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Overnight Remote Utilization Review Jobs in Minnesota

Sourcewell

Coordinator

Staples, MN · On-site +1

$32.38 - $40.48/hr

Draft elements of project review reports and presentations to support delivery of the review ... This is a remote position, within the State of Minnestoa, and is subject to Sourcewell ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

People Serving People

Staff Accountant

Minneapolis, MN · On-site +1

$75K/yr

Review and record organizational credit card transactions in Sage Intacct. * Maintain AP subledger ... Monitor grant spending, funding utilization, and reporting deadlines. * Provide fiscal support for ...

Mortenson

Senior Superintendent II

Minneapolis, MN · Remote

$164K - $246K/yr

Review construction documents for completeness and constructability * Create, review and update ... Develop and implement site utilization plan and establish crew sizes * Select formwork systems and ...

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All JobsUtilization Review JobsOvernight Remote Utilization Review JobsOvernight Remote Utilization Review Jobs in Minnesota

Overnight Remote Utilization Review information

What is an overnight remote utilization review?

An Overnight Remote Utilization Review position involves evaluating medical records and healthcare services during nighttime hours to ensure that treatments are medically necessary and meet established guidelines. Professionals in this role usually work from home, reviewing patient cases, authorizing or denying services, and collaborating with healthcare providers. This job is crucial for maintaining quality care while controlling healthcare costs, and it often requires clinical credentials such as RN, LPN, or other relevant certifications. Strong analytical, communication, and computer skills are important for success in this remote role.

What are the key skills and qualifications needed to thrive as an overnight remote utilization review?

To thrive as an Overnight Remote Utilization Review nurse, you need a current RN license, strong clinical judgment, and experience in acute care or case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines such as Medicare/Medicaid are typically required. Excellent critical thinking, attention to detail, and the ability to communicate clearly in written and verbal forms are vital soft skills for this role. These skills ensure accurate, timely case reviews and effective collaboration with healthcare providers while maintaining compliance with payer requirements.

What are the main challenges faced by overnight remote utilization review professionals, and how can they be addressed?

Overnight remote utilization review professionals often encounter challenges such as working independently during non-traditional hours, limited immediate access to colleagues or supervisors, and the need to make timely decisions with potentially less available support. To address these challenges, it is important to develop strong self-management skills, establish clear communication channels with team members, and utilize comprehensive digital resources and documentation. Employers typically provide thorough training and access to on-call support to help ensure that overnight staff can make confident, accurate determinations and maintain high-quality patient care standards.

What is the difference between Overnight Remote Utilization Review vs Daytime Remote Utilization Review?

AspectOvernight Remote Utilization ReviewDaytime Remote Utilization Review
Work HoursTypically overnight shifts, often 10 PM to 6 AMStandard daytime hours, usually 8 AM to 4 PM
CertificationsSame as utilization review roles, e.g., RN, CPC, or other healthcare credentialsSame as overnight roles, requiring similar certifications
Work EnvironmentRemote, focused on reviewing cases during night hoursRemote, reviewing cases during daytime hours
Employer & IndustryHealthcare insurance companies, third-party administratorsSame as overnight, within healthcare and insurance sectors

Overnight Remote Utilization Review involves reviewing cases during night hours, providing flexibility for healthcare providers and insurers. Daytime Remote Utilization Review occurs during regular business hours. Both roles require similar credentials and work environments but differ mainly in shift timing, catering to different operational needs.

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

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

What are popular job titles related to Overnight Remote Utilization Review jobs in Minnesota?

For Overnight Remote Utilization Review jobs in Minnesota, the most frequently searched job titles are:

What job categories do people searching Overnight Remote Utilization Review jobs in Minnesota look for?

The top searched job categories for Overnight Remote Utilization Review jobs in Minnesota are:

What cities in Minnesota are hiring for Overnight Remote Utilization Review jobs?

Cities in Minnesota with the most Overnight Remote Utilization Review job openings:

Overnight Remote Utilization Review jobs near you

Coordinator

Sourcewell

Staples, MN • On-site, Remote

$32.38 - $40.48/hr

Full-time

Posted 6 days ago

Job description

Position Title:
Coordinator
Salary Range:
Coordinator (Grade 13, Non-Exempt). Hourly wage range: $32.38 - $40.48. This range reflects the minimum to midpoint of the grade. Hourly rate may exceed the midpoint and will commensurate with experience.
Job Description Summary:
The Coordinator is responsible for ensuring efficient and timely project management of departmental programs, projects, and services; participates in cross-departmental collaboration; manages communication with internal and external stakeholders; develops and maintains project plans and timelines; and monitors and reports on resource tracking and other key metrics. This position will assume substantial delegation authority.
The ideal candidate is a highly organized, relationship-oriented professional who thrives in a fast-paced environment and demonstrates exceptional judgment, professionalism, and discretion. This individual will work closely with executive leadership, the Board of Directors, and stakeholders across the organization, requiring strong communication skills, attention to detail, and the ability to manage multiple priorities while maintaining a high level of service and confidentiality.
Essential Duties and Responsibilities
  • Draft elements of project review reports and presentations to support delivery of the review process.
  • Carry out delegated activities to support the production of workstream and project plans that identify and organize all the activities needed to deliver project objectives and that comply with the organization's project management framework.
  • Prepare moderately complex documents using a variety of applications for technology devices, such as standard office software. Also responsible for gathering and summarizing data for reports.
  • Identify, elicit, and document user/project requirements, using appropriate modeling technique, if required. Analyze requirements and validate with original users, eliminating confusion. Outline verification criteria to ensure requirements are met. Maintain documentation and traceability throughout project.
  • Support stakeholder engagement by arranging meetings, events, and other stakeholder engagement activities.
  • Contribute to the management of risks and issues by maintaining and distributing project and program risk registers and issue logs.
  • Produce, update, and provide best practice support on a wide range of documents, databases, and other departmental systems.
  • Contribute to reviewing existing operations in own area of work, and generate new ideas to assist in identifying continuous improvements.
  • Contribute information and analysis to support the specification of project deliverables.
  • Carry out a range of contract management tasks.
  • Draft elements of product documentation and user training to support handover to business as usual. Contribute to post-project reviews and identification of lessons learned.
  • Contribute to management of resources by maintaining and distributing records of project and program budgets, actual spend, and resource utilization forecasts.
  • Develop and maintain excellent process or technical skills by participating in assessment and development planning activities as well as formal and informal training and coaching.
  • Other duties as assigned.

Additional Job Description:
Required Qualifications
  • Associate's degree in a related field OR a combination of post-secondary training, professional education, and related experience equivalent to two (2) years.
  • Two (2) years of advanced professional office experience and/or project management; of which the total years of experience include:
  • Experience with project coordination
  • Intermediate to advanced proficiency in Office 365, SharePoint, One Drive, and/or Microsoft Teams
  • Experience working with Board of Directors preferred

Location:
  • This is a remote position, within the State of Minnestoa, and is subject to Sourcewell's telecommuting policies and procedures.
  • On occasion, may be asked to travel to Staples, MN for meetings, professional development or team activities. Up to three to five (3-5) times per month. Notice will be given ahead of time.

Full Time/Part Time:
Full time
Position Type:
Regular
Scheduled Hours:
40
At Sourcewell, collaboration, respect, and belonging are the core of who we are. We believe in giving back to the community, offering paid volunteer time for staff, and supporting one another to do our best work. We're proud to have been recognized by Top Workplaces, the nation's leading employer recognition program, annually since 2016.
Our values:
Seek. Be curious.
Empower. Be accountable and liberate others.
Impact. Be a difference maker.

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