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Director Remote Utilization Review Jobs in Texas

Support the preparation and review of SEC filings , including Forms 10-K, 10-Q, 8-K, proxy ... Direct experience with SEC reporting and public company compliance required * Familiarity with ...

Nurse - Clinical Review

Houston, TX ยท On-site +1

$65K - $75K/yr

S. โ€ข Minimum of one (1) year experience in utilization review, or utilization management โ€ข ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

Showing results 21-40

Director Remote Utilization Review information

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 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 are the most commonly searched types of Remote Utilization Review jobs in Texas? The most popular types of Remote Utilization Review jobs in Texas are:
What cities in Texas are hiring for Director Remote Utilization Review jobs? Cities in Texas with the most Director Remote Utilization Review job openings:

Corporate Counsel (Director) - Remote

LivaNova

Austin, TX โ€ข Remote

$175K - $225K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago


Job description

As a global medtech company, we are driven by our Vision of changing the trajectory of lives for a new day and our Mission to create ingenious solutions that ignite patient turnarounds. Our relentless commitment to patients and strong legacy of innovation in healthcare are the foundation of our future. If you're looking for a new chance, a new beginning, a new trajectory, LivaNova is where your talent can truly thrive. Join our talented team members worldwide to become a pioneer of tomorrow-because at LivaNova, we don't just treat conditions - we aspire to alter the course of lives.

Position Summary:

We are seeking a talented and driven Corporate Counsel - Securities to join our legal team. This role will support the company's compliance with U.S. and U.K. securities laws and public company reporting obligations, with a particular focus on Nasdaq listing rules and SEC requirements. The position will also contribute to sustainability disclosure and reporting, Board of Directors support, and global subsidiary management. The ideal candidate will bring strong law firm training, sound judgment, and the ability to operate effectively in a fast-paced, global public company environment.

General Responsibilities:

  • Support the preparation and review of SEC filings, including Forms 10-K, 10-Q, 8-K, proxy statements, and Section 16 filings

  • Support the annual proxy process, including drafting and coordination

  • Assist with compliance with Nasdaq listing standards, including corporate governance, disclosure, and shareholder approval requirements

  • Contribute to U.K. reporting obligations, including annual reports, governance disclosures, and Companies Act compliance

  • Assist in the preparation of Board of Directors and committee materials, including agendas, presentations, minutes, and governance documentation

  • Help prepare for and as needed, attend Board and committee meetings, supporting follow-ups and action items

  • Monitor and advise on developments in U.S. and U.K. securities laws, sustainability disclosure trends, and corporate governance practices

  • Partner with finance, investor relations, and executive leadership on earnings releases, investor presentations, and disclosure matters

  • Support the company's sustainability disclosures and reporting, including coordination of ESG data, assisting with sustainability disclosures, and aligning with evolving disclosure frameworks and regulatory requirements

  • Support the development, implementation, and ongoing management of the company's enterprise risk management (ERM) program, including risk identification, assessment, monitoring, and reporting to senior management and the Board

  • Provide support on capital markets transactions, including equity offerings and other financing activities

  • Assist with global subsidiary management, including entity maintenance, corporate governance, intercompany actions, and coordination with local counsel

  • Review and provide guidance on material contracts, including corporate agreements, vendor arrangements, and intercompany agreements, ensuring alignment with public company and governance obligations

Skills and Experience:

  • J.D. from an accredited law school and active bar membership in at least one U.S. jurisdiction

  • 3-6 years of relevant experience, with a strong preference for candidates trained at a top-tier law firm

  • Direct experience with SEC reporting and public company compliance required

  • Familiarity with Nasdaq rules and listing standards strongly preferred

  • Exposure to U.K. public company reporting and governance requirements is a plus

  • Experience or interest in sustainability disclosure and reporting is a plus

  • Experience reviewing corporate and commercial contracts preferred

  • Excellent drafting, analytical, and communication skills

  • Ability to manage multiple priorities and work cross-functionally

  • Education:Juris Doctorate (J.D.) from an accredited law school and admitted to a State Bar in good standing

Travel Requirements:

  • Occasional travel may be required.

Pay Transparency: A reasonable estimate of the annual base salary for this position is $175,000 - $225,000 + discretionary annual bonus. Pay ranges may vary by location.

Employee benefits include:

  • Health benefits - Medical, Dental, Vision

  • Personal and Vacation Time

  • Retirement & Savings Plan (401K)

  • Employee Stock Purchase Plan

  • Training & Education Assistance

  • Bonus Referral Program

  • Service Awards

  • Employee Recognition Program

  • Flexible Work Schedules

#LI-Remote

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