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Utilization Review Rn Jobs in Oregon (NOW HIRING)

Utilization Review RN

Portland, OR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Utilization Review RN

Portland, OR · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Concurrent Review RN

Salem, OR

$90K - $100K/yr

  • Medical

  • Vision

Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review ... Active Registered Nurse (RN) license in Oregon with the ability to obtain and maintain licensure in ...

Concurrent Review RN

Salem, OR · On-site

$90K - $100K/yr

  • Medical

  • Vision

Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review ... Active Registered Nurse (RN) license in Oregon with the ability to obtain and maintain licensure in ...

Concurrent Review RN

Salem, OR · On-site

$90K - $100K/yr

  • Medical

  • Vision

Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review ... Active Registered Nurse (RN) license in Oregon with the ability to obtain and maintain licensure in ...

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

RN Utilization Review

Bend, OR · On-site

$48.30 - $72.45/hr

CHARLES HEALTH SYSTEM TITLE: RN Utilization Management REPORTS TO POSITION: Manager- Utilization Management DEPARTMENT: Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating ...

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state * Graduation from an ...

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/24/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/24/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

RN Case Manager

Portland, OR · On-site

$1.9K - $2.0K/wk

  • Medical

  • Dental

  • Vision

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 ...

New

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

RN Case Manager

Prairie City, OR · On-site

$2.7K - $2.8K/wk

  • Medical

  • Dental

  • Vision

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Prairie City, Oregon Start Date: August 10, 2026 Profession: Registered Nurse (RN) Facility: Skilled Nursing ...

New

Travel Utilization Review

Portland, OR · On-site

$1.8K - $2.7K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Review * Discipline: Therapy * Start Date: 08/17/2026 * Duration: 13 weeks * 40 hours ... Travel & Requirements RN Case Manager StartDate: 8/17/2026 Pay Rate: $1800.00 - $2700.00 POSITION ...

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Showing results 1-20

Utilization Review Rn information

See Oregon salary details

$22

$44

$72

How much do utilization review rn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization review rn in Oregon is $44.70, according to ZipRecruiter salary data. Most workers in this role earn between $35.34 and $51.35 per hour, depending on experience, location, and employer.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

What are the most commonly searched types of Utilization Review Rn jobs in Oregon?

The most popular types of Utilization Review Rn jobs in Oregon are:

What cities in Oregon are hiring for Utilization Review Rn jobs?

Cities in Oregon with the most Utilization Review Rn job openings:

Infographic showing various Utilization Review Rn job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $92,985 per year, or $44.7 per hour.

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Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 4 days ago


Providence Health & Services rating

7.6

Company rating: 7.6 out of 10

Based on 844 frontline employees who took The Breakroom Quiz

190th of 887 rated healthcare providers


Job description

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:

  • Bachelor's Degree Nursing, OR Associates Degree and 2 or more years of related experience in lieu of a Bachelor's Degree
  • Upon hire: Oregon Registered Nurse License
  • Five (5) years Clinical experience in an acute adult medical/surgical care setting, OR Five (5) years Current Utilization Review or Case Management experience.
  • Demonstrated clinical expertise and experience related to a wide variety of patient populations and care delivery models.

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.

PandoLogic. Keywords: Utilization Review Coordinator, Location: Portland, OR - 97204 , PL: 603610505

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