Ridgeland, MS · On-site +1
$62K - $96K/yr
... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...
Ridgeland, MS · On-site +1
$62K - $96K/yr
... s) through utilization of established guidelines to determine appropriate medical treatment ... to review and research conducted utilizing nationally accepted practice parameters. This position ...
Crystal Springs, MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
Crystal Springs, MS · Remote
$17.75 - $23.25/hr
While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred
$20.66 - $24.84
2% of jobs
$24.84 - $29.02
9% of jobs
$31.88 is the 25th percentile. Wages below this are outliers.
$29.02 - $33.20
21% of jobs
The median wage is $36.58 / hr.
$33.20 - $37.37
23% of jobs
$37.37 - $41.55
13% of jobs
$44.80 is the 75th percentile. Wages above this are outliers.
$41.55 - $45.73
10% of jobs
$45.73 - $49.91
8% of jobs
$49.91 - $54.09
5% of jobs
$54.09 - $58.27
5% of jobs
$58.27 - $62.45
2% of jobs
$62.45 - $66.63
2% of jobs
$20
$40
$66
| Aspect | Remote Optum Utilization Review | Remote UnitedHealthcare Utilization Review |
|---|---|---|
| Credentials | Licenses in relevant states, certifications like CCM or CRC often preferred | Licenses in relevant states, certifications like CCM or CRC often preferred |
| Work Environment | Remote, home-based with flexible hours | Remote, home-based with flexible hours |
| Employer & Industry | Optum, healthcare services and utilization management | UnitedHealthcare, 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.
For Remote Optum Utilization Review jobs in Brandon, MS, the most frequently searched job titles are:
The top searched job categories for Remote Optum Utilization Review jobs in Brandon, MS are:
Ridgeland, MS • On-site, Remote
$62K - $96K/yr
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 23 days ago
FCCI is guided by our core values of Loyalty, Integrity, Vision, Excellence and Service. These are the principles and behaviors that guide how we support and trust one another, build our teams, cultivate leaders and create a company that feels like family. If these are your values, we’d like you to join our team.
We are seeking a licensed Registered Nurse to provide telephonic case management on assigned workers’ compensation claims. The selected new hire will provide coordination and evaluation of medical care to assigned caseload for the purpose of expediting claims handling. He/she will assist with oversight of necessary cost-effective quality medical treatment and work collaboratively with the adjuster for resolution of injury and/or return to work. In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to determine appropriate medical treatment, evaluate medical necessity in conjunction with the adjuster, and monitor progress/response to treatment. Utilize your medical expertise and critical thinking skills to make recommendations on alternative care pursuant to review and research conducted utilizing nationally accepted practice parameters.
This position can be hybrid and based out of our home office in Sarasota, FL, any of our regional offices, or remote.
In exchange for your talents, FCCI offers competitive salaries and an excellent benefits package which includes:
The salary range for this position is $62,419-$96,126 annually. This salary range is an estimate and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.
We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
Please apply via our website at www.fcci-group.com.
Drug Free Workplace (*Pre-employment drug screen is conducted for all positions)
Sourced by ZipRecruiter
Insurance services
501 - 1,000 Employees
Sarasota, FL, US
1959
