical, dental, and vision insurance, life and disability insurance, professional liability insurance, and an employee assistance program dedicated to mental health support. With minimal paperwork and a full caseload, you can focus on your passion for counseling while enjoying a stable and fulfilling work environment.

Career Growth Opportunities

At Sleep Better Healthcare Services, we are committed to the professional development of our staff. As a member of our team, you will have opportunities to expand your clinical skills through training and mentorship programs. We actively encourage participation in workshops and continuing education, allowing you to stay current with the latest practices in mental health care and advance your career.

Why Join Our Team

By joining our team, you become a vital part of a forward-thinking organization that values diversity and reflects the communities we serve. Our mission-driven approach ensures you can make a meaningful impact on the lives of those struggling with mental health challenges. Enjoy the flexibility of remote work while being part of a collaborative environment focused on quality care and innovative treatment solutions.

Application Information

If you are ready to make a difference in the mental health field and meet the qualifications outlined above, we would love to hear from you. Please submit your resume and a cover letter detailing your experience and passion for mental health counseling. Join us in creating a supportive future for our clients!