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Assistant Remote Utilization Review Jobs in Kentucky

Appeals Coordinator- Remote

Louisville, KY ยท Remote

$20.25 - $25/hr

M-F Job Location Type: [Remote] Your experience matters At Lifepoint Health, we are committed to ... Previous utilization review experience in a psychiatric healthcare facility preferred * Computer ...

Create user documentation when required and complete handover documentation to assist support staff ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Create user documentation when required and complete handover documentation to assist support staff ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Create user documentation when required and complete handover documentation to assist support staff ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Monitor and review financial systems to ensure accurate revenue recognition and maintain ... Collaborate with Utilization Management departments to ensure pre-certifications, authorizations ...

Configure the software using approved workflow and business rules * Assist the data conversion ... Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ...

Configure the software using approved workflow and business rules * Assist the data conversion ... Ability to review error logs & debugging skills * Adept at writing SQL queries * Familiarity with S ...

Finance Assistant

Louisville, KY ยท Remote

$30K - $40K/yr

This will be a work-from-home "remote" position. Must own a Mac computer and be fluent with the ... Review and audit financial statements and reports, ensure all calculations and data entries are ...

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Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

What are the most commonly searched types of Remote Utilization Review jobs in Kentucky? The most popular types of Remote Utilization Review jobs in Kentucky are:
What cities in Kentucky are hiring for Assistant Remote Utilization Review jobs? Cities in Kentucky with the most Assistant Remote Utilization Review job openings:
Medical Assistant-Remote Patient Monitoring (RPM) & Chronic Care Management (CCM)

Medical Assistant-Remote Patient Monitoring (RPM) & Chronic Care Management (CCM)

HealthWorks Medical

Paducah, KY โ€ข Remote

$16 - $21.75/hr

Full-time

Posted 2 days ago

New


Job description

The Medical Assistant (MA) supports clinical operations by assisting with Remote
Patient Monitoring (RPM) and Chronic Care Management (CCM) programs. This role
involves patient outreach, data collection, care coordination, and ensuring patients
remain engaged with their care plans. The MA works closely with providers, nurses, and
care coordinators to improve patient outcomes, especially for individuals with chronic
conditions. Bilingual REQUIRED

Key Responsibilities
Monitor and review patient-generated health data (e.g., blood pressure, glucose
levels, weight) through RPM platforms
Conduct routine patient outreach via phone or digital communication to support
CCM and RPM services
Assist in onboarding patients into RPM and CCM programs, including device
setup and education
Document patient interactions, vital signs, and care coordination activities in the
electronic health record (EHR)
Identify abnormal readings or patient concerns and escalate to clinical staff as
appropriate
Reinforce care plans and educate patients on medication adherence, lifestyle
modifications, and disease management
Schedule follow-up appointments and coordinate care between providers and
patients
Ensure compliance with CMS guidelines for RPM and CCM services, including
accurate time tracking and documentation
Maintain confidentiality and adhere to HIPAA regulations

Bilingual REQUIRED

High school diploma or equivalent (required); completion of an accredited
Medical Assistant program (preferred)
Current Medical Assistant certification (e.g., CMA, RMA) preferred
Experience in primary care, chronic disease management, or telehealth preferred
Familiarity with EHR systems and remote monitoring technology
Strong communication and patient engagement skills
Ability to work independently and manage multiple tasks
Basic understanding of chronic conditions such as hypertension, diabetes, and
heart disease

Skills & Competencies
Patient-centered communication
Attention to detail and accurate documentation
Time management and organizational skills
Technical proficiency with digital health tools
Problem-solving and critical thinking