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Remote Hca Utilization Review Jobs in Utah (NOW HIRING)

Manager Utilization and Care Management

Murray, UT ยท On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Nurse Care Manager

Salt Lake City, UT ยท Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Quality Assurance Engineer (Remote)

Salt Lake City, UT ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Quality Assurance Engineer is a ...

Senior Azure Cloud Engineer (Remote)

Salt Lake City, UT ยท On-site +1

$54 - $72/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...

Business Intelligence Analyst (Remote)

Salt Lake City, UT ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW The Business Intelligence Analyst is a ...

Remote Triage Nurse

Provo, UT ยท On-site +1

$80K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... are utilization. Together with our health plan partners, we are changing the way our society ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...

Clinical Pharmacy Coordinator (Remote)

Salt Lake City, UT ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... This role is designed to be a remote position (work-from-home). Diversity Statement: Diversity ...

Client Success Manager

Eden, UT ยท Remote

$120K/yr

  • Medical

  • Dental

  • Vision

  • PTO

Lead recurring performance calls (bi-monthly or monthly) to review campaign results, align on ... Own client-facing budget pacing conversations and ensure alignment on utilization, flighting, and ...

General Counsel

Salt Lake City, UT ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Sources, manages, and ensures optimal utilization of external counsel * Drafts, reviews, and ... Remote work-from-home option consideration AAPC is an Equal Opportunity Employer. This company does ...

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General Counsel

Salt Lake City, UT ยท Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Sources, manages, and ensures optimal utilization of external counsel * Drafts, reviews, and ... Remote work-from-home option consideration AAPC is an Equal Opportunity Employer. This company does ...

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Remote Hca Utilization Review information

What is the difference between Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

How do I get into a remote HCA utilization review?

To become a remote HCA utilization review specialist, candidates typically need a healthcare background such as nursing or medical coding, along with knowledge of insurance policies and medical terminology. Relevant certifications like Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can improve job prospects. Employers often require prior experience in medical review or utilization management and proficiency with electronic health record (EHR) systems, with many roles offering flexible or remote schedules.

Is remote HCA utilization review work from home?

Remote HCA utilization review jobs are often performed from home, allowing reviewers to assess healthcare claims and authorizations remotely. These roles typically require familiarity with healthcare software, strong communication skills, and adherence to confidentiality standards. Many employers offer flexible or fully remote schedules for this position.

What cities in Utah are hiring for Remote Hca Utilization Review jobs?

Cities in Utah with the most Remote Hca Utilization Review job openings:

Infographic showing various Remote Hca Utilization Review job openings in Utah as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution.

International Radiology Utilization Review- Remote - 1099

MRIoA

Salt Lake City, UT โ€ข On-site, Remote

Contractor

Posted 6 days ago


Job description

Description
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current STATE unencumbered medical license
  • Current Board Certification in Radiology, IR/DR certified
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations