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Director Remote Utilization Review Jobs in Tennessee

Director of Tax

Nashville, TN ยท On-site +1

$105K - $120K/yr

... remote and hybrid work arrangements. Applicants should either currently reside in the Kansas City ... Review returns prepared by internal staff and outsourced providers, remaining accountable for the ...

... directed by Senior Director, Supply Chain) using MOR data and vendor utilization data, i.e ... Review proposed contracts/agreements for accuracy and compliance to GPO or corporate agreement ...

... directed by Senior Director, Supply Chain) using MOR data and vendor utilization data, i.e ... Review proposed contracts/agreements for accuracy and compliance to GPO or corporate agreement ...

... directed by Senior Director, Supply Chain) using MOR data and vendor utilization data, i.e ... Review proposed contracts/agreements for accuracy and compliance to GPO or corporate agreement ...

... directed by Senior Director, Supply Chain) using MOR data and vendor utilization data, i.e ... Review proposed contracts/agreements for accuracy and compliance to GPO or corporate agreement ...

Nashville, TN / Remote TRAVEL: Occasional for conferences, strategic planning sessions, and key ... Solution Architecture owns the framework and review function. * Define and track platform KPIs ...

Patient Finance Specialist

Nashville, TN ยท Remote

$17.50 - $23.25/hr

... Billing, Utilization Review, Outreach and Clinical * Support client-related requests from the ... LI-Remote Based on the nature of this role, you will need to complete several state background ...

Director, Employee Relations

Nashville, TN ยท Remote

$160K - $185K/yr

This will be a remote position that must be based in the United States. The Director of Employee ... Policy Development: Continuously review, update, and implement HR policies and procedures to ...

Accountant - Remote

Knoxville, TN ยท Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Memphis, TN ยท Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Clarksville, TN ยท Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Chattanooga, TN ยท Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Accountant - Remote

Nashville, TN ยท Remote

$20 - $30/hr

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Direct experience reviewing or validating AI or technology-driven tax content. * Background in ...

Showing results 41-60

Director Remote Utilization Review information

What is a director of remote utilization review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a director of remote utilization review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a director of remote utilization review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.

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

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

What are the most commonly searched types of Remote Utilization Review jobs in Tennessee?

The most popular types of Remote Utilization Review jobs in Tennessee are:

What cities in Tennessee are hiring for Director Remote Utilization Review jobs?

Cities in Tennessee with the most Director Remote Utilization Review job openings:

Remote Senior Manager (Tax)

Solid Rock Recruiting LLC

Nashville, TN โ€ข Remote

Full-time

Medical, PTO

Re-posted 19 days ago


Job description

About the Role

  • Lead multiple client engagements across corporate, partnership, and high-net-worth individual tax work
  • Serve as the primary client relationship manager for key accounts in a fully remote environment
  • Oversee tax planning, compliance, and review processes while ensuring accuracy and timeliness
  • Collaborate with partners and staff to improve workflow efficiency and service delivery

Key Responsibilities

  • Review and sign off on complex tax returns (1120, 1120S, 1065, 1040 HNW)
  • Manage client deliverables, deadlines, and advisory communications year-round
  • Provide strategic tax planning, entity structuring, and transaction support
  • Supervise and mentor tax staff, seniors, and managers across multiple engagements

Qualifications

  • Active CPA license required
  • 7–12+ years of progressive tax experience in public accounting
  • Strong experience with review-level work and client-facing advisory roles
  • Deep knowledge of federal and state tax compliance across multiple entity types

Preferred Skills

  • Experience with remote team leadership and workflow management tools (e.g., CCH, ProSystem, UltraTax, or similar)
  • Strong client communication skills with ability to explain complex tax issues simply
  • Experience with high-growth clients, private equity-backed companies, or HNW individuals
  • Ability to manage multiple deadlines in a fast-paced, deadline-driven environment

What We Offer

  • Fully remote flexibility with strong team collaboration culture
  • Competitive compensation with performance-based bonus structure
  • Clear path to Partner or Director-level advancement
  • Comprehensive benefits including PTO, health coverage, and continuing education support