RN Utilization Management Specialist — Care Coordination

A community-driven healthcare organization in Oregon is looking for a Utilization Management Nurse responsible for evaluating clinical service requests. This role involves conducting prior authorization reviews and ensuring compliance with health plan guidelines while collaborating with interdisciplinary teams to promote high-quality, integrated care. The ideal candidate should possess an active RN license in Oregon, have at least five years of clinical experience, and demonstrate expertise in utilization management and regulatory compliance. This position offers the opportunity to contribute to continuous improvement in healthcare delivery. #J-18808-Ljbffr