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

We are seeking a highly skilled and motivated CRNA with expertise in Anesthesiology. This position ... Submit a current resume and we will review immediately and get things going. Finally, please go to ...

Nurse Practitioner

Roseburg, OR ยท On-site

$55/hr

... Practice Registered Nurse/Nurse Practitioner to provide services to military members, wounded ... Reviewing medical history * Gathering information from the patient * Completing DBQ's * Ancillary ...

... Practice Registered Nurse/Nurse Practitioner to provide services to military members, wounded ... Reviewing medical history * Gathering information from the patient * Completing DBQ's * Ancillary ...

... Practice Registered Nurse/Nurse Practitioner to provide services to military members, wounded ... Reviewing medical history * Gathering information from the patient * Completing DBQ's * Ancillary ...

Under the general supervision of the RN Case Manager, the Care Coordinator performs certain case ... The Care Coordinator promotes and evaluates the effective utilization of resources using current ...

Under the general supervision of the RN Case Manager, the Care Coordinator performs certain case ... The Care Coordinator promotes and evaluates the effective utilization of resources using current ...

Care Coordinator

Roseburg, OR ยท On-site

$26.99 - $32.99/hr

Under the general supervision of the RN Case Manager, the Care Coordinator performs certain case ... The Care Coordinator promotes and evaluates the effective utilization of resources using current ...

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Utilization Review Rn information

See Remote, OR salary details

$21

$42

$68

How much do utilization review rn jobs pay per hour?

As of Jun 21, 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.

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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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 does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

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 make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 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:
Infographic showing various Utilization Review Rn job openings in Remote, OR as of June 2026, with employment types broken down into 88% Full Time, 9% Part Time, and 3% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $87,860 per year, or $42.2 per hour.
House Supervisor RN - PRN

House Supervisor RN - PRN

Curry Health Network

Gold Beach, OR โ€ข On-site

Part-time

Posted 25 days ago


Job description

Position works an alternating 3x12 / 4x12 schedule. NOC differential offered.ย 

JOB SUMMARY

The House Supervisor is responsible for promoting and maintaining quality patient care through effective management of clinical departmental operations for the assigned shift. Support the organizationโ€™s mission, vision and values by adhering to the behavioral standards of Curry Health Network. Complies with all laws and regulations affecting Curry Health Network. Be familiar with and adhere to the Code of Conduct and support the Curry Health Network mission, vision, and values. Effective communication skills and the ability work effectively with people from various backgrounds is critical. Must exercise good judgment, demonstrate effective critical thinking skills, be flexible, able to prioritize and address multiple responsibilities concurrently, work effectively under stress and frequently changing job requirements/situations, demonstrate effective response to patient crisis/ emergency situations, and maintain regular, consistent and punctual attendance.

ESSENTIAL FUNCTIONS

Assesses the numbers and levels of personnel required to provide quality care. Coordinates daily staffing of patient care units for delivery of optimal patient care in a cost-effective manner.

Evaluates and analyzes utilization of personnel, materials, and equipment during each shift worked and ongoing, to ensure effective and efficient use of hospital resources.

Effectively manages patient, family, staff, and physician complaints/concerns/issues.

Ensures proper patient placement, including infection control precautions/isolation

Responds to all Code situations; delegates to appropriate staff in the case of multiple, simultaneous events

Thoroughly familiar with patient confidentiality laws and policies, protects patient rights and privacy, releases information only as appropriate

Oversees, implements, and/or is a resource for operational procedures & processes which include, but are not limited to: Call-back for Surgical Services and other on-call personnel, postmortem protocols and mortuary needs, Employee exposure/accident investigations, Interpretation and translation services, providing a Safe Place for Newborns, Difficult IV starts

Other duties as assigned to support the overall effectiveness of the department and organizational performance in accordance with Curry Health Network's Mission, Vision, and Shared Values.

SHARED VALUES

Service: ย ย ย ย ย ย ย ย ย  We serve with compassion and understanding.

Teamwork: ย ย ย  We are one team โ€“ each one of us makes a difference.

Curiosity:ย ย ย  ย ย ย  We promote learning.

Integrity:ย  ย  ย  ย  We live by honesty, trust, and doing the right thing by our organizational values.

MINIMUM JOB REQUIREMENTS

Education & Experience

  • Graduate of an accredited school of nursing is required; BSN strongly preferred.
  • Current unencumbered Oregon state Registered Nurse license.
  • Current AHA BLS, NIHSS and ACLS certification is required.
  • TNCC or ATCN, and NRP Advanced within 6 months of hire. STABLE certification is preferred.
  • Minimum 2 years of experience in Acute Care Hospital setting is required.

ย Required Knowledge, Skills & Abilities

  • Demonstrated leadership, managerial ability, application of good interpersonal communication skills and principles of supervision and administration in a manner which enhances communication, promotes conflict resolution & facilitates staff dev.
  • Ability to exercises good judgment & demonstrate effective critical thinking skills.
  • Demonstrated effective response to patient crisis/ emergency situations.
  • Prior effective utilization of Electronic Health Record.

ย PHYSICAL REQUIREMENTS

ย Physical Demands

On-the-job time is spent in the following physical activities:

None of the time: taste or smell

Up to 1/3 of the time: Sit, Push/Pull, Stoop, Kneel, Crouch or crawl

From 1/3 to 1/2 of the time: Walk, reach with hands and arms

Up 2/3 of the time and more: Stand, Talk or Hear, Use Hands to finger, handle or feel

This job requires that weight be lifted, or force be exerted as follows:

None of the time: up to or more than 100 pounds

Up to 1/3 of the time: up to 50 pounds

From 1/3 to 1/2 of the time: No requirement

Up to 2/3 of the time and more: no requirement

ย This job has special vision requirements as follows:

Close, distance, color, peripheral, depth perception and the ability to adjust focus.

ย Work Environment

ย This job requires exposure to the following environmental conditions:

None of the time: Extreme heat/cold; Wet/humid; fumes/airborne particles; work with explosives; vibration; outdoor weather conditions, vibration

Up to 1/3 of the time: Toxic or caustic chemicals, Risk of electrical shock, Risk of Radiation

From 1/3 to 1/2 of the time: no requirement

ย The typical noise level for the work environment is: very quiet to moderate noise.

Hearing requirements: ability to hear alarms on equipment, patient call and instructions.

This job requires the following repetitive motion actions:

From 1 โ€“ 2 hours per day: Repetitive use of foot control(both)

From 3 โ€“ 4 hours per day: Grasping firm/heavy(both), Fine Dexterity (both)

From 5 โ€“ 6 hours per day: Grasping simple/light (both) ย 

From 7+ hours per day: Repetitive use of hands (both)

This is designated as a hard to fill position. Please refer to policy HR-A37ย