Strong utilization of anatomy, pathophysiology, and pharmacology knowledge for accurate code ... Assists Manager/Director with mentoring/training of Coder I, Coder II and Coder III team members ...
Strong utilization of anatomy, pathophysiology, and pharmacology knowledge for accurate code ... Assists Manager/Director with mentoring/training of Coder I, Coder II and Coder III team members ...
Remote Utilization Management information
See Augusta, GA salary details
$20.11 - $24.18
2% of jobs
$24.18 - $28.25
9% of jobs
$31.03 is the 25th percentile. Wages below this are outliers.
$28.25 - $32.31
21% of jobs
The median wage is $35.61 / hr.
$32.31 - $36.38
23% of jobs
$36.38 - $40.45
13% of jobs
$43.61 is the 75th percentile. Wages above this are outliers.
$40.45 - $44.51
10% of jobs
$44.51 - $48.58
8% of jobs
$48.58 - $52.65
5% of jobs
$52.65 - $56.72
5% of jobs
$56.72 - $60.78
2% of jobs
$60.78 - $64.85
2% of jobs
$20
$39
$64
How much do remote utilization management jobs pay per hour?
As of Aug 28, 2026, the average hourly pay for remote utilization management 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 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 are the key skills and qualifications needed to thrive in remote utilization management?
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.
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 is the difference between Remote Utilization Management vs Remote Case Management?
| Aspect | Remote Utilization Management | Remote Case Management |
|---|---|---|
| Credentials | RN, LPN, or licensed healthcare professionals | RN, LPN, or social workers |
| Work Environment | Healthcare facilities, insurance companies, telehealth | Healthcare providers, insurance, community agencies |
| Industry Usage | Insurance, healthcare, telehealth | Healthcare, social services, insurance |
| Primary Focus | Reviewing medical necessity, authorizations | Coordinating 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 Augusta, GA?
The most popular types of Utilization Management jobs in Augusta, GA are:
What are popular job titles related to Remote Utilization Management jobs in Augusta, GA?
For Remote Utilization Management jobs in Augusta, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Augusta, GA look for?
The top searched job categories for Remote Utilization Management jobs in Augusta, GA are:
- Utilization Review
- Temporary Aetna Utilization Review Nurse
- Freelance International Utilization Review Nurse
- Remote Optum Utilization Review
- Full Time Cigna Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
- Case Manager Utilization Review Nurse
- Remote Chiropractic Utilization Review
- Remote Utilization Review
- Utilization Review Manager
What cities near Augusta, GA are hiring for Remote Utilization Management jobs?
Cities near Augusta, GA with the most Remote Utilization Management job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 16 hours ago
BayCare Health System rating
7.5
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:
The Advanced Inpatient Coding Specialist is a full-time remote position.
Responsibilities:
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:
Certifications and Licensures:
Education:
Experience:
Equal Opportunity Employer Veterans/Disabled
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
What BayCare Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Baycare Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Pinellas Park, FL, US
Year founded
1997