Utilization Review RN
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza ... Utilization Management covers 7 days/week, including holidays. This posting is not for a specific ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza ... Utilization Management covers 7 days/week, including holidays. This posting is not for a specific ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza ... Utilization Management covers 7 days/week, including holidays. This posting is not for a specific ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza ... Utilization Management covers 7 days/week, including holidays. This posting is not for a specific ...
Portland, OR ยท On-site
Description Utilization Review RN at Providence Health Plaza ... Utilization Management covers 7 days/week, including holidays. This posting is not for a specific ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro ... Case Manager or Patient Care Coordinator (PCC) experience - EPIC experience - Experience with ...
New
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro ... Case Manager or Patient Care Coordinator (PCC) experience - EPIC experience - Experience with ...
New
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland ... Case Manager or Patient Care Coordinator (PCC) experience - EPIC experience - Experience with ...
New
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland ... Case Manager or Patient Care Coordinator (PCC) experience - EPIC experience - Experience with ...
New
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland ... Oregon & Washington/Multistate BLS certification Minimum 1 year of recent Case Management with ...
New
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland ... Oregon & Washington/Multistate BLS certification Minimum 1 year of recent Case Management with ...
New
Vancouver, WA ยท On-site +1
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Vancouver, WA ยท On-site +1
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Vancouver, WA ยท Remote
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Vancouver, WA ยท Remote
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Vancouver, WA ยท Remote
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Vancouver, WA ยท Remote
$48.52 - $72.78/hr
Ensure correct admission status and reimbursement through certification and clinical review ... Prior experience in utilization management or case management Credentials * Active RN license in ...
New
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment ... Case Manager Certification as accredited by CCMC preferred. Knowledge: Thorough knowledge and ...
Portland, OR ยท On-site
$1.9K - $2.0K/wk
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 ...
Portland, OR ยท On-site
$1.9K - $2.0K/wk
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 ...
Portland, OR ยท On-site
$1.9K - $2.0K/wk
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 ...
Portland, OR ยท On-site
$1.9K - $2.0K/wk
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 ...
Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management. Develops and implements mechanisms for ...
Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management. Develops and implements mechanisms for ...
Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management. Develops and implements mechanisms for ...
Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management. Develops and implements mechanisms for ...
... utilization review, and referral management, while ensuring operational excellence, regulatory ... compliance, and exceptional patient outcomes. The ideal candidate is a collaborative healthcare ...
... utilization review, and referral management, while ensuring operational excellence, regulatory ... compliance, and exceptional patient outcomes. The ideal candidate is a collaborative healthcare ...
$41.4K - $53.7K
9% of jobs
$62.9K is the 25th percentile. Wages below this are outliers.
$53.7K - $66.1K
22% of jobs
$66.1K - $78.5K
11% of jobs
The median wage is $86.2K / yr.
$78.5K - $90.9K
14% of jobs
$90.9K - $103.3K
12% of jobs
$111K is the 75th percentile. Wages above this are outliers.
$103.3K - $115.7K
13% of jobs
$115.7K - $128.1K
13% of jobs
$128.1K - $140.5K
5% of jobs
$140.5K - $152.9K
2% of jobs
$152.9K - $165.2K
0% of jobs
$165.2K - $177.6K
0% of jobs
$41.4K
$96.5K
$177.6K
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance companies, healthcare providers, third-party administrators |
The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.
The most popular types of Utilization Review jobs in Portland, OR are:
For Utilization Review Manager jobs in Portland, OR, the most frequently searched job titles are:
The top searched job categories for Utilization Review Manager jobs in Portland, OR are:

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
Description
Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.
This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.
The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 439934
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 5016 RS UTILIZATION MGMT
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.