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Part Time Remote Utilization Review Nurse information

What are the key skills and qualifications needed to thrive as a Part Time Remote Utilization Review Nurse, and why are they important?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How do part-time remote Utilization Review Nurses typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What does a Part Time Remote Utilization Review Nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

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Part Time Remote Utilization Review Nurse jobs near you
Enterprise Sales Executive - Part-Time, Remote 100%, Project Based

Enterprise Sales Executive - Part-Time, Remote 100%, Project Based

Kopp Consulting

Las Vegas, NV • Remote

$45/hr

Part-time

Posted 19 days ago

Job description

Enterprise Sales Executive - Project Based, 100% Remote, Part Time

Internal Title: Door Opener

Job Type: Project-Based, Part-Time, 100% Remote, Flexible Hours

Description:

We are one of the best sales teams in the country providing a service that is critical to the growth, profit, and success of most businesses. Known as Door Openers, our main focus is booking meetings with the right prospects. We laser focus on securing the best prospect meetings for our clients.

The right candidates enjoy the thrill of booking meetings and have at least 10 years of experience making outbound calls booking meetings with new prospects. Potential to earn full-time pay while working remotely, part-time/flexible hours. As a sales unicorn, you succeed at booking meetings with senior-level executives across any industry. As long as KPIs are met, you have the freedom to make your own schedule with vacation.

You Should Apply:

If you are a senior-level, enterprise sales executive who is looking for a remote and flexible schedule. You have a high track record of consistently achieving new business goals. Are a self-starter, very organized, and comfortable with daily use of CRM.

Required skills and experience:

  • 10+ years' experience securing meetings with new executive-level prospects (C-level, SVP, VP, Director)
  • Strong ability to engage prospects and their assistants in dialogue, quickly build rapport, actively listen and maneuver conversations to achieve the maximum number of meetings possible
  • Self-motivated, disciplined, methodical, superior attention to detail
  • Advanced computer proficiency with CRM, MS-Office, file sharing, and Zoom
  • Bachelor's degree in business, marketing, or related discipline preferred

Responsibilities:

  • Secure and schedule initial meetings with high-level decisions makers on behalf of our clients
  • Articulate the value proposition with a prospect by phone, voicemail, and/or email to maximize the number of meetings
  • Maintain daily CRM activity data and utilize CRM reports to strategize activity level for best results
  • Ability to learn, understand and communicate complex information gained to prepare clients for prospect meetings
  • Confirm meetings, write meeting reports and bi-weekly reviews, track performance and report to clients and management
  • Attend internal and external meetings via videoconferencing
  • Work with prospecting and research tools and with our research department on the refining prospect list
  • Provide clients, prospects, and team members (at all levels) with superior support, service, and respect
  • Provide consultative sales advice to our clients and peers

Additional information:

  • Salesforce aptitude test and Role Play are required in our interview process.
  • Must have access to a reliable full operating PC or Mac and stable Wifi
  • Kopp Consulting is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, national origin or nationality, ancestry, age, disability, gender identity or expression, marital status, veteran status, or any other category protected by law.

About Kopp Consulting:

The Door Opener® Service has helped thousands of business leaders and salespeople secure initial meetings with executive-level decision-makers, opening new doors to large sales, in medium size as well as Fortune 500 companies. During a period of time when gaining new customers has become almost impossible, Kopp has developed a business model that helps clients fill their pipelines and achieve the growth their competitors only dream about. Kopp Consulting has been on the Inc. 5000 list of fastest-growing U.S. companies for two consecutive years and won the Stevie award for Sales Outsourcing Provider of the Year.