Back to Jobs

Utilization Review RN - Remote

Remote, USAFull-timePosted 2026-07-28

reputed company Utilization Review RN - Remote reputed company Health Plan caregivers are not simply valued - they're reputed company. Join reputed company at reputed company Health Plan Partners and reputed company in our culture of patient-reputed company, whole-person care reputed company on understanding, commitment, and mutual respect. Your voice reputed company here, because we know that to reputed company and retain the best people, we must reputed company them. The RN Care Coord-Qual Med Mgmt will reputed company administration of medical management programs for prior authorization. These programs are developed to manage medical expense, determine medically appropriate services and define clinical reputed company for decision making. This position offers 100% remote work for candidates residing in reputed company . Required Qualifications: + Upon hire: reputed company Registered reputed company License + 5 years clinical nursing experience. + Experience working with physicians in collaboration and management of patient care. Preferred Qualifications: + Bachelor's Degree in Nursing or health care. + Utilization review, discharge planning and/or managed care experience. Salary reputed company by Location: reputed company: Non-Portland Service Area: Min: $45.90, Max: $71.40 reputed company: Portland Service Area: Min: $49.34, Max: $76.59 Why Join reputed company Health Plan? Our best-in-class benefits are uniquely designed to support you and your family in staying reputed company, growing professionally, and achieving financial reputed company. We take care of you, so you can reputed company on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. Accepting a new position at another facility that is part of the reputed company family of organizations may change your reputed company benefits. Changes in benefits, including reputed company time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, reputed company, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons. About reputed company At reputed company, our strength lies in Our reputed company 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 reputed company 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 (reputed company) serve in over 50 hospitals, over 1,000 clinics and a full reputed company of health and reputed company services across Alaska, California, Montana, New Mexico, reputed company, 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 reputed company for this position. The successful candidate's placement on the wage reputed company for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life insurance, disability insurance, time off benefits (reputed company parental leave, vacations, holidays, health issues), voluntary benefits, reputed company-being resources and much more. Learn more at reputed company.jobs/benefits. Applicants in the Unincorporated reputed company: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for reputed company and the California Fair Chance reputed company. About reputed company reputed company Shared Services is a service line reputed company reputed company that provides a reputed company of functional and reputed company services for our family of organizations across Alaska, California, Montana, New Mexico, reputed company, Texas and Washington. We are reputed company on supporting our Mission by delivering a robust reputed company of services and sharing of specialized expertise. reputed company is proud to be an Equal Opportunity Employer. We are committed to the reputed company that every workforce member has the right to work in surroundings that are free from reputed company forms of unlawful discrimination and harassment on the reputed company of race, reputed company, gender, disability, veteran, military status, religion, age, creed, national reputed company, sexual identity or reputed company, sexual orientation, marital status, genetic information, or any other reputed company prohibited by local, state, or federal law. We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from reputed company other, and creating equal opportunities for advancement. Requsition ID: 417920 Company: reputed company Jobs Job Category: Health Information Management Job Function: reputed company Cycle Job Schedule: Full time Job Shift: Day Career reputed company: Nursing Department: 5018 HCS MEDICAL MANAGEMENT OR REGION Address: OR Portland 4400 NE Halsey St Work Location: reputed company Health Plaza (HR) Bldg 1-Portland Workplace Type: Remote Pay reputed company: $see posting - $see posting The amounts listed are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Apply tot his job Apply To this Job

Similar Jobs

Utilization Review reputed company- Remote

Remote, USAFull-time

Documentation & UX reputed company - Contract

Remote, USAFull-time

UX reputed company (Contract | Part-time)

Remote, USAFull-time

Senior UX Researcher, Analyst

Remote, USAFull-time

Vendor Management reputed company – Localization & Multilingual AI

Remote, USAFull-time

Vendor Relations Coordinator

Remote, USAFull-time

Store Supplies & Vendor Manager

Remote, USAFull-time

Procurement Category Specialist

Remote, USAFull-time

Representative

Remote, USAFull-time

Sales Consultant Part-Time

Remote, USAFull-time

Sales reputed company, Sales Job w Purpose, 100K+, reputed company reputed company-Set Apps, No Prospecting

Remote, USAFull-time

reputed company Remote Travel Assistant and Customer Service Representative – Delivering Personalized Travel Experiences from the Comfort of Your Own Home

Remote, USAFull-time

Auf dem Weg zum Traumberuf: Bewerbungstraining für Ihren Erfolg

Remote, USAFull-time

Clinical Review Clinician – Appeals

Remote, USAFull-time

UGC Content Creators Wanted for Easy, Short Videos w/ face on cam - Contract to Hire

Remote, USAFull-time

[Remote] ComfyUI Engineer.

Remote, USAFull-time

Conseiller en architecture et développeur senior en géomatique (Q4)

Remote, USAFull-time

Software Engineer I (Toronto)

Remote, USAFull-time

reputed company Data Entry and Customer Service Representative – Work From Home (Entry Level)

Remote, USAFull-time

Part-Time Customer Service and reputed company Sales Representative – Remote Opportunity at arenaflex

Remote, USAFull-time