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Remote Utilization Management Jobs in Ohio (NOW HIRING)

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... utilization, margin, satisfaction), and alignment with sales on planning, bids, estimating, and ...

... agent utilization. * Communicate effectively with team leads and managers regarding real-time ... Remote * Schedule : Full-time * May require additional availability or flexibility for escalations.

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

Associate Staff Attorney

Cleveland, OH · On-site +1

$93K - $159K/yr

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

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Remote Utilization Management information

How does a Remote Utilization Management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Ohio? The most popular types of Utilization Management jobs in Ohio are:
What cities in Ohio are hiring for Remote Utilization Management jobs? Cities in Ohio with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Ohio as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution.
Clinical Account Representative, CardioMEMS - Eastern Region

Clinical Account Representative, CardioMEMS - Eastern Region

Abbott

Dayton, OH • Remote

Full-time

Medical, Retirement, PTO

Posted 14 days ago


Abbott rating

7.9

Company rating: 7.9 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

157th of 527 rated manufacturers


Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.JOB DESCRIPTION:

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:

  • Career development with an international company where you can grow the career you dream of.

  • Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year

  • An excellent retirement savings plan with high employer contribution

  • Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree.

  • A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.

  • A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

Heart Failure

In Abbott's Heart Failure (HF) business, we're developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.

We're looking for high-performing, clinically experienced sales professionals with deep cardiovascular expertise to drive adoption and growth of CardioMEMS across multiple locations (Lexington, KY, Louisville, KY, Augusta, GA, New Jersey, Philadelphia, PA and Dayton, OH) through strategic account development, education, and partnership.

The Clinical Account Representative (CAR) supports the growth of CardioMEMS by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to the therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that CardioMEMS is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.

WHAT YOU'LL DO

1. Sales & Customer Engagement

  • Serve as the primary point of contact for highvolume, established accounts, ensuring seamless onboarding and patient monitoring workflows.

  • Achieve assigned sales and utilization targets within defined accounts.

  • Execute actionable quarterly business plans with clear activity goals and growth drivers.

  • Conduct routine account checkins to review program performance, identify barriers, and uncover new opportunities.

  • Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.

  • Provide competitive insights, including customer feedback and market intelligence.

  • Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.

2. Account Management

  • Maintain CRM documentation for key accounts, including activity notes, opportunities, and followups.

  • Build and sustain strong relationships with physicians, APPs, HF clinics, and administrators.

  • Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.

  • Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.

3. Technical & Clinical Support

  • Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.

  • Offer procedural case support occasionally for broader territory, focusing on priority accounts.

  • Support training and education for new clinical staff, HF clinics, and administrators.

  • Participate in product inservices and support clinical data collection as needed.

  • Continue developing strong product, HF, and CardioMEMS competency.

4. Compliance & Collaboration

  • Adhere to all FDA, regulatory, and company quality requirements.

  • Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.

  • Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.

  • Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.

EDUCATION AND EXPERIENCE YOU'LL BRING

Required

  • Bachelor's degree (Business, Life Sciences, Engineering, or related).

  • Experience: 2-4 years in medical device or healthcare (inside or field).

  • Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.

  • Track record of 100% to goal in the most recent performance year.

  • Account-facing experience with clinicians and administrators (e.g., HF clinics, service line leaders).

  • Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.

  • Comfortable delivering clinical/technical presentations to audiences of 10-50 stakeholders.

Preferred

  • Knowledge of reimbursement landscape and payment pathways (highly preferred).

  • Experience at top MedTech organizations (highly preferred).

  • 1-2 years of commercial experience.

  • Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.

  • Prior involvement in value analysis or committeebased selling.

  • Familiarity with Cath lab/OR workflows; basic procedural support experience.

Apply Now

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.

The base pay for this position is

$68,000.00 - $136,000.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:Support ServicesDIVISION:HF Heart FailureLOCATION:United States of America : RemoteADDITIONAL LOCATIONS:WORK SHIFT:StandardTRAVEL:Yes, 25 % of the TimeMEDICAL SURVEILLANCE:Not ApplicableSIGNIFICANT WORK ACTIVITIES:Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipmentAbbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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