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Remote Utilization Management Jobs in Virginia (NOW HIRING)

Maximus

Senior IT Project Manager

VA · On-site +1

$131K - $132K/yr

This is a remote position. Essential Duties and Responsibilities: - Manage multiple development ... utilization and advocate for resources necessary to successfully resource and execute projects ...

SOSi

DoD SkillBridge Logistics Manager

Reston, VA · On-site +1

In this role, you will gain valuable insight in the areas of logistics management, transportation ... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ...

Sentara Healthcare

Benefits Coding Analyst

Richmond, VA · On-site +1

This position is remote however, candidates must be able to commute to our Richmond location. The ... Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned ...

Sentara Health

Benefits Coding Analyst

Richmond, VA · Remote

$10K/mo

This position is remote however, candidates must be able to commute to our Richmond location. The ... Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned ...

Maximus

Cloud Architect

VA · On-site +1

$65.25 - $83/hr

... utilization goals. - Support IT service management (ITSM) and IT operations management (ITOM ... remote Minimum Requirements TCS022, T4, Band 7 #TSTECH EEO Statement Maximus is an equal ...

Maximus

Cloud Architect

VA · On-site +1

$65.25 - $83/hr

... utilization goals. - Support IT service management (ITSM) and IT operations management (ITOM ... remote Minimum Requirements TCS022, T4, Band 7 #TSTECH EEO Statement Maximus is an equal ...

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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 Virginia? The most popular types of Utilization Management jobs in Virginia are:
What are popular job titles related to Remote Utilization Management jobs in Virginia? For Remote Utilization Management jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Virginia look for? The top searched job categories for Remote Utilization Management jobs in Virginia are:
What cities in Virginia are hiring for Remote Utilization Management jobs? Cities in Virginia with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Virginia as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.
Territory Manager - Norfolk, VA

Territory Manager - Norfolk, VA

ZOLL Medical Corporation

Norfolk, VA • On-site, Remote

Full-time

Posted 9 days ago

Job description

Itamar
At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions.
ZOLL Itamar is an innovative medical device technology company that focuses on the development and manufacturing of Home Sleep Apnea Tests to aid in the diagnosis of respiratory sleep disorders. Our core product is the WatchPAT®️ family, a revolutionary FDA-cleared portable home sleep apnea test device, that is based on proprietary signal and analysis. 80% of patients who have sleep apnea are undiagnosed. We are committed to reach those undiagnosed patients and provide testing to promote wellness and enhance overall quality of life. WatchPAT®️ is commercially available within major markets including the U.S., Japan, and Europe, and is the leading home sleep apnea test in the US. ZOLL Itamar's corporate headquarters, research and development and manufacturing are located in Israel with U.S. headquarters based in Atlanta, GA.
Job Summary
We are seeking a dynamic and results-driven Territory Manager to support awareness and appropriate utilization of WatchPAT Home Sleep Apnea Testing (HST) services within an assigned geographic territory. This role focuses on providing education regarding convenient, accurate, and Medicare-compliant home sleep apnea testing solutions to non-sleep specialist healthcare providers - including primary care physicians, family medicine practices, internal medicine, cardiology, endocrinology, and other general practitioners.
The Territory Manager will serve as a resource to providers by offering information on clinical use, operational workflow, and coverage considerations related to HST. This role supports provider understanding of diagnostic options intended to improve patient access to sleep apnea evaluation in accordance with applicable clinical guidelines and payer requirements.
Essential Functions
  • Develop and maintain professional relationships with non-sleep specialist physicians and office staff to provide education on Home Sleep Testing services and appropriate patient selection criteria.
  • Conduct in-person and virtual educational presentations, product demonstrations, and in-service training on the WatchPAT® device and associated diagnostic service workflows.
  • Identify and engage healthcare practices within the territory to provide information regarding HST technology and available diagnostic service offerings.
  • Support onboarding of new provider offices by facilitating understanding of administrative processes, documentation requirements, and applicable coverage policies related to HST.
  • Maintain regular communication with provider offices to address questions related to service logistics, device utilization, and patient eligibility consistent with clinical and payer guidelines.
  • Monitor territory activity, market dynamics, and general industry trends using CRM tools in accordance with company policies.
  • Collaborate with internal clinical, operations, and reimbursement teams to address provider inquiries and support efficient implementation of diagnostic testing services.
  • Maintain current knowledge of sleep apnea clinical guidelines, HST technology, and reimbursement considerations relevant to diagnostic testing services.
  • Represent the company at healthcare events, conferences, and provider meetings for the purpose of sharing educational information regarding HST.
  • Coordinate, where appropriate, with other healthcare stakeholders to ensure providers are informed about diagnostic pathways and available therapy options, consistent with independent clinical decision-making.

Required/Preferred Education and Experience
  • Degree or Certification needed - BA/BS preferred
  • Years of experience - 3+ years calling on primary care providers
  • Experience in DME, HST or pharma is preferred.
  • Cold calling and territory management experience

Knowledge, Skills and Abilities
  • Excellent at building relationships
  • Great understanding of the sales process.
  • Someone who is a quick learner and has a positive attitude.
  • Demonstrated project and time management skills, with an ability to set and maintain priorities.
  • Strong communication and interpersonal skills.

Travel Requirements
  • Remote position with travel in assigned territory

Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • Standing - Occasionally
  • Walking - Occasionally
  • Sitting - Constantly
  • Talking - Occasionally
  • Hearing - Occasionally
  • Repetitive Motions - Frequently

ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives.
#LI-VB1
The "at plan" compensation (Base Salary + Variable Incentive Compensation) for this position is:
$90,000.00 which includes a base salary of $90,000.00 and commission in accordance with the company's sales compensation plan.
Details of ZOLL's comprehensive benefits plans can be found at www.zollbenefits.com.
Applications will be accepted on an ongoing basis until this position is filled. For fully remote positions, compensation will comply with all applicable federal, state, and local wage laws, including minimum wage requirements, based on the employee's primary work location.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, disability, or status as a protected veteran.
ADA: The employer will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.

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