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Utilization Review Jobs in Bend, OR (NOW HIRING)

Hospice of Redmond

Hospice Social Worker - MSW

Redmond, OR · On-site

$60 - $85/hr

Coordinates the utilization of community resources to address the social, emotional, physical, and ... Participate in interdisciplinary team (IDT) meetings to establish, review and revise the plan of ...

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All JobsUtilization Review JobsUtilization Review Jobs in Bend, OR

Utilization Review information

See Bend, OR salary details

$22

$44

$72

How much do utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review in Bend, OR is $44.61, according to ZipRecruiter salary data. Most workers in this role earn between $35.24 and $51.25 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

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

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

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

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

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

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

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

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

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Bend, OR as of August 2026, with employment types broken down into 82% Full Time, 9% Part Time, and 9% Temporary. Highlights an 100% In-person job distribution, with an average salary of $92,783 per year, or $44.6 per hour.

Supervisory Financial Management Analyst (Finance Section Chief)

US Department of the Treasury

Bend, OR • On-site

$125K/yr

Full-time

Posted 6 days ago

U.S. Department Of The Treasury rating

8.2

Company rating: 8.2 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

312th of 856 rated public administrative organizations

Job description

WHAT IS LARGE BUSINESS & INTERNATIONAL?
A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions
  • Position(s) are to be filled in following area(s):
    • LBI - Office of Program and Business Solutions - Large Business & International: PBS: RS: Finance
  • Remain in POD - The vacancy will be filled at the selectee's official permanent position of record, post-of-duty (POD).
REVIEW THE ADDITIONAL INFORMATION BELOW FOR FURTHER DETAILSQualifications:

Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.
You must meet the following requirements by the closing date of this announcement.

Qualifications: Federal experience is not required. Experience may have been gained in the public sector, private sector or through Volunteer Service. One year of experience refers to full-time work; part-timework is considered on a prorated basis. To ensure full credit for your work experience, please indicate dates of employment by month/day/year, and indicate number of hours worked per week, on your resume.

QUALIFICATION REQUIREMENTS: To qualify for this position, you must meet the qualification requirements outlined below:
SPECIALIZED EXPERIENCE: You must have one (1) year of specialized experience at a level of difficulty and responsibility equivalent to the next lower level within the payband or GS grade in the normal line of progression in the Federal service that demonstrates the required managerial skills and technical competence required to perform the job. To be qualified for this position your experience must include:
  • Experience reviewing daily budget and financial reports to identify funding risks, including insufficient funds, and resolving or elevating identified funding issues to support continued budget execution.
  • Experience formulating, coordinating, monitoring, evaluating, and reconciling operating budgets, labor resources, and non-labor resources throughout the budget formulation and execution process.
  • Experience interpreting and applying Federal budget laws, regulations, Executive Orders, Office of Management and Budget (OMB) circulars, Treasury guidance, and agency budget policies to support budget planning, execution, and financial management activities.
  • Experience analyzing budget estimates, financial plans, resource utilization, expenditures, staffing requirements, and financial reports to identify funding issues, reconcile resource requirements, and support budget recommendations.
  • Experience preparing budget submissions, financial plans, budget justifications, briefing papers, reports, and other supporting documentation used for executive-level budget decisions.
  • Experience coordinating budget activities with organizational stakeholders to develop financial plans, resolve budget issues, support resource allocation decisions, and implement budget priorities.
  • Experience using automated financial management systems and financial reporting tools to develop, maintain, reconcile, and report budget and financial information.
  • Experience evaluating budget execution, financial operations, resource utilization, and program expenditures to identify operational deficiencies, recommend corrective actions, and support financial planning decisions.


AND
You must also meet the following requirement(s):

  • TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. For this requirement, a competitive appointment is one where you applied to and were appointed from an announcement open to "All US Citizens".

For more information on qualifications please refer to OPM's Qualifications Standards.
Go to Understanding the IRS Paybands for GS/IR conversion.

Education:A college or university degree generally must be from an accredited (or pre-accredited) college or university recognized by the U.S. Department of Education. For a list of schools which meet these criteria, please refer to Department of Education Accreditation page.
FOREIGN EDUCATION: Education completed in foreign colleges or universities may be used to meet the requirements. You must show proof the education credentials have been deemed to be at least equivalent to that gained in conventional U.S. education program. It is your responsibility to provide such evidence when applying. Click here (Section 3, Explanation of Terms) or here for Foreign Education Credentialing instructions.
We recommend choosing an evaluator from a member organization of one of the following national associations of credential evaluation services: National Association of Credential Evaluation Services (NACES) or Association of International Credentials Evaluators (AICE).Employment Type: OTHER

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