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Utilization Review Nurse Jobs in Portland OR

Utilization Review Specialist

Utilization Review Specialist

Kaiser Permanente Northwest • Portland (OR)

On-site
USD 50,000 - 63,000
Remote Clinical QA Coordinator Utilization Review

Remote Clinical QA Coordinator Utilization Review

AllMed Medical Management • Portland (OR)

Remote
USD 70,000 - 100,000
Medical benefits
Vision benefits
Dental benefits
+2
Remote Behavioral Health Utilization Reviewer (Oregon)

Remote Behavioral Health Utilization Reviewer (Oregon)

COMAGINE HEALTH • Portland (OR)

On-site
USD 85,000 - 110,000
Medical, dental and vision insurance
Paid time off for vacation, illness, &
Retirement savings plan with employer"
+2
Remote RN Utilization and Benefit Management Lead

Remote RN Utilization and Benefit Management Lead

CareOregon, Inc. • Portland (OR)

Remote
USD 127,000 - 155,000
Remote Utilization Management Leader

Remote Utilization Management Leader

Yamhill Community Care • McMinnville (OR)

Hybrid
USD 90,000 - 120,000
Remote Clinical Prior Authorization Reviewer

Remote Clinical Prior Authorization Reviewer

Actalent • Portland (OR)

Remote
USD 48,000 - 55,000
Medical, dental & vision
401(k) plan
Life Insurance
+5
Remote Utilization Management Lead

Remote Utilization Management Lead

Yamhill Community Care Organization • McMinnville (OR)

Remote
USD <1,000
Remote Payment Integrity Nurse I — Claim Review & Coding

Remote Payment Integrity Nurse I — Claim Review & Coding

Cambia Health Solutions • Vancouver (WA)

Remote
USD 77,000 - 104,000
Medical, dental and vision coverage
Health savings account contributions
Paid time off and holidays
+3
Utilization Management Manager – Remote Nonprofit Role

Utilization Management Manager – Remote Nonprofit Role

Yamhill Community Care • McMinnville (OR)

On-site
USD 90,000 - 120,000
Utilization Review Coord (WA/OR residency -Hybrid)

Utilization Review Coord (WA/OR residency -Hybrid)

Kaiser Permanente Northwest • Portland (OR)

On-site
USD 50,000 - 63,000
Clinical Quality Assurance Coordinator

Clinical Quality Assurance Coordinator

Paycom - ATS • Portland (OR)

On-site
USD 60,000 - 85,000
Medical, vision, dental
401k
Paid time off
RN Delegation & Quality Oversight Lead (Hybrid)

RN Delegation & Quality Oversight Lead (Hybrid)

Page Mechanical Group, Inc. • Portland (OR), Northern (KY)

Hybrid
USD 72,000 - 90,000
Medical benefits
401K Matching
FSA
+2
Remote RN Quality Assurance Manager, Clinical Systems

Remote RN Quality Assurance Manager, Clinical Systems

CareOregon • Portland (OR)

Remote
USD 141,000 - 172,000
Bonus - 5% SIP Target
Remote Nurse Auditor: Clinical Coding & Compliance Expert

Remote Nurse Auditor: Clinical Coding & Compliance Expert

Humana Inc • Salem (OR)

Remote
USD 78,000 - 108,000
RN Quality Assurance Leader - Clinical Systems

RN Quality Assurance Leader - Clinical Systems

CareOregon, Inc. • Portland (OR), Northern (KY)

Hybrid
USD 141,000 - 172,000
Bonus opportunity
Total Rewards Program
Comprehensive benefits
RN Claims Auditor: Healthcare Payment & Compliance

RN Claims Auditor: Healthcare Payment & Compliance

Direct Staffing Inc • Portland (OR)

On-site
USD 70,000 - 90,000
ER Registered Nurse – Critical-Care & Rapid-Response

ER Registered Nurse – Critical-Care & Rapid-Response

LiveWell Homecare Agency, LLC • Hillsboro (OR)

On-site
USD 90,000 - 110,000
RN Clinical Benefit Management Supervisor

RN Clinical Benefit Management Supervisor

CareOregon, Inc. • Portland (OR)

On-site
USD 127,000 - 155,000
Remote Care Management Nurse | Drive Quality & Outcomes

Remote Care Management Nurse | Drive Quality & Outcomes

Cambia Health Solutions • Salem (OR)

On-site
USD 105,447,000 - 159,713,000
Medical, dental and vision coverage
Paid time off
401(k) with company match
+2
Pharmacy Claims Review Manager: Lead Reimbursement & Compliance

Pharmacy Claims Review Manager: Lead Reimbursement & Compliance

Consonus Pharmacy Services, LLC • Portland (OR), Northern (KY)

Hybrid
USD 110,000 - 150,000
Paid training and career advancement
Education stipend: $25,000
Generous PTO
+4
Clinical Quality Assurance Coordinator (32945)

Clinical Quality Assurance Coordinator (32945)

AllMed Medical Management • Portland (OR)

Remote
USD 70,000 - 100,000
Medical benefits
Vision benefits
Dental benefits
+2
Triage RN — Primary Care & Perinatal Care Coordination

Triage RN — Primary Care & Perinatal Care Coordination

Native American Rehabilitation Association of the Northwest, Inc. (NARA) • Portland (OR)

On-site
USD 60,000 - 70,000
Weekend RN for Military Readiness & Mobile Clinics

Weekend RN for Military Readiness & Mobile Clinics

DOCS Health • Portland (OR)

On-site
USD 55,000 - 83,000
RN Case Manager: Care Coordination & Disposition

RN Case Manager: Care Coordination & Disposition

Kaiser Permanente • Portland (OR), Northern (KY)

Hybrid
USD 80,000 - 110,000
Remote Claims Audit Supervisor - QA & Compliance Lead

Remote Claims Audit Supervisor - QA & Compliance Lead

Cardinal Health • Salem (OR)

Hybrid
USD 69,000 - 88,000
Medical coverage
Dental coverage
Vision coverage
+7

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