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Utilization Review Rn Jobs in Remote, OR (NOW HIRING)

Host Healthcare

RN - Psychiatry

Coos Bay, OR · On-site

$890/wk

S. with an immediate option for this RN position in Coos Bay, OR. Sign-up here to submit your ... Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel agency. We have been using ...

GLC On-The-Go

Travel ER RN

Coos Bay, OR · On-site

$1.9K - $2.0K/wk

Travel Registered Nurse (RN) - Emergency Department (ER) | Coos Bay, OR | Contract Quick Look ... Apply now and start your rewarding journey with GLC - a recruiter will connect quickly to review ...

Host Healthcare

RN - Emergency Room

Roseburg, OR · On-site

$905/wk

S. with an immediate option for this RN position in Roseburg, OR. Sign-up here to submit your ... Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel agency. We have been using ...

Host Healthcare

RN - Medical-Surgical

Coos Bay, OR · On-site

$890/wk

S. with an immediate option for this RN position in Coos Bay, OR. Sign-up here to submit your ... Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel agency. We have been using ...

Host Healthcare

RN - Emergency Room

Coos Bay, OR · On-site

$890/wk

S. with an immediate option for this RN position in Coos Bay, OR. Sign-up here to submit your ... Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel agency. We have been using ...

Skyline Med Staff Nursing

Travel ER RN

Coos Bay, OR · On-site

Skyline Med Staff Nursing is seeking a travel nurse RN ED - Emergency Department for a travel ... glowing reviews from travel healthcare professionals. Our recruiters are consistently praised on ...

Vivian Health

RN MDS Coordinator in Coos Bay, OR

Coos Bay, OR · On-site

$35.25 - $42.50/hr

MDS Coordinator (Registered Nurse/RN) Benefits(full-time): · Continuing Education Credits (CEUs ... Review Final Validation Reports and attest that all assessments have been completed and accepted ...

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Showing results 21-40

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

Utilization Review Rn information

See Remote, OR salary details

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How much do utilization review rn jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for utilization review rn in Remote, OR is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $33.37 and $48.51 per hour, depending on experience, location, and employer.

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.

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.

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.

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 case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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

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

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

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn 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 $87,860 per year, or $42.2 per hour.

MDS Coordinator (Registered Nurse/RN)

Coos Bay, OR • On-site

Life Care Center of Coos Bay
See more jobs at Life Care Center of Coos Bayexternal

$35.25 - $42.50/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Benefits(full-time):
• Continuing Education Credits (CEUs) and state license reimbursement (only add if it is budgeted for role, mainly rehab, check with ED for RN/LPN)
• Flexible scheduling (only add if the role has flexible scheduling)
• Student loan repayment (only if ED approved)
• Mileage Reimbursement (McMinnville and for any other facility that has it)
• Opportunities for career advancement and upward mobility into leadership roles
• 401(k) retirement plan with company match
• Vacation, six holidays, one personal day, and sick leave that begins accruing on day one
• Life insurance, short/long term disability
• Medical, Dental, Vision, Health Savings Accounts
Setting & Population Served
Life Care Centers of America facilities operate as?Skilled Nursing Facilities (SNFs)?that provide:
• Long term care?for residents who require ongoing skilled support and compassionate daily assistance
• Short term, sub-acute rehabilitation?for patients recovering from surgery, illness, or injury
• Collaborative care?through an interdisciplinary team approach with nursing, therapy, and medical staff working together
• A diverse patient population?including individuals with orthopedic, neurological, cardiopulmonary, and post-acute needs
Patient mix varies slightly by facility. As a therapy professional, you will help patients achieve functional progress and improve quality of life within a supportive, patient-centered environment.
Position Summary
The RN MDS Coordinator coordinates and assists with completion and submission of accurate and timely interdisciplinary MDS Assessments, CAAs, and Care Plans according to CMS RAI Manual Regulations and in accordance with all applicable laws, regulations, and Life Care standards.
Education, Experience, and Licensure Requirements
  • Associate's or bachelor's degree in nursing from an accredited college or university
  • Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment
  • Two (2) years' nursing experience. Geriatric nursing experience preferred
  • CPR certification upon hire or obtain during orientation. CPR certification must remain current during employment

Specific Job Requirements
  • Advanced knowledge in field of practice
  • Make independent decisions when circumstances warrant such action
  • Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
  • Implement and interpret the programs, goals, objectives, policies, and procedures of the department
  • Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
  • Maintains professional working relationships with all associates, vendors, etc
  • Maintains confidentiality of all proprietary and/or confidential information
  • Understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care's Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training

Essential Functions
  • Coordinate and assist with completion and submission of interdisciplinary, accurate, and timely MDS Assessments, CCAs, and Care Plans according to CMS RAI Manual Regulations
  • Report any changes in a patient's condition identified by the MDS Assessment to the DON
  • Provide education to direct care associates regarding updates or changes to the CMS RAI Manual or Skilled Nursing Facility Regulations that impact documentation
  • Assist with review of the Interdisciplinary Comprehensive Care Plan
  • Review Final Validation Reports and attest that all assessments have been completed and accepted into the CMS QIES system prior to billing and notify the Business Office when assessments are not ready to bill
  • Review CMS Reports to identify assessments completed or submitted late and develop systems and processes to prevent reoccurrence
  • Attend and participate in the Daily PPS Meeting, Monthly Triple Check, and other meetings upon request
  • Perform functions of a staff nurse as required
  • Exhibit excellent customer service and a positive attitude towards patients
  • Assist in the evacuation of patients
  • Demonstrate dependable, regular attendance
  • Concentrate and use reasoning skills and good judgment
  • Communicate and function productively on an interdisciplinary team
  • Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Read, write, speak, and understand the English language

An Equal Opportunity Employer

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