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Remote Optum Utilization Review Jobs in Augusta, GA

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Remote Optum Utilization Review information

See Augusta, GA salary details

$20

$39

$64

How much do remote optum utilization review jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote optum utilization review in Augusta, GA is $39.75, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $45.62 per hour, depending on experience, location, and employer.

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.

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 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.

What are popular job titles related to Remote Optum Utilization Review jobs in Augusta, GA?

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

What job categories do people searching Remote Optum Utilization Review jobs in Augusta, GA look for?

The top searched job categories for Remote Optum Utilization Review jobs in Augusta, GA are:

What cities near Augusta, GA are hiring for Remote Optum Utilization Review jobs?

Cities near Augusta, GA 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 Augusta, GA as of June 2026, with employment types broken down into 1% As Needed, 82% Full Time, 12% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $82,670 per year, or $39.7 per hour.

Advanced Inpatient Coder Specialist (REMOTE)

BayCare Health System

Augusta, GA • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted yesterday

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 405 frontline employees who took The Breakroom Quiz

234th of 895 rated healthcare providers

Job description

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details:
  • Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina)
  • Status: Full time (non-exempt)
  • Shift: 7:00 AM to 3:30 PM
  • Days: Monday through Friday

The Advanced Inpatient Coding Specialist is a full-time remote position.
Responsibilities:
  • The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.
  • Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.
  • Formulates physician queries and monitors bill hold reports. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
  • Strong utilization of anatomy, pathophysiology, and pharmacology knowledge for accurate code assignments.
  • Assists Manager/Director with mentoring/training of Coder I, Coder II and Coder III team members and clinical practice students from various colleges.

Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
BayCare offers a competitive total reward package including:
  • Benefits (Health, Dental, Vision)
  • Paid time off
  • Tuition reimbursement
  • 401k match and additional yearly contribution
  • Yearly performance appraisals and team award bonus
  • Community discounts and more
  • AND the Chance to be part of an amazing team and a great place to work!

Certifications and Licensures:
  • Required: Certified Coding Specialist (CCS)
  • Preferred: RHIT (Health Information) in addition to the required CCS

Education:
  • Required: high school diploma or equivalent
  • Preferred: associate degree in Health Information Technology

Experience:
  • Required: 5 years Acute Care
  • Required: 3 years Inpatient Coding

Equal Opportunity Employer Veterans/Disabled

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