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Full Time Remote Utilization Review Jobs in Ohio

Titan Tax

Payroll Assistant

Cincinnati, OH · Remote

$45K - $58K/yr

Review employee timekeeping, attendance, hours worked, and payroll records for accuracy. * Enter ... Work Environment This is a full-time remote position. The successful candidate must be able to ...

Dove Recovery

Clinical Director

Cincinnati, OH · On-site +1

$76K - $104K/yr

... Remote / Field-Based - Oversees Multi-Site Locations Effective Date TBD Classification Full-Time ... Coordinate and collaborate with the contracted billing company and any internal utilization review ...

Medpace, Inc.

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

Job Summary Our corporate activities are growing rapidly, and we are currently seeking a full-time, ... Produce coding reports for team review and utilization *Stable schedule with no weekends, no work ...

Manulife

Senior Underwriting Consultant

Delaware, OH · On-site +1

$93K - $110K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Manulife

Senior Underwriting Consultant

New Hampshire, OH · On-site +1

$88K - $104K/yr

Review contestable claims for potential misrepresentation during underwriting. * Maintain good ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

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Full Time Remote Utilization Review information

What is the difference between Full Time Remote Utilization Review vs Part Time Remote Utilization Review?

AspectFull Time Remote Utilization ReviewPart Time Remote Utilization Review
Work HoursTypically 40 hours/weekFewer hours, often less than 20/week
CertificationsRequired certifications like AAHAM or URAC often neededSame certifications as full-time, but may vary by employer
Work EnvironmentRemote, full-time employmentRemote, part-time engagement
Job ResponsibilitiesComplete utilization reviews, documentation, complianceSimilar responsibilities but on a reduced schedule

Full Time Remote Utilization Review involves working 40 hours weekly with comprehensive responsibilities, while Part Time Remote Utilization Review offers flexible, reduced hours with similar duties. Both roles require relevant certifications and are performed remotely, but differ mainly in hours and workload.

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 are popular job titles related to Full Time Remote Utilization Review jobs in Ohio?

For Full Time Remote Utilization Review jobs in Ohio, the most frequently searched job titles are:

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The top searched job categories for Full Time Remote Utilization Review jobs in Ohio are:

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Cities in Ohio with the most Full Time Remote Utilization Review job openings:

Full Time Remote Utilization Review jobs near you

New Accounts Pharmacist- Illinois

SpecialtyRx, Inc.

Columbus, OH • Remote

$56.25 - $67.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago

SpecialtyRx rating

6.4

Company rating: 6.4 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

68th of 113 rated pharmacies

Job description

Build Your Career with Us.
Competitive Pay | Remote Flexibility | Career Growth.
SpecialtyRx is not your average Long-Term Care pharmacy-we're a fast-growing team dedicated to delivering personalized, top-tier pharmaceutical care to long-term care facilities and assisted living communities. We're currently seeking Full-Time Remote New Accounts Pharmacists to join our growing team.
This is a fully remote opportunity for pharmacists who are licensed in Virginia and Illinois (required). Licensure in Ohio, Kentucky, or additional states is highly preferred.
If you're looking to grow your career with a collaborative, mission-driven organization that values accuracy, quality, and exceptional patient care, we'd love to hear from you.
New Accounts Pharmacist Responsibilities:

  • Perform the initial clinical review of all new facility admissions ("trash runs") to ensure accuracy and completeness.

  • Review and verify medication profiles for appropriateness, dosage, interactions, and therapy.

  • Assist in overseeing and supporting pharmacy coders during the onboarding process.

  • Enter and maintain physician (MD) lists and House Stock medication lists for new facilities.

  • Ensure all new account information is accurately entered into the pharmacy management system.

  • Collaborate with nursing staff, physicians, and internal pharmacy teams to resolve medication-related questions.

  • Maintain compliance with all state and federal pharmacy regulations.

  • Perform additional duties as assigned by the Pharmacy Supervisor.


Schedule:

  • Full-Time

  • Remote.

  • Monday-Friday.

  • Flexible daytime schedules available.


Qualifications:

  • Active Pharmacist license in Virginia and Illinois (required).

  • Licensure in Ohio and/or Kentucky is highly preferred. Additional state licenses are a plus.

  • Previous Long-Term Care pharmacy experience preferred.

  • Experience with FrameworkLTC or other EMR/pharmacy operating systems preferred.

  • Previous hospital, retail, or specialty pharmacy experience welcomed.

  • Strong analytical and critical thinking skills.

  • Excellent written and verbal communication skills.

  • Strong organizational skills with exceptional attention to detail.

  • Ability to work independently while managing multiple priorities.

  • Proficient computer skills.


What We Offer:

  • Competitive hourly pay based on experience.

  • Full-Time and Part-Time remote opportunities.

  • Flexible work schedules.

  • Health, dental, and vision insurance (Full-Time employees).

  • Group Life Insurance and Short-Term Disability.

  • Paid time off and paid holidays (eligible employees).

  • 401(k) with company match.

  • Paid training.

  • Career advancement opportunities.

  • Supportive and collaborative work environment.


Apply Today: https://secure3.saashr.com/ta/s6337.careers?CareersSearch.
EEO Statement:
SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.
EOE/Minorities/Females/Disabled/Veterans.

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