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Utilization Review Jobs in Bend, OR (NOW HIRING)

Mosaik Medical

Staff Scheduling Analyst

Bend, OR · On-site

Review staffing ratios, float pool utilization, and per diem deployment patterns to identify trends and improvement opportunities. * Evaluate time-off requests against minimum staffing levels ...

ESI

ESI Controls Engineer

Sisters, OR · On-site

$120K - $150K/yr

... biogas utilization and management industries. Since 2007, ESI has specialized in design ... Review Process Flow Diagrams (PFDs), Piping & Instrumentation Diagrams (P&IDs), electrical drawings ...

ESI

ESI Controls Engineer

Sisters, OR · On-site

$120K - $150K/yr

... biogas utilization and management industries. Since 2007, ESI has specialized in design ... Review Process Flow Diagrams (PFDs), Piping & Instrumentation Diagrams (P&IDs), electrical drawings ...

Stcharles

RN Case Manager

Bend, OR · On-site

Identifies complex, high-utilization patients admitted to the Emergency Department appropriate for case management. Reviews patients entering through the Emergency Department to identify those ...

Stcharles

Insurance Verification Specialist

Bend, OR · On-site

$22.30 - $30.11/hr

Starts the utilization management and continued stay review workflow by submitting notification to insurance companies for our bedded outpatients and inpatients within required timelines. Confirms ...

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Showing results 21-40

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 Aug 11, 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.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

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.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

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 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, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.
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:
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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.

Staff Scheduling Analyst

Mosaik Medical

Bend, OR • On-site

Full-time

PTO

Posted 20 days ago

Job description

The Staff Scheduling Analyst is responsible for auditing the scheduling system to ensure standards and compliance are maintained, efficient and effective use of scheduling software, analyzing staffing and coverage needs across patient-facing roles, support building and optimizing schedules, and producing reports that support leadership decision-making. This role requires close partnership with department and clinic leadership to troubleshoot scheduling issues, identify coverage gaps, and align scheduling practices with operational and patient care needs. The Analyst collaborates with EPIC Cadence Analyst and Human Resources to support scheduling system administration.
Scheduling System Auditing & Standards
  • Conduct regular audits of the scheduling system to ensure compliance with established standards, workflows, and organizational procedures.
  • Identify scheduling discrepancies, configuration errors, and deviations from standards; document findings and recommend corrective actions.
  • Monitor adherence to scheduling standards across departments and clinics; escalate non-compliance issues to leadership.
  • Partner with Human Resources and IT to ensure scheduling system configuration aligns with workforce policies and regulatory requirements.
  • Participate in the development and maintenance of scheduling procedures, staffing ratios, standards, and best practices documentation.

Staffing & Coverage Analysis
  • Analyze system staffing data to evaluate coverage needs, identify gaps, and assess alignment with patient care demands and operational requirements.
  • Manage open shifts and shift swaps approvals in collaboration with local leadership to ensure staffing coverage.
  • Review staffing ratios, float pool utilization, and per diem deployment patterns to identify trends and improvement opportunities.
  • Evaluate time-off requests against minimum staffing levels; provide data-driven recommendations to leaders when requests risk minimum staffing.
  • Model and project future staffing needs in support of long-term operational and workforce planning.

Schedule Building & Leader Support
  • Support building, reviewing and maintenance of 90-day schedules in scheduling software, aligned with EPIC template builds; submit to leaders for review prior to finalizing and publishing.
  • Support leaders in troubleshooting scheduling issues, resolving conflicts, and navigating system functionality within UKG and related platform and escalate as needed.
  • Serve as a scheduling system subject matter expert; provide training, guidance, and ongoing support to staff and leaders on system use and scheduling processes.
  • Support leaders in adjusting schedules to meet coverage requirements.
  • Participate in testing and implementation of system upgrades or configuration changes; collaborate with Human Resources on user access and role configuration.
  • Participate in testing and implementation of system upgrades or configuration changes.
  • Communicate scheduling updates, coverage changes, and system issues promptly to all relevant stakeholders and escalate issues as needed.

Reporting & Data Distribution
  • Build, maintain, and distribute scheduled and ad hoc reports covering clinic schedules, staffing trends, overtime, coverage gaps, utilization, and schedule compliance.
  • Develop scheduling and staffing data reports into clear, actionable insights that support leadership decision-making at the department and organizational level.
  • Collaborate with department and clinic leaders to share reporting findings, develop long-term coverage strategies, and drive continuous improvement in scheduling practices.

Work Experience: Minimum of 2 years in healthcare operations, staffing, scheduling and data analysis required. Experience with workforce management or staff scheduling software required; UKG Workforce Management experience strongly preferred.
Education, certification and licensure: Requires an associate's degree or higher; a bachelor's degree in healthcare administration, business, or a related field preferred. High school diploma with equivalent experience may be considered.
Skills & Knowledge: Strong analytical and critical thinking skills with the ability to interpret staffing data and identify trends. Proficiency in Microsoft Office Suite, particularly Excel, for data analysis and reporting. Experience with scheduling platforms and workforce management systems required. Excellent communication and interpersonal abilities. Strong organizational and time-management skills with attention to detail. Ability to work independently, manage competing priorities, and support multiple leaders simultaneously.
Who We AreMosaic Community Health prides itself on being an innovative health system that pioneers unique and creative ways to provide and improve patient access to health care. Since our founding in 2002 we have proudly served insured and uninsured patients regardless of age, ethnicity, or income.
We focus on a holistic approach to patient care by incorporating behavioral health, pharmacy, and nutrition support to serve patients in the most meaningful way. At Mosaic Community Health, you will work with incredibly dedicated and mission-centered peers and be part of a dynamic team based environment.
Mosaic Community Health offers more than just a job, it is a lifestyle. A lifestyle of serving others. A lifestyle of being an integral part of your community. A lifestyle that offers work/life balance. A lifestyle of enjoying the outdoors! Central Oregon offers over 300 days of sunshine a year, so enjoy a PTO day on the mountain, biking/hiking trails, or the river! A lifestyle that improves lives, including yours. Of course, we also offer a great benefit package!
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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