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Assistant Remote Utilization Review Jobs in Ohio

Responsibilities: โ€ข Complete, review, and oversee MDS assessments in accordance with federal and ... remote environment Preferred: โ€ข RAC-CT Certification preferred Why Join Engage Consulting? โ€ข ...

Social Media Assistant (Remote) Wing is on the exciting mission of redefining the future of work ... manage reviews and feedback from customers. 6. Research influencers, compatible products, and ...

Social Media Assistant (Remote) Wing is on the exciting mission of redefining the future of work ... manage reviews and feedback from customers. 6. Research influencers, compatible products, and ...

Executive Assistant (Remote) Wing is on the exciting mission of redefining the future of work for ... Upload videos, manage negative reviews, and keep the account profile up to date. 14. Ad hoc tasks ...

Executive Assistant (Remote) Wing is on the exciting mission of redefining the future of work for ... Upload videos, manage negative reviews, and keep the account profile up to date. 14. Ad hoc tasks ...

Executive Assistant (Remote) Wing is on the exciting mission of redefining the future of work for ... Upload videos, manage negative reviews, and keep the account profile up to date. 14. Ad hoc tasks ...

General Virtual Assistant (US)

Columbus, OH ยท On-site +1

$20.50 - $27.50/hr

General Virtual Assistant (Remote) Wing is on the exciting mission of redefining the future of work ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Executive Assistant (Remote) Wing is on the exciting mission of redefining the future of work for ... Upload videos, manage negative reviews, and keep the account profile up to date. 14. Ad hoc tasks ...

Real Estate Virtual Assistant (US)

Columbus, OH ยท On-site +1

$20.50 - $27.50/hr

Real Estate Virtual Assistant (Remote) Wing is on the exciting mission of redefining the future of ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Clinical Care Reviewer II

Dayton, OH ยท On-site +1

$62K - $100K/yr

Attend medical advisement and State Hearing meetings, as requested * Assist Team Leader with ... Utilization Management/Utilization Review experience preferred * Medicaid/Medicare/Commercial ...

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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 Ohio? The most popular types of Remote Utilization Review jobs in Ohio are:
What cities in Ohio are hiring for Assistant Remote Utilization Review jobs? Cities in Ohio with the most Assistant Remote Utilization Review job openings:

Drug Utilization Review Pharmacist

Pharmacy Careers

Columbus, OH โ€ข On-site, Remote

Other

Medical

Posted 8 days ago


Job description

Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications
A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role is ideal for pharmacists who enjoy analyzing medication use, applying clinical guidelines, and collaborating with providers to promote safe, cost-effective care.
Key Responsibilities

  • Conduct prospective, concurrent, and retrospective drug utilization reviews.
  • Evaluate prescribing patterns against clinical guidelines and formulary criteria.
  • Identify potential drug interactions, duplications, and inappropriate therapy.
  • Prepare recommendations for prescribers to optimize therapy and reduce risk.
  • Document reviews and ensure compliance with state, federal, and health plan requirements.
  • Contribute to quality improvement initiatives and pharmacy program development.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Managed care, PBM, or health plan experience preferred - but hospital and retail pharmacists with strong clinical skills are encouraged to apply.
  • Skills: Analytical mindset, detail-oriented, and excellent written and verbal communication.


Why This Role?

  • Impact: Shape prescribing decisions that affect thousands of patients.
  • Growth: Build expertise in managed care and population health pharmacy.
  • Flexibility: Many DUR roles offer hybrid or fully remote schedules.
  • Rewards: Competitive salary, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner providing managed care pharmacy services nationwide. Our DUR pharmacists play a key role in ensuring that medications are used safely, appropriately, and cost-effectively across diverse patient populations.
Apply Today
Advance your career in managed care pharmacy - apply now for our Drug Utilization Review Pharmacist opening and help lead the way in improving medication safety and outcomes.