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Utilization Review Jobs in Portland, OR (NOW HIRING)

GQR Healthcare

Travel RN Case Manager

Portland, OR · On-site

$1.9K - $2.0K/wk

Travel 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 ...

Healthcare Support Staffing

Pharmacist

Portland, OR

$61.75 - $74.25/hr

... utilization review Additional Information Are you an experienced Pharmacist looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career as a ...

Adventist Health

RN, Health Plan Care Manager

Portland, OR · On-site

$45.39 - $62.26/hr

... utilization review and care planning. Job Requirements: Education and Work Experience: * Bachelor's Degree in Nursing (BSN): Preferred * Nursing experience: Preferred Licenses/Certifications:

Legacy Health

Mgr, Care Management Social

Portland, OR · On-site

$72.54/hr

Reviews managed care contracts to ensure that terms and incentives are achievable and reflective of sound Care Management practices/utilization management. Develops and implements mechanisms for ...

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All JobsUtilization Review JobsUtilization Review Jobs in Portland, OR

Utilization Review information

See Portland, OR salary details

$22

$44

$73

How much do utilization review jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for utilization review in Portland, OR is $44.84, according to ZipRecruiter salary data. Most workers in this role earn between $35.43 and $51.49 per hour, depending on experience, location, and employer.

What jobs make $3,000 a day?

High-paying jobs that can reach $3,000 a day include specialized roles such as senior physicians, anesthesiologists, or surgeons, often requiring advanced certifications and extensive experience. Certain executive positions, like CEOs or investment bankers, may also earn this level of daily income, especially through bonuses or profit sharing. These roles typically involve high responsibility, expertise, and demanding schedules.

What jobs pay 4000 a week without a degree?

Utilization Review specialists typically do not earn $4,000 per week without a degree; most roles in this field require healthcare-related certifications or experience. High-paying jobs that can reach this level without a degree include certain sales positions, real estate brokers, or specialized trades like commercial pilots or skilled trades, which often rely on experience, licensing, or certifications rather than formal degrees. These roles may involve commission, bonuses, or overtime to achieve such weekly earnings.

What does a typical day look like for someone working in Utilization Review?

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 skills do you need for utilization review?

Utilization review professionals need strong analytical skills to assess medical necessity and appropriateness of care, attention to detail, and knowledge of healthcare regulations and insurance policies. Good communication skills are essential for coordinating with healthcare providers and explaining decisions. Familiarity with electronic health records (EHR) systems and relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can also be beneficial.

What is a Utilization Review job?

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 the Utilization Review position, and why are they important?

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 professional such as a registered nurse, licensed social worker, or physician completes relevant education and gains experience in healthcare or insurance. Certification in utilization review or case management, such as the Certified Professional in Healthcare Quality (CPHQ), can improve job prospects. Strong analytical skills and knowledge of medical coding and insurance policies are also important.
What are the most commonly searched types of Utilization Review jobs in Portland, OR? The most popular types of Utilization Review jobs in Portland, OR are:
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What job categories do people searching Utilization Review jobs in Portland, OR look for? The top searched job categories for Utilization Review jobs in Portland, OR are:
What cities near Portland, OR are hiring for Utilization Review jobs? Cities near Portland, OR with the most Utilization Review job openings:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Portland, OR as of July 2026, with employment types broken down into 81% Full Time, 13% Part Time, and 6% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $93,268 per year, or $44.8 per hour.

Drug Utilization Review Pharmacist

Pharmacy Careers

Beaverton, OR • On-site

Other

Medical

Posted 14 days ago

Job description

Drug Utilization Review Pharmacist – Ensure Safe and Effective Use of Medications

A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care.

Key Responsibilities

  • Conduct prospective, concurrent, and retrospective drug utilization reviews.
  • Evaluate prescribing patterns against clinical guidelines and formulary criteria.
  • Identify potential drug interactions, duplications, and inappropriate therapy.
  • Prepare recommendations for prescribers to optimize therapy and reduce risk.
  • Document reviews and ensure compliance with state, federal, and health plan requirements.
  • Contribute to quality improvement initiatives and pharmacy program development.

What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Managed care, PBM, or health plan experience preferred — but hospital and retail pharmacists with strong clinical skills are encouraged to apply.
  • Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication.

Why This Role?

  • Impact: Shape prescribing decisions that affect thousands of patients.
  • Growth: Build expertise in managed care and population health pharmacy.
  • Flexibility: Many DUR roles offer hybrid or fully remote schedules.
  • Rewards: Competitive salary, benefits, and career advancement opportunities.

About Us

We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations.

Apply Today

Advance your career in managed care pharmacy — apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.

Apply