Utilization Review RN
Portland, OR · On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...
Portland, OR · On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...
Portland, OR · On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...
Portland, OR · On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...
Portland, OR · On-site
Description Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays. This posting is not for a specific job vacancy. It serves to establish a ...
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
Bend, OR · On-site
$27.74 - $41.61/hr
Utilization Review Specialist REPORTS TO POSITION: Manager - Utilization Management DEPARTMENT ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
Bend, OR · On-site
$48.30 - $72.45/hr
Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
Bend, OR · On-site
$48.30 - $72.45/hr
Utilization Management DATE LAST REVIEWED: November 2024 OUR VISION: Creating America's healthiest ... As Scheduled (may include weekends and holidays) Shift Start & End Time: 8-1630
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Portland, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
Hillsboro, OR · On-site
$3.1K/wk
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
New
Hillsboro, OR · On-site
$3.1K/wk
Medlivo is seeking a travel nurse RN Utilization Review for a travel nursing job in Hillsboro, Oregon. & Requirements * Specialty: Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours ...
New
Portland, OR · On-site
$3.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: - Active Oregon RN or Washington RN license, or Compact RN ...
New
Portland, OR · On-site
$3.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Requirements: - Active Oregon RN or Washington RN license, or Compact RN ...
New
Portland, OR · On-site
$3.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Minimum Requirements:- Active RN license: Oregon & Washington/Multistate ...
New
Portland, OR · On-site
$3.1K/wk
Utilization Review * Discipline: RN * Duration: 13 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Minimum Requirements:- Active RN license: Oregon & Washington/Multistate ...
New
Salem, OR · On-site
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
Salem, OR · On-site
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
Salem, OR · On-site
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
Salem, OR · On-site
$90K - $100K/yr
Perform telephonic and onsite utilization reviews, including prior authorization, concurrent review, and transition of care evaluations. * Review and approve services within scope of authority and ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Bend, OR · On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Bend, OR · On-site
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs. * Maintain contact with the inpatient facility utilization ...
$22.62 - $27.19
2% of jobs
$27.19 - $31.77
9% of jobs
$34.90 is the 25th percentile. Wages below this are outliers.
$31.77 - $36.34
21% of jobs
The median wage is $40.05 / hr.
$36.34 - $40.92
23% of jobs
$40.92 - $45.49
13% of jobs
$49.05 is the 75th percentile. Wages above this are outliers.
$45.49 - $50.07
10% of jobs
$50.07 - $54.64
8% of jobs
$54.64 - $59.22
5% of jobs
$59.22 - $63.79
5% of jobs
$63.79 - $68.37
2% of jobs
$68.37 - $72.94
2% of jobs
$22
$44
$72
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
The most popular types of Utilization Review jobs in Oregon are:
For Weekend Utilization Review jobs in Oregon, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Oregon are:

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 13 days ago
Description
Utilization Review RN at Providence Health Plaza. Utilization Management covers 7 days/week, including holidays.
This posting is not for a specific job vacancy. It serves to establish a place for current or future interested applicants to apply for Utilization Review RN at Providence Oregon Regional Shared Services (Providence Health Plaza) in Portland, OR. We may not have openings for each of these categories today, but the organization offers on-call, part time and full-time opportunities for day shift.
The RN Coordinator-Utilization Review supports the care of the patient through assessment, planning, implementation and evaluation of appropriate services and resources to maximize optimum outcomes. This position works collaboratively with the multiple disciplines, both internal and external to the organization, in effecting quality and cost-effective management of the patient care along the continuum.
Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Oregon Regional Shared Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
Required Qualifications:
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
About the Team
Providence has been serving the Pacific Northwest since 1856 when Mother Joseph of the Sacred Heart and four other Sisters of Providence arrived in Vancouver, Washington Territory. As the largest healthcare system and largest private employer in Oregon, Providence is located in areas ranging from the Columbia Gorge to the wine country to sunny southern Oregon to charming coastal communities to the urban setting of Portland.
Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.
Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.
Requsition ID: 439934
Company: Providence Jobs
Job Category: Health Information Management
Job Function: Revenue Cycle
Job Schedule: Part time
Job Shift: Multiple shifts available
Career Track: Nursing
Department: 5016 RS UTILIZATION MGMT
Address: OR Portland 4400 NE Halsey St
Work Location: Providence Health Plaza (HR) Bldg 1-Portland
Workplace Type: Hybrid
Pay Range: $50.14 - $77.83
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.