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Utilization Review Jobs in Remote, OR (NOW HIRING)

Cynet Health

Physician - Cardiology

Coos Bay, OR

$334K - $378K/yr

This role also involves reviewing and signing treatment plans for cardiac rehab patients ... Utilization of appropriate risk calculators as part of patient assessment is expected. Integration ...

SOSi

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.

SOSi

Senior Data Scientist

OR · On-site

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.

SOSi

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.

SOSi

Data Scientist

OR · On-site

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.

SOSi

Senior Data Scientist

Myrtle Point, OR · On-site

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.

SOSi

Data Scientist

Myrtle Point, OR · On-site

The contractor shall conduct quarterly reviews to track cost efficiency, assess system performance, and optimize analytic workflows through the Quarterly Cost & Resource Utilization Report.

Aviva Health

Clinical Systems Analyst

Roseburg, OR

Review clinical staff workflow and develop solutions for workflow deficiencies and gaps. Coordinate ... Analyze trends in patient care delivery, patient engagement, appointment utilization, and other ...

Team8

Bluespine-Director of Customer Success

OR · On-site +1

... utilization of analytics to drive value and client satisfaction. Key Responsibilities Account ... reviews to ensure alignment and satisfaction. • Collaborate with internal teams (data, data ...

Aviva Health

Clinical Systems Analyst

Roseburg, OR · On-site

Review clinical staff workflow and develop solutions for workflow deficiencies and gaps. Coordinate ... Analyze trends in patient care delivery, patient engagement, appointment utilization, and other ...

Aviva Health

Clinical Systems Analyst

Roseburg, OR · On-site

$28.71 - $35.09/hr

... Review clinical staff workflow and develop solutions for workflow deficiencies and gaps. • ... engagement, appointment utilization, and other quality measures. • Collaborate with ...

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All JobsUtilization Review JobsUtilization Review Jobs in Remote, OR

Utilization Review information

See Remote, OR salary details

$21

$42

$68

How much do utilization review jobs pay per hour?

As of Jun 15, 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.

What jobs pay $10,000 a month without a degree?

Utilization Review roles typically do not pay $10,000 a month without relevant experience or certifications; most positions in this field pay lower salaries. High-paying jobs that can reach this level without a degree often include specialized sales, real estate, or entrepreneurship, but they usually require significant skills, networking, or business acumen. Achieving such income without a degree generally involves gaining expertise, certifications, or building a successful independent business.

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.

What is the least stressful healthcare job?

Utilization review is often considered a less stressful healthcare job because it typically involves reviewing medical cases and insurance claims in a predictable, office-based environment. It usually requires strong analytical skills and certification but involves less direct patient interaction and emergency situations compared to clinical roles.

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 obtains certification in utilization review or case management. Gaining experience in healthcare settings and understanding insurance policies and medical coding can also improve job prospects. Certification programs like the Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM) are often preferred by employers.
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:
Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Remote, OR as of June 2026, with employment types broken down into 100% Full Time. Highlights an 55% In-person, and 45% Remote job distribution, with an average salary of $87,860 per year, or $42.2 per hour.
Workforce Development Coordinator

Workforce Development Coordinator

Umpqua Health

Roseburg, OR • On-site

$71K - $84K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 9 days ago

Job description

WORKFORCE DEVELOPMENT COORDINATOR
ONSITE
EMPLOYMENT TYPE: Full-Time, Exempt
About Umpqua Health
At Umpqua Health, we're more than a healthcare organization-we're a community-driven Coordinated Care Organization (CCO) dedicated to improving the health and well-being of individuals and families throughout Douglas County, Oregon. We provide integrated, whole-person care through primary care, specialty care, behavioral health services, and care coordination. Our collaborative approach ensures members receive high-quality, personalized care while supporting a stronger, healthier community.
POSITION PURPOSE
The Workforce Development Coordinator supports organizational workforce initiatives by coordinating employee development programs, onboarding support, educational partnerships, resident and student experiences, compliance tracking, and employee engagement processes. This role serves as a key liaison between Human Resources, operational leaders, educational institutions, residency programs, and employees to ensure a positive and compliant workforce experience.
The Workforce Development Coordinator is responsible for maintaining workforce development programs and systems, supporting employee growth opportunities, ensuring compliance with licensing and educational requirements, and promoting organizational learning initiatives. This role requires exceptional organization, communication, follow-through, and the ability to manage multiple priorities in a fast-paced healthcare environment.
ESSENTIAL JOB RESPONSIBILITIES
Workforce Development & Educational Partnerships
  • Coordinate and manage resident, student, and workforce development programs across the organization.
  • Maintain and oversee affiliation agreements with colleges, universities, residency programs, and educational partners.
  • Serve as a primary point of contact for student and resident placement coordination and onboarding support.
  • Support the development, promotion, and communication of organizational workforce development and educational initiatives, including UH University programs.
  • Market available educational and professional development opportunities to staff through internal communication channels.
  • Collaborate with leadership and internal departments to improve workforce development programming and employee growth opportunities.

Regulatory & Program Compliance
  • Maintain organizational participation and compliance with workforce development programs including NHSC and HRSA initiatives.
  • Coordinate and ensure timely submission and maintenance of NHSC and HRSA applications, renewals, and supporting documentation.
  • Ensure organizational branding and designation as an approved NHSC site is accurately reflected on company websites and recruitment materials.
  • Track employee licensure, certifications, credentialing, and DEA expiration dates; distribute timely reminders to employees and leadership regarding upcoming renewals.
  • Maintain accurate workforce compliance records and reporting documentation.

Employee Development & Training Administration
  • Review, process, and approve employee education and training requests in accordance with organizational policy and budget guidelines.
  • Serve as a subject matter resource regarding training policies, learning systems, and workforce development procedures.
  • Support administration and utilization of learning management systems and employee engagement platforms.
  • Assist with continuous improvement efforts related to employee training and development processes.

Employee Experience & Onboarding Support
  • Serve as a backup resource for onboarding coordination and new hire orientation processes.
  • Support employee engagement activities, workforce events, recognition efforts, and employee experience initiatives.
  • Collaborate with Internal Communications regarding workforce development programs, onboarding updates, training opportunities, surveys, and employee engagement activities.
  • Maintain knowledge and expertise in organizational systems including ADP, Lattice, learning management systems, and related HR technologies.

Performance Review & Survey Coordination
  • Coordinate and monitor annual performance reviews and 30/60/90-day employee evaluations to ensure timely completion across the organization.
  • Administer and manage workforce-related surveys and feedback initiatives through Lattice or other engagement platforms.
  • Track participation and completion metrics related to reviews and surveys.
  • Gather employee and leadership feedback regarding review and survey processes and recommend process improvements.
  • Implement approved updates and enhancements to workforce development and employee feedback processes.

Administrative and Operational Support
  • Maintain accurate records, reports, dashboards, and tracking systems using Microsoft Office, SharePoint, Smartsheet, and other organizational platforms.
  • Prepare reports and workforce development metrics for leadership as requested.
  • Ensure confidentiality and secure handling of sensitive employee and organizational information.
  • Perform additional duties as assigned in support of Human Resources and workforce development operations.
  • Other duties and projects assigned
CHALLENGES
  • Working with a variety of personalities, maintaining a consistent and fair communication style.
  • Satisfying the needs of a fast-paced and challenging company.

MINIMUM QUALIFICATIONS
  • Associate degree (AA) required.
  • Minimum of two (2) years of experience in Human Resources, workforce development, healthcare administration, education coordination, or related field.
  • Strong organizational skills with the ability to manage multiple projects, deadlines, and priorities simultaneously.
  • Proficiency with Microsoft Office Suite including Excel, Word, Outlook, and PowerPoint.
  • Experience using SharePoint, Smartsheet, HRIS systems, and learning management systems.
  • Strong interpersonal, written, and verbal communication skills.
  • Ability to maintain confidentiality and exercise professionalism in sensitive situations.
PREFERRED QUALIFICATIONS
  • Bachelor's degree preferred in Human Resources, Business Administration, Healthcare Administration, Education, or related field.
  • Experience working in healthcare, residency programs, workforce development, or educational program coordination.
  • Experience with ADP Workforce Now, Lattice, and employee engagement platforms.
  • Knowledge of NHSC, HRSA, credential tracking, and healthcare workforce compliance requirements.
  • Valid driver's license and ability to maintain appropriate auto insurance, as required.
  • Not excluded, suspended, or debarred from participation in federal healthcare programs (e.g., Medicare/Medicaid).
  • Bilingual skills or translation capabilities.

SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $ 71,850- $ 84,420
BENEFITS
  • Salary is dependent on skills, experience, and education
  • Generous benefits package including vacation PTO, sick leave, federal holidays, and birthday leave
  • Medical, dental, and vision insurance
  • 401(k) with company match (fully vested immediately)
  • Company-sponsored life insurance and additional benefits
  • Fitness reimbursement program
  • Tuition reimbursement and more

Why Umpqua Health?
We are committed to advancing health equity by collaborating across communities, addressing systemic barriers, and ensuring fair access to care and resources. At Umpqua Health, every team member plays a vital role in making a meaningful impact, empowering healthier lives and strengthening the communities we serve.
Inclusive Culture
We foster a respectful, inclusive environment where employees feel valued, supported, and empowered.
Growth & Development
We support ongoing learning through mentorship, clear career pathways, and professional development opportunities.
Work/Life Balance
We promote flexibility and well-being so employees can thrive both professionally and personally.
Equal Opportunity
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.

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