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Remote Optum Utilization Review Jobs in Washington

Persado

Senior Account Manager

Washington, DC · On-site +1

$105K - $125K/yr

... review of compliance risks. Used by 8 out of the top 10 US banks today, the Persado platform ... This is a remote role, but candidates should be located on the East Coast, preferably within the ...

SOSi

DoD SkillBridge Logistics Manager

Reston, VA · On-site +1

... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ... Reviews and analyzes reports, such as revenue and performance records to recommended process ...

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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 Washington?

The most popular types of Optum Utilization Review jobs in Washington are:

What are popular job titles related to Remote Optum Utilization Review jobs in Washington?

For Remote Optum Utilization Review jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Remote Optum Utilization Review jobs in Washington look for?

The top searched job categories for Remote Optum Utilization Review jobs in Washington are:

What cities in Washington are hiring for Remote Optum Utilization Review jobs?

Cities in Washington with the most Remote Optum Utilization Review job openings:

Remote Optum Utilization Review jobs near you
Infographic showing various Remote Optum Utilization Review job openings in Washington as of August 2026, with employment types broken down into 75% Full Time, 15% Part Time, and 10% Contract. Highlights an 100% Remote job distribution.

Task Order Project Manager

VivSoft Technologies

Herndon, VA • Remote

$120K - $136K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 8 days ago

Job description

About VivSoft:
VivSoft is a mission-driven technology company specializing in Cloud, DevSecOps, Artificial Intelligence, and Digital Experience. We are a diverse team of innovators dedicated to creating open, scalable, and automated solutions that drive digital transformation in the federal sector. Our work culture fosters collaboration, creativity, and continuous learning.
Job Summary:
The Task Order Project Manager is responsible for overseeing all aspects of the OneStream Functional Integrator support contract. This role manages scope, schedule, resources, and communications across stakeholders and ensures that all task order requirements are met through effective planning, execution, and monitoring.
Key Responsibilities:
  • Provide programmatic support to stakeholders and project teams for execution of assigned project schedules and deliverables.
  • Develop, update, and maintain project plans, schedules, and resource assignments aligned with performance work statement (PWS) requirements.
  • Facilitate contract kick-off and transition-in activities; lead regular In-Process Reviews (IPRs) and executive briefings.
  • Manage project documentation, meeting minutes, reports, and communication materials for internal and external stakeholders.
  • Coordinate non-disclosure agreements, monthly status reports, CAC accountability reports, and compliance with DoD 8570/8140 certification tracking.
  • Lead preparation and submission of transition plans in the event of follow-on contract transitions.
  • Ensure accurate and timely reporting on task progress, risks, and resource utilization to the Contracting Officer’s Representative (COR) and PMO.

Qualifications:
  • Bachelor’s degree in Project Management, Business Administration, Information Technology, or related field.
  • Must possess an active Secret security clearance.
  • Minimum of 7 years of experience managing large-scale federal IT programs or task orders, preferably in the DoD environment.
  • Proven track record managing Agile-based and multi-task project environments involving ERP or financial system implementations.
  • Proficient in project management tools and methodologies (e.g., Microsoft Project, Jira, Agile)
  • Strong understanding of federal contract and task order management processes
  • Familiarity with DOD 8570/8140 certification tracking and reporting
  • Experience in preparing transition plans and executing contract onboarding/offboarding
  • Excellent communication, reporting, and stakeholder engagement skills

Benefits: 
  • Comprehensive Medical, Dental, and Vision Plans (Healthcare benefits are 100% employer-paid for employees only) 
  • Life Insurance 
  • Paid Time Off (Flexible/Combined PTO, Bereavement Leave, 11 Company Paid Holidays) 
  • 401K Retirement Plan with employer match 
  • Professional Development Training Reimbursement 
  • Flexible/remote work schedules 

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