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Work From Home Chiropractic Utilization Review Jobs

Umpqua Health

Utilization Review Nurse

$85K - $105K/yr

Participate in discharge planning for members transitioning from acute, long-term, or residential ... Ability to work independently in fast-paced environments SCHEDULE Monday through Friday - 8:00am ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

Participate in discharge planning for members transitioning from acute, long-term, or residential ... Ability to work independently in fast-paced environments SCHEDULE Monday through Friday - 8:00am ...

CommonSpirit Health

Utilization Review RN

The Utilization Review RN is responsible for the review of medical records for appropriate ... Work With more than 700 care sites across the U.S. from clinics and hospitals to home-based care ...

ICONMA

Clinical Utilization Review Nurse II

Ability to work independently and exercise sound judgment in interactions with physicians and ... from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), and Condition Code 44 (CC44)

She Recruits LLC

Gastroenterology - Chart Review

... utilization review criteria. Review appeals for denied services related to relevant medical ... Predictable work schedules * 100% Work at Home with part-time & full-time opportunities available

Enterprise Engineering

Be Seen First

Concurrent Utilization Review (UR) Nurse

OR · Remote

$30 - $38/hr

... Work closely with case managers, social workers, and care teams to facilitate seamless care ... from inpatient to outpatient or post-acute care settings. 5. Compliance & Documentation · Ensure ...

CorVel

CA Utilization Review Nurse I

$30.64 - $45.80/hr

Documents all work in the appropriate manner * Promotes utilization review services with stakeholders * Complies with all safety rules and regulations during work hours in conjunction with the Injury ...

WellSky

Utilization Review Clinician - Appeals

*This role will require the successful candidate to work the shift of either: Monday to Friday, Noon ... Preferred Qualifications: * 1-2 years' experience in utilization review, case management and/or ...

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Work From Home Chiropractic Utilization Review information

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How much do work from home chiropractic utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for work from home chiropractic utilization review in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What is the difference between Work From Home Chiropractic Utilization Review vs Work From Home Medical Coding Specialist?

AspectWork From Home Chiropractic Utilization ReviewWork From Home Medical Coding Specialist
CredentialsChiropractic license, certification in utilization reviewMedical coding certification (CPC, CCS)
Work EnvironmentHome office, healthcare settingsHome office, healthcare or insurance companies
Industry UsageHealthcare, insurance, chiropractic clinicsHealthcare, insurance, billing companies
Job FocusReview chiropractic claims for medical necessityTranslate medical records into billing codes

While both roles work remotely within the healthcare industry, Chiropractic Utilization Review focuses on assessing chiropractic claims for necessity, requiring a chiropractic license. Medical Coding Specialists translate medical records into billing codes, often requiring coding certifications. Both jobs involve detailed review work but differ in credentials and specific tasks.

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What cities are hiring for Work From Home Chiropractic Utilization Review jobs? Cities with the most Work From Home Chiropractic Utilization Review job openings:
What states have the most Work From Home Chiropractic Utilization Review jobs? States with the most job openings for Work From Home Chiropractic Utilization Review jobs include:
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Work From Home Chiropractic Utilization Review jobs near you
Infographic showing various Work From Home Chiropractic Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $66,436 per year, or $31.9 per hour.

Utilization Review Nurse

Umpqua Health

Remote

$85K - $105K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

UTILIZATION REVIEW NURSE
REMOTE
Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations.
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 Utilization Management Nurse evaluates clinical service requests to ensure medically necessary, cost-effective, and evidence-based care for members. This role conducts prior authorizations, facilitates care coordination, and supports safe transitions across care settings, ensuring compliance with Oregon Health Plan (OHP), Medicare, and applicable regulations. The UM Nurse collaborates with interdisciplinary teams and community providers to promote integrated, high-quality care.
ESSENTIAL JOB RESPONSIBILITIES
  • Perform clinical assessments and prior authorizations to determine medical necessity
  • Escalate complex cases to Medical Directors and request additional documentation as needed
  • Collaborate with care coordinators, discharge planners, and interdisciplinary teams for care transitions
  • Liaise with internal departments to resolve eligibility, benefits, or service issues
  • Participate in discharge planning for members transitioning from acute, long-term, or residential care
  • Conduct audits and support quality improvement initiatives
  • Provide training and mentorship on UM protocols and workflows
  • Maintain relationships with community providers and service organizations
  • Ensure compliance with organizational policies, clinical standards, and federal/state regulations
  • Perform other nursing-related duties as 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
  • Active, unrestricted RN license (BSN or MSN) in Oregon or a compact state
  • Graduation from an accredited nursing program
  • Minimum 5 years of direct patient care experience
  • Proficiency with Microsoft Office, EHR systems, and UM software
  • Strong clinical knowledge, communication, and organizational skills
  • No suspension, exclusion, or debarment from federal healthcare programs
PREFERRED QUALIFICATIONS
  • 2+ years of utilization review or case management experience in managed care
  • Oregon residency and license
  • Bilingual or translation skills a plus
  • Experience with quality improvement audits and diverse team collaboration
  • Ability to work independently in fast-paced environments
SCHEDULE
Monday through Friday - 8:00am - 5:00pm; standard business hours with flexibility to meet service timelines.
SALARY
Wage Band: $85,000- $105,340
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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