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Utilization Reviewer Jobs in Remote, OR (NOW HIRING)

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Client Relationship Manager

OR · On-site

$80K - $85K/yr

Analyze utilization, financial, service, and operational performance to identify trends, emerging ... annual reviews. Issue Resolution: Own the coordination of client-facing issues across internal ...

Sr Lead Site Reliability Engineer

OR · Remote

$53.50 - $71/hr

Drive initiatives to improve latency, throughput, and resource utilization. Monitoring ... To review Lumen's Global Employment Applicant and Talent Community Privacy Notice, please visit:

Lead Site Reliability Engineer

OR · Remote

$53.50 - $71/hr

Drive initiatives to improve latency, throughput, and resource utilization. Monitoring ... To review Lumen's Global Employment Applicant and Talent Community Privacy Notice, please visit:

Showing results 41-56

Utilization Reviewer information

See Remote, OR salary details

$31K

$38K

$44K

How much do utilization reviewer jobs pay per year?

As of Aug 7, 2026, the average yearly pay for utilization reviewer in Remote, OR is $37,955.00, according to ZipRecruiter salary data. Most workers in this role earn between $34,000.00 and $42,000.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Reviewer vs Medical Coder?

AspectUtilization ReviewerMedical Coder
Required CredentialsTypically requires healthcare-related certifications, such as RHIT, RHIA, or CPCUsually requires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizationsHospitals, clinics, or medical billing companies
Employer & Industry UsageUsed in insurance, managed care, and healthcare administrationUsed in medical billing, coding, and health information management

While both roles work within healthcare settings, Utilization Reviewers focus on evaluating the necessity of medical services for insurance and care management, whereas Medical Coders translate medical records into standardized codes for billing and documentation. Understanding these differences helps professionals choose the right career path or job search focus.

How does a utilization reviewer typically collaborate with healthcare providers to ensure appropriate patient care?

Utilization Reviewers work closely with physicians, nurses, and other healthcare professionals to assess the necessity and efficiency of medical services provided to patients. They review clinical documentation, verify that treatments meet established guidelines, and may discuss care plans directly with providers to clarify information or suggest alternatives. This collaboration ensures that patients receive appropriate care while controlling costs and complying with insurance or regulatory requirements. Effective communication and a thorough understanding of medical protocols are essential for success in this role.

What does a utilization reviewer do?

A Utilization Reviewer is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient records, treatment plans, and insurance policies to ensure that care meets established guidelines and standards. Their role helps control healthcare costs while maintaining quality patient care and ensuring compliance with regulatory requirements. Utilization Reviewers often communicate with healthcare providers, insurance companies, and patients to gather information and make informed decisions.

What does a utilization reviewer do?

There are different types of Utilization Reviewer jobs, including Nurse Utilization Reviewers, Insurance Utilization Reviewers, Speech Therapy, Physical Therapy, and Occupational Therapy Utilization Reviewers. Regardless of the area of focus, a Utilization Reviewer is responsible for setting best practices, reviewing healthcare program requirements, ensuring the quality of care, controlling costs, and developing and implementing initiatives for review processes. Utilization Reviewers ensure compliance of programs, regularly audit patient and client records, work with staff to implement best practices and correct problem areas, monitor industry trends, and remain up-to-date and train others on industry standards and requirements.

What are the key skills and qualifications needed to thrive as a utilization reviewer?

To thrive as a Utilization Reviewer, you need a clinical background (such as RN or LCSW), in-depth knowledge of medical terminology, and an understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or URAC accreditation is typically required. Strong critical thinking, attention to detail, and effective communication skills help in evaluating patient care and collaborating with providers. These competencies are crucial for ensuring appropriate, cost-effective care while maintaining compliance with healthcare standards.
What are popular job titles related to Utilization Reviewer jobs in Remote, OR? For Utilization Reviewer jobs in Remote, OR, the most frequently searched job titles are:
What job categories do people searching Utilization Reviewer jobs in Remote, OR look for? The top searched job categories for Utilization Reviewer jobs in Remote, OR are:
What cities near Remote, OR are hiring for Utilization Reviewer jobs? Cities near Remote, OR with the most Utilization Reviewer job openings:
Infographic showing various Utilization Reviewer job openings in Remote, OR as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, and 5% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $37,955 per year, or $18.2 per hour.

Perm - Physician - Cardiology - Non-Invasive Coos Bay, OR

Cynet Health

Coos Bay, OR • On-site

$334K - $378K/yr

Other

Re-posted 7 days ago


Job description

Details
Client Name
Bay Area Hospital - AA
Job Type
Permanent
Offering
Locums
Profession
Physician
Specialty
Cardiology
Job ID
35437385
Job Title
Perm - Physician - Cardiology - Non-Invasive Coos Bay, OR
Shift Details
Shift
Day - 8x5 - 09AM
Scheduled Hours
40
Job Order Details
Start Date
08/17/2026
Duration
0
Job Description
Job Title: Non-Invasive Cardiologist
Profession: Physician
Specialty: Cardiology - Non-Invasive
Duration: Permanent, Full-Time
Shift: Days
Hours per Shift: M-F each week, 8am-5pm, Shared On Call
Experience: Board Eligible or Board Certified in Internal Medicine, Board Eligible or Board Certified in Cardiology (Non-Invasive), Fellowship-trained in Cardiology
License: Oregon License or willingness to obtain
Certifications: Nuclear and Echo Certified preferred, Clean Malpractice History/Background
Description:
Seeking an additional Non-Invasive Cardiologist to join a collaborative, growing cardiology service line.
This position is due to growth and expansion of services.
The role includes an average of 10 to 15 patients per day with NP/PA support.
The Non-Invasive Cardiologist will provide outreach services to nearby critical access facilities.
This position offers a low-stress, engaging environment within a high-caliber, collegial team.
The responsibilities include providing cardiology services in both inpatient and outpatient settings.
Evaluation and management services, interpretation of EKG, echocardiography, cardiac nuclear imaging, and stress echocardiography are key duties.
This role also involves reviewing and signing treatment plans for cardiac rehab patients.
Additional tasks include performing and interpreting cardioversion and trans-esophageal echocardiography (TEE).
Regular collaboration with other medical specialties is essential to meet established standards of care.
You will be examining, diagnosing, and providing treatments for various cardiac disease processes.
Interpretation of echocardiograms, stress testing, electrocardiograms, and cardiac monitors according to established standards is required.
Documenting patient examinations and obtaining pertinent medical history is necessary.
Utilization of appropriate risk calculators as part of patient assessment is expected.
Integration of data to determine diagnosis and therapeutic plans will be part of your role.
Administering prescribed medications in compliance with state laws and practice guidelines is required.
You will order and perform appropriate medical procedures in accordance with legal and practice guidelines.
Patient and family education regarding medications and treatments is essential.
You will also educate patients on health, illness prevention, and healing.
Maintaining accurate patient records and documentation within the electronic medical record is critical.
The role includes answering patient telephone calls and providing necessary consultations.
Participation in physician meetings and policy formation is expected.
Staying current with continuing medical education (CME) activities is necessary to meet organizational requirements.
Maintaining all licenses and certifications in compliance without restriction is required.
Effective communication with colleagues, patients, and administration is essential.
Maintaining the quality of clinical practice through professional growth is encouraged.
Regular attendance at the assigned job location is necessary.
This position may require residency in the local area.
Open to visa candidates.
Client Details
Address
1775 Thompson Rd
City
Coos Bay
State
OR
Zip Code
97420
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About Cynet Health

Sourced by ZipRecruiter

Cynet Health is a TJC certified MBE and one of the fastest-growing healthcare staffing firms in the US providing Health Med and Health IT staffing and consulting services to countless hospitals, SNFs, clinics, labs, CROs, health & wellness centers, pharmacies, and other medical facilities across the United States. Headquartered in Sterling, Virginia, we are a certified Minority-Owned Business Enterprise and a recognized Diversity Supplier. Vision Our Vision is to be the most trusted and reliable provider for healthcare companies and medical facilities across the United States. Mission Our mission is to serve our healthcare customers with excellence and make a meaningful difference in the lives of patients and our communities.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2015