Workforce Development Coordinator
Roseburg, OR · On-site
$71K - $84K/yr
Review, process, and approve employee education and training requests in accordance with ... Support administration and utilization of learning management systems and employee engagement ...
Workforce Development Coordinator
Roseburg, OR · On-site
$71K - $84K/yr
Review, process, and approve employee education and training requests in accordance with ... Support administration and utilization of learning management systems and employee engagement ...
Workforce Development Coordinator
Roseburg, OR · On-site
$71K - $84K/yr
Review, process, and approve employee education and training requests in accordance with ... Support administration and utilization of learning management systems and employee engagement ...
Quick apply
Workforce Development Coordinator
Roseburg, OR · On-site
$71K - $84K/yr
Review, process, and approve employee education and training requests in accordance with ... Support administration and utilization of learning management systems and employee engagement ...
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
... utilization, and raw material purchasing strategies. * Build and refine pricing strategies to ... Review pricing, margin management, and profitability analytics. * Assess manufacturing costs ...
Quick apply
... utilization, and raw material purchasing strategies. * Build and refine pricing strategies to ... Review pricing, margin management, and profitability analytics. * Assess manufacturing costs ...
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Quick apply
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Senior Data Scientist
OR · On-site +1
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Senior Data Scientist
OR · On-site +1
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Quick apply
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Fractional Chief Financial Officer (CFO)
Myrtle Point, OR · On-site
$180 - $300/hr
... utilization, and raw material purchasing strategies. * Build and refine pricing strategies to ... Review pricing, margin management, and profitability analytics. * Assess manufacturing costs ...
Fractional Chief Financial Officer (CFO)
Myrtle Point, OR · On-site
$180 - $300/hr
... utilization, and raw material purchasing strategies. * Build and refine pricing strategies to ... Review pricing, margin management, and profitability analytics. * Assess manufacturing costs ...
Data Scientist
OR · On-site +1
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Data Scientist
OR · On-site +1
The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.
Clinical Quality Manager
Roseburg, OR · On-site
$50.61 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Clinical Quality Manager
Roseburg, OR · On-site
$50.61 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
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Commercial HVAC Field Technical Support Specialist
OR · On-site
$35 - $45/hr
... and utilization of specific system tools ensuring timely, safe, and effective solutions. The ... Reviews and verifies accuracy of all compliance related data submitted from client business groups ...
Quick apply
Be Seen First
Commercial HVAC Field Technical Support Specialist
OR · On-site
$35 - $45/hr
... and utilization of specific system tools ensuring timely, safe, and effective solutions. The ... Reviews and verifies accuracy of all compliance related data submitted from client business groups ...
Clinical Quality Manager
Roseburg, OR · On-site
$38.83 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Quick apply
Clinical Quality Manager
Roseburg, OR · On-site
$38.83 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Clinical Quality Manager
Roseburg, OR · On-site
$50.61 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Clinical Quality Manager
Roseburg, OR · On-site
$50.61 - $61.85/hr
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Clinical Quality Manager
Roseburg, OR · On-site
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Quick apply
Clinical Quality Manager
Roseburg, OR · On-site
This individual will review data, evaluate trends, and compare with benchmark measures. The ... Identify and prioritize key quality and utilization initiatives critical for the success of ...
Mental Health Program Manager
Coos Bay, OR · On-site
$102K - $133K/yr
... utilization of resources to improve health outcomes for the communities served. As a licensed ... Review audit findings with supervisors and providers, provide constructive feedback, and implement ...
Mental Health Program Manager
Coos Bay, OR · On-site
$102K - $133K/yr
... utilization of resources to improve health outcomes for the communities served. As a licensed ... Review audit findings with supervisors and providers, provide constructive feedback, and implement ...
Chief Medical Officer - Full- or Part-time
North Bend, OR · On-site
$250K - $340K/yr
Oversee peer review, clinical audits, and utilization management processes * Lead patient safety initiatives, risk management activities, and incident review processes * Ensure timely and appropriate ...
Chief Medical Officer - Full- or Part-time
North Bend, OR · On-site
$250K - $340K/yr
Oversee peer review, clinical audits, and utilization management processes * Lead patient safety initiatives, risk management activities, and incident review processes * Ensure timely and appropriate ...
Chief Medical Officer - Full- or Part-time
North Bend, OR · On-site
$250K - $340K/yr
Oversee peer review, clinical audits, and utilization management processes * Lead patient safety initiatives, risk management activities, and incident review processes * Ensure timely and appropriate ...
Chief Medical Officer - Full- or Part-time
North Bend, OR · On-site
$250K - $340K/yr
Oversee peer review, clinical audits, and utilization management processes * Lead patient safety initiatives, risk management activities, and incident review processes * Ensure timely and appropriate ...
... utilization of resources to improve health outcomes for the communities served. As a licensed ... Review audit findings with supervisors and providers, provide constructive feedback, and implement ...
New
... utilization of resources to improve health outcomes for the communities served. As a licensed ... Review audit findings with supervisors and providers, provide constructive feedback, and implement ...
New
Utilization Review information
See Remote, OR salary details
$21.37 - $25.70
2% of jobs
$25.70 - $30.02
9% of jobs
$32.98 is the 25th percentile. Wages below this are outliers.
$30.02 - $34.34
21% of jobs
The median wage is $37.84 / hr.
$34.34 - $38.66
23% of jobs
$38.66 - $42.99
13% of jobs
$46.35 is the 75th percentile. Wages above this are outliers.
$42.99 - $47.31
10% of jobs
$47.31 - $51.63
8% of jobs
$51.63 - $55.95
5% of jobs
$55.95 - $60.28
5% of jobs
$60.28 - $64.60
2% of jobs
$64.60 - $68.92
2% of jobs
$21
$42
$68
How much do utilization review jobs pay per hour?
As of Aug 7, 2026, the average hourly pay for utilization review 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.
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 Remote, OR? The most popular types of Utilization Review jobs in Remote, OR are:
What are popular job titles related to Utilization Review jobs in Remote, OR? For Utilization Review jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Remote, OR look for? The top searched job categories for Utilization Review jobs in Remote, OR are:
What cities near Remote, OR are hiring for Utilization Review jobs? Cities near Remote, OR with the most Utilization Review job openings:
Job description
Job Title: UM Nurse (California License) – Must be licensed in California- Remote Opportunity
Work Hrs: (8am – 5pm PDT) would like to include evening, weekend and holiday coverage.
3 month contract plus
Remote Opportunity
Ready to Hire ASAP.
JD: The role of the UM Nurse is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, planning for care, monitoring the efficacy of interventions, and advocating to ensure members receive the services and resources required to meet desired health and social outcomes. The UM Nurse is responsible for providing patient-centered care across the care continuum.
This position is not patient facing, they will be reviewing patient records and providing recommendations.
Role and Responsibilities
- Perform prospective, retrospective, or concurrent medical necessity reviews for an assigned panel of members
- Review cases for medical necessity and apply the appropriate clinical criteria; to include, but not limited to Medicare criteria, Medicaid/Medi-cal criteria, Interqual, Milliman, or Health Plan specific guidelines
- Collaborate with the Medical Director to ensure the integrity of adverse determination notices based on the quality standards for adverse determinations
- Ensure discharge planning is timely and appropriately communicated to the transition of care teams, when applicable.
- Meet or exceed productivity targets set forth
- Serve as a resource to non-clinical team members when applicable
Qualifications and Education Requirements
- Associate's degree in Nursing, preferred
- Minimum 2 years of experience in medical management clinical functions.
- UM Reviewer in patient experience required
- Working knowledge of MCG, InterQual, and NCQA standards
About Enterprise Engineering
Sourced by ZipRecruiter
Our team is composed of architects and application experts skilled in Open Banking and Digital Transformation. Financial Data is in our DNA, and for years we have been helping our clients design, develop and deploy modern, innovative solutions bringing the greatest value to our clients and their business. If you have a constant thirst for emerging technology and a passion for pushing the needle towards excellence, you might be just like us. Life at EEI At EEI, our cultural pillars have been and continue to be a collaborative work environment that cultivates teamwork, mentoring, knowledge sharing, individual and team development. We are a humble bunch that cares for the personal and professional wellbeing of our clients and coworkers and support a healthy work life balance. Do you share our values?
Industry
It services
Company size
51 - 200 Employees
Headquarters location
NY, US
Year founded
1995