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Remote Optum Utilization Review Jobs in Nevada (NOW HIRING)

Showing results 21-26

Remote Optum Utilization Review information

What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Optum Utilization ReviewRemote UnitedHealthcare Utilization Review
CredentialsLicenses in relevant states, certifications like CCM or CRC often preferredLicenses in relevant states, certifications like CCM or CRC often preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & IndustryOptum, healthcare services and utilization managementUnitedHealthcare, health insurance and utilization review

Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.

How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?

As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.

What is a Remote Optum Utilization Review?

A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.

What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?

To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.
What are the most commonly searched types of Optum Utilization Review jobs in Nevada? The most popular types of Optum Utilization Review jobs in Nevada are:
What are popular job titles related to Remote Optum Utilization Review jobs in Nevada? For Remote Optum Utilization Review jobs in Nevada, the most frequently searched job titles are:
What job categories do people searching Remote Optum Utilization Review jobs in Nevada look for? The top searched job categories for Remote Optum Utilization Review jobs in Nevada are:
What cities in Nevada are hiring for Remote Optum Utilization Review jobs? Cities in Nevada with the most Remote Optum Utilization Review job openings:

District Merchandising Manager

2020 Companies, Inc.

Las Vegas, NV • Remote

$52K/yr

Full-time

Posted 14 days ago


2020 Companies rating

7.5

Company rating: 7.5 out of 10

Based on 54 frontline employees who took The Breakroom Quiz

20th of 50 rated marketing agency


Job description

Job Type:

Regular

Work Location:

Market - SS - NV - Las Vegas

Overview:

2020 Companies is now hiring for a remote District Manager of Field Merchandising and Installation

Salary: $46,800 annually + up to $5,200 annual bonus, paid quarterly (total earning potential up to $52,000 annually).

The District Manager of Field Merchandising/Installation is responsible for leading and developing a team of Field Merchandising/Installation Representatives (FMIRs) within an assigned geographic territory. This role is accountable for driving operational excellence, ensuring successful execution of client merchandising programs, maintaining high levels of customer satisfaction, and fostering a culture of accountability, engagement, and continuous improvement.

The District Manager serves as the primary field leader for their territory by coaching, mentoring, and supporting field representatives while ensuring execution aligns with client expectations, company standards, and operational KPIs. This position partners closely with the National Field Leader to execute strategic initiatives, improve operational efficiencies, optimize workforce planning, and develop a high-performing field organization.

Our Benefits

  • Total Target Compensation: $52,000
  • Includes annual salary + quarterly incentive potential
  • Work remotely, from home
  • Health/Dental/Vision benefits
  • 401K Program with matching
  • Paid Time Off
  • Paid Holidays
  • Partial Mobile Reimbursement
  • Scholarship opportunities for employees and direct family members
  • Employee Assistance Program
  • Leadership Development Program
  • Employees special pricing for multiple clients

About Company

2020 Companies is a premier outsourced sales and marketing agency launching and advocating new products and brands, penetrating new consumer segments, and executing sales and marketing strategies. 2020 trains our teams to succeed in any environment and equips them with the best technology and training to be flexible, engaging, and adept at solving problems.

Job Description:

Leadership & Team Management

  • Directly lead, coach, mentor, and develop a team of Field Merchandising Representatives
  • Conduct one-on-one meetings, accountability reviews, coaching sessions, and recognition as needed
  • Foster a culture of accountability, teamwork, professionalism, and continuous improvement
  • Recruit, interview, hire, onboard, and retain top field talent
  • Identify high-potential employees and develop succession plans
  • Administer performance counseling, corrective action, recognition, and terminations in accordance with company policies
  • Lead team meetings, conference calls, and training sessions
  • Serve as the primary escalation point for field representatives within the assigned district

Operational Excellence

  • Ensure all client work is completed accurately, on time, and within established service level agreements
  • Monitor daily execution to ensure all scheduled work is accepted, completed, and documented appropriately
  • Oversee scheduling, staffing levels, workload balancing, and territory coverage
  • Partner with field representatives to optimize travel routes and maximize productivity
  • Monitor payroll, timecards, mileage, expenses, and travel compliance
  • Assist with field coverage by completing store visits or merchandising projects when business needs require
  • Maintain proper market headcount to support current and future client demands

Client Execution & Merchandising

  • Ensure consistent execution of merchandising standards, installations, resets, planograms, display maintenance, and break-fix services
  • Conduct field audits to verify execution quality and compliance with client directives
  • Ensure representatives accurately complete surveys, photographs, reporting, and required documentation using company systems
  • Monitor quality metrics and proactively resolve execution issues before client escalation
  • Partner with retailers and store leadership to maintain strong working relationships
  • Ensure all representatives represent the company professionally while in stores

Performance Management

  • Establish clear expectations and performance goals for all field representatives
  • Monitor productivity, utilization, quality scores, completion rates, attendance, communication, and client satisfaction
  • Utilize reporting, dashboards, and analytics to identify trends and opportunities for improvement
  • Develop action plans to improve underperforming markets or representatives
  • Ensure adherence to company policies, client requirements, safety standards, and operational procedures

Training & Development

  • Deliver onboarding and ongoing training for new and existing field representatives
  • Coach representatives on merchandising best practices, installation techniques, technology platforms, client expectations, and communication standards
  • Ensure completion of all required certifications and training programs
  • Identify individual development opportunities and create coaching plans that improve performance and career growth

Strategic Leadership

  • Partner with the National Field Leader to execute company initiatives and operational priorities
  • Provide feedback on field processes, technology, staffing models, and operational improvements
  • Support implementation of new clients, programs, systems, and field processes
  • Participate in business planning, forecasting, workforce planning, and territory optimization
  • Recommend improvements that increase efficiency, reduce costs, and improve customer satisfaction

Communication & Collaboration

  • Maintain consistent communication with field representatives, internal departments, clients, and retail partners
  • Provide timely updates regarding field performance, staffing challenges, escalations, and operational risks
  • Collaborate cross-functionally with Recruiting, Operations, Training, Payroll, Human Resources, Client Services, and Leadership teams
  • Deliver business updates, district summaries, and performance reporting to the National Field Leader

Customer & Client Satisfaction

  • Build and maintain strong relationships with clients, retailers, and internal stakeholders
  • Resolve customer, retailer, and client concerns quickly and professionally
  • Ensure field execution consistently meets or exceeds client expectations
  • Promote a customer-first culture throughout the district

Performance Measurements:

Success in this role will be measured by:

  • Completion of scheduled field visits within client timelines
  • Client satisfaction and retailer feedback
  • Field representative productivity and utilization
  • Quality audit scores and compliance metrics
  • Payroll and expense accuracy
  • District staffing and retention
  • Employee engagement and turnover
  • Completion of training and certification requirements
  • Route optimization and travel efficiency
  • Timely resolution of escalations
  • Achievement of district KPIs and operational goals
  • Ability to address accountability and performance issues as well as recognition
  • Field team management of HR concerns, Hiring, terminations, etc

Qualifications:

Education

  • Bachelor's degree preferred; Associate's degree or equivalent experience considered

Experience

  • 5–7 years of retail merchandising, field operations, or multi-unit leadership experience
  • 1-2+ years of direct people leadership experience managing remote field teams
  • Experience hiring, coaching, developing, and managing employee performance
  • Experience supporting multiple retail locations and large geographic territories
  • Experience with merchandising, planograms, fixture installations, and retail execution preferred

Knowledge, Skills & Abilities

  • Strong leadership, coaching, and team development skills
  • Excellent verbal, written, presentation, and interpersonal communication skills
  • Strong organizational and time management abilities
  • Ability to analyze performance data and make data-driven decisions
  • Strong problem-solving and conflict-resolution skills
  • Ability to work independently in a fast-paced environment
  • Proficiency with Microsoft Office, reporting tools, and mobile technology
  • Experience using workforce management, scheduling, payroll, and field execution platforms preferred
  • Ability to prioritize multiple projects and adapt to changing business needs
  • Demonstrates professionalism, integrity, accountability, and sound business judgment

Travel Requirements

  • Ability to travel throughout assigned territory up to 25% of the time
  • Overnight travel may be required
  • Valid driver's license with reliable transportation and state-required automobile insurance
  • Ability to work flexible schedules, including evenings, weekends, and holidays, as business needs require
    • Scheduled Monday – Friday 8:30 am - 5:30 pm - less 1hr break
    • Ability to be on-call and responsive one scheduled weekend every 4 weeks

What You Can Expect From 2020 Companies
We welcome every voice, and we are committed to building a truly inclusive environment where your differences are not just welcomed, they are celebrated. We are always identifying opportunities to encourage our team to be their authentic selves, while working to provide a best-in-class experience for our employees. Whether that’s paid holidays, long-term career pathing options, personal development opportunities or professional stretch assignments, you can expect 2020 Companies to support you.
2020’s Commitment
We are committed to creating a diverse and inclusive organization and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other dimensions of identity.


What 2020 Companies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About 2020

Sourced by ZipRecruiter

2020 Companies is an outsourced Sales & Marketing company representing Reliant. We hire Sales Representatives and other types of brand advocates to fortune 200 companies. Let us help you find a fun job in retail sales or events! 2020 Companies recruits, hires, trains, and cultivates Sales Representatives, Brand Ambassadors, Merchandisers, and casted-talent, to tailor a full-package solution to clients wanting to grow their market share, build brand awareness, expand distribution channels, and connect people with consumers.

Industry

Marketing

Company size

5,001 - 10,000 Employees

Headquarters location

Southlake, TX, US

Year founded

1991

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