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Utilization Review Manager Jobs in Portland, OR (NOW HIRING)

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Utilization Review Manager information

See Portland, OR salary details

$41.4K

$96.5K

$177.6K

How much do utilization review manager jobs pay per year?

As of Aug 21, 2026, the average yearly pay for utilization review manager in Portland, OR is $96,518.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,100.00 and $116,100.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

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

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

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

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance 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.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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

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

What are popular job titles related to Utilization Review Manager jobs in Portland, OR?

For Utilization Review Manager jobs in Portland, OR, the most frequently searched job titles are:

What job categories do people searching Utilization Review Manager jobs in Portland, OR look for?

The top searched job categories for Utilization Review Manager jobs in Portland, OR are:

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Portland, OR as of August 2026, with employment types broken down into 86% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $96,518 per year, or $46.4 per hour.

Board Certified Otolaryngologist (M.D, D.O.) Washington L&I IME

Dane Street, LLC

Vancouver, WA

Contractor

Re-posted 5 days ago

Job description

Dane Street is expanding our physician panel!  Dane Street is an Independent Review Organization and a national provider of Independent Medical Exams (IMEs), among other offerings, and we are expanding our physician panel, resulting in opportunities for non-traditional physician work and supplemental income.  

We have a need to add Washington-licensed physician advisors to support L&I Independent Medical Exams.  This opportunity is to conduct in-person IMEs across multiple clinic locations. Including Bellevue, Seattle, Everrett, Spokane, and we are securing a Vancouver location at this time.

No-shows, late cancellations, and other ancillary fees (compensation) are established to protect your time.   

Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

A Washington medical license is required.  Other requirements are active practice, and board certification in Otolaryngology.

Requirements

JOB SUMMARY

As Physician Reviewer/Advisor supporting Washington L & I Independent Medical Exams, the physician reviews medical records, performs a physical exam of the patient, and addresses clinical questions regarding the patient's diagnosis and care.  Engaging independent clinicians with this expertise is critical to the process. No-show fees and late cancellation fees are established to protect your time.

MAJOR DUTIES AND RESPONSIBILITIES:

  • You must be in active practice and board-certified in Otolaryngology.
  • On a contract basis as individual schedule permits, accepts cases, reviews all medical records, conducts physical exams, and completes a report addressing each question and clinical concern utilizing AMA Guides to the Evaluation of Permanent Impairment, Sixth Edition
  • Provides a report promptly, post exam
  • Returns cases on or before the due date and time specified
  • Completes peer-to-peer calls/call attempts as required based on client-specific protocol, with the goal of obtaining information not included in medical records as well as any necessary clarification 
  • Performs other duties as assigned, including addressing any necessary clarification, providing addenda as required (with additional compensation), identifying and responding to potential quality assurance issues, complaints, and regulatory issues.
  • Active practice is required

PLEASE BE AWARE: In the interest of the security of all parties, Dane Street will never conduct interviews via text or request checks from candidates for any reason including the purchase of equipment. 

Benefits

Benefits

  • Robust opportunity for supplemental income
  • Schedule flexibility and predictable work hours - You volume, and conduct exams based on your schedule availability
  • No doctor/patient relationship is established and no treatment is provided. These are advisory-only opinions.
  • Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
  • Expanded credentials as an expert in Independent Medical Exams and physician advisor services
  • No-show fees and late cancellation fees are established to protect your time.
  • Fully prepped cases, streamlined case flow, transcription services at no cost, and user-friendly work portal

Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery. 

Apply