Clinical Review Nurse (RN) /Clinical Informaticist/RN

Metasys is a global digital consulting firm that specializes in delivering solutions across a variety of business functions, including HR, Procurement, Marketing, Finance, and Technology. With over twenty-five years of experience, we have helped companies of all sizes—from agile startups to established enterprises—achieve sustainable growth and operational efficiency. Our focus on best-in-class practices, cost-efficient strategies, and scalable support has enabled us to become a trusted partner to companies looking to transform their operations and scale effectively. Metasys is a portfolio company of Arkview Capital, a leading private equity firm.

Job Title: Clinical Review Nurse (RN) – Utilization Management Location: Oregon or bordering states Duration: 3+ Months Job Summary: This role uses clinical expertise to review medical records for medical appropriateness based on established criteria and contractual guidelines. The nurse will ensure timely, accurate case handling and serve as a key liaison between providers and internal departments.

Conduct medical record reviews in accordance with clinical and contractual standards Prioritize and manage daily case queues to meet workload demands Collaborate with supervisors on quality assurance and continuous improvement Maintain up-to-date knowledge of review processes and clinical best practices Serve as a liaison for provider communications and issue resolution Build and maintain positive relationships with internal and external stakeholders Participate in required training and meetings for updates and compliance Cross-train to support broader team needs and ensure workforce flexibility Comply with HIPAA and all corporate privacy and security policies