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Remote Utilization Management Jobs in Columbus, GA

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Columbus, GA

Remote Utilization Management information

See Columbus, GA salary details

$19

$37

$61

How much do remote utilization management jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for remote utilization management in Columbus, GA is $37.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.90 and $43.46 per hour, depending on experience, location, and employer.

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 Columbus, GA? The most popular types of Utilization Management jobs in Columbus, GA are:
What are popular job titles related to Remote Utilization Management jobs in Columbus, GA? For Remote Utilization Management jobs in Columbus, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Columbus, GA look for? The top searched job categories for Remote Utilization Management jobs in Columbus, GA are:
What cities near Columbus, GA are hiring for Remote Utilization Management jobs? Cities near Columbus, GA with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Columbus, GA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $78,723 per year, or $37.8 per hour.
Advanced Inpatient Coder Specialist (REMOTE)

Advanced Inpatient Coder Specialist (REMOTE)

BayCare Health System

Columbus, GA • On-site, Remote

$19.50 - $23.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 28 days ago

BayCare Health System rating

7.5

Company rating: 7.5 out of 10

Based on 398 frontline employees who took The Breakroom Quiz

230th of 890 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.
Sign on bonuses available!
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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