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Utilization Review Coordinator Jobs in Remote, OR

Enterprise Engineering

UM Nurse

OR · Remote

... and coordination across settings, identifying member needs, planning for care, monitoring the ... This position is not patient facing, they will be reviewing patient records and providing ...

HIV Alliance

Care Coordinator

Roseburg, OR · On-site

$21.50 - $22.79/hr

Southern Care Coordination Manager Position Type: 1.0 FTE, 40 Hours/Week, Non-Exempt Work Type: In Person, Not Hybrid/Remote Eligible Salary Range: $21.50 to $22.79 per hour Salary Note: Bilingual ...

Umpqua Health

Care Coordinator Licensed

Roseburg, OR · 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 ...

Umpqua Health

Care Coordinator Licensed

Roseburg, OR · Remote

$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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Showing results 21-40

All JobsUtilization Review JobsUtilization Review Coordinator JobsUtilization Review Coordinator Jobs in Remote, OR

Utilization Review Coordinator information

See Remote, OR salary details

$15

$29

$46

How much do utilization review coordinator jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review coordinator in Remote, OR is $29.58, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.57 per hour, depending on experience, location, and employer.

What does a utilization review coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What skills and qualifications are needed to be a utilization review coordinator?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

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

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

What are the most commonly searched types of Utilization Review jobs in Remote, OR?

The most popular types of Utilization Review jobs in Remote, OR are:

What are popular job titles related to Utilization Review Coordinator jobs in Remote, OR?

For Utilization Review Coordinator jobs in Remote, OR, the most frequently searched job titles are:

What job categories do people searching Utilization Review Coordinator jobs in Remote, OR look for?

The top searched job categories for Utilization Review Coordinator jobs in Remote, OR are:

What cities near Remote, OR are hiring for Utilization Review Coordinator jobs?

Cities near Remote, OR with the most Utilization Review Coordinator job openings:

Utilization Review Coordinator jobs near you
Infographic showing various Utilization Review Coordinator job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 72% Physical, 2% Hybrid, and 26% Remote job distribution, with an average salary of $61,524 per year, or $29.6 per hour.

Middle School TAG Coordinator

Bandon School District

Bandon, OR

$18.25 - $24.75/hr

Full-time

Posted 3 days ago

New

Job description

 Middle School Talented and Gifted (TAG) Coordinator

Reports to: Middle School Principal and K12 TAG District Coordinator

Position Summary

The Middle School TAG Coordinator is responsible for coordinating and supporting TAG services within the middle school. The coordinator serves as a building-level resource for TAG students, teachers, counselors, and families and works in collaboration with the K12 TAG District Coordinator to ensure identified students receive appropriate educational opportunities and support.

Essential Duties and Responsibilities

  • Coordinate the TAG program and services at the middle school level.
  • Serve as a primary point of contact for TAG students, staff, and families within the building.
  • Meet with TAG students at least once each semester to review their educational needs, interests, and TAG services.
  • Assist the K12 TAG District Coordinator with the identification and screening of students for TAG services.
  • Review new student enrollments and available records to determine whether students may qualify for TAG services.
  • Maintain accurate records of TAG students and their participation in TAG services.
  • Work with teachers and the school counselor to ensure TAG students are enrolled in appropriate courses and provided appropriate learning opportunities.
  • Assist in developing and implementing Personalized Education Plans (PEPs) for TAG students.
  • Help identify opportunities for enrichment, advanced coursework, independent study, internships, and other appropriate learning experiences.
  • Work with teachers to identify appropriate instructional strategies and opportunities for TAG students.
  • Collaborate with the school counselor and staff to monitor student progress and address student needs.
  • Communicate with parents/guardians regarding TAG services, student needs, and educational opportunities as appropriate.
  • Attend meetings with the K12 TAG District Coordinator to discuss student needs, programming, identification, and other TAG-related matters.
  • Maintain communication with the building principal regarding TAG programming and student needs.
  • Work with the district TAG coordinator to ensure building-level services are consistent with district policies and Oregon requirements.
  • Perform other related duties as assigned by the building principal or K12 TAG District Coordinator.


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