... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
... virtual meetings to review benefits, plan updates, and enhancements -Build strong client ... manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g ...
Recruiter (Remote)
Omaha, NE · On-site +1
This position supports the department by sourcing new talent and working with the Account Managers ... For further information, please review the Know Your Rights notice from the Department of Labor.
Recruiter (Remote)
Omaha, NE · On-site +1
This position supports the department by sourcing new talent and working with the Account Managers ... For further information, please review the Know Your Rights notice from the Department of Labor.
Investment Management Counsel - Remote
Lincoln, NE · Remote
$90 - $130/hr
Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...
Investment Management Counsel - Remote
Lincoln, NE · Remote
$90 - $130/hr
Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...
Investment Management Counsel - Remote
Omaha, NE · Remote
$90 - $130/hr
Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...
Investment Management Counsel - Remote
Omaha, NE · Remote
$90 - $130/hr
Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...
Our Outage Management team is dedicated to building resilient, scalable, and mission-critical ... Participate in code reviews to ensure adherence to company standards and industry best practices.
Our Outage Management team is dedicated to building resilient, scalable, and mission-critical ... Participate in code reviews to ensure adherence to company standards and industry best practices.
Our Outage Management team is dedicated to building resilient, scalable, and mission-critical ... Participate in code reviews to ensure adherence to company standards and industry best practices.
Our Outage Management team is dedicated to building resilient, scalable, and mission-critical ... Participate in code reviews to ensure adherence to company standards and industry best practices.
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Quick apply
Experience participating in IEP meetings, acting as case manager, and completing comprehensive case ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...
Mobile Insurance Office Manager
Omaha, NE · Remote
Fully Remote Position - Enjoy the freedom to work from anywhere. * Six-Figure Earning Potential ... Provide ongoing policy support, including policy reviews, beneficiary updates, and claims ...
Mobile Insurance Office Manager
Omaha, NE · Remote
Fully Remote Position - Enjoy the freedom to work from anywhere. * Six-Figure Earning Potential ... Provide ongoing policy support, including policy reviews, beneficiary updates, and claims ...
Mobile Insurance Office Manager
Omaha, NE · On-site +1
Fully Remote Position - Enjoy the freedom to work from anywhere. * Six-Figure Earning Potential ... Provide ongoing policy support, including policy reviews, beneficiary updates, and claims ...
Mobile Insurance Office Manager
Omaha, NE · On-site +1
Fully Remote Position - Enjoy the freedom to work from anywhere. * Six-Figure Earning Potential ... Provide ongoing policy support, including policy reviews, beneficiary updates, and claims ...
Pre-Litigation Associate - Of Counsel (Remote)
Omaha, NE · Remote
$120K - $216K/yr
... level review. * Assessment of the claims and providing an analysis to the client and carrier ... Other tasks as assigned by the firm including by a client relationship manager, an Office Managing ...
Pre-Litigation Associate - Of Counsel (Remote)
Omaha, NE · Remote
$120K - $216K/yr
... level review. * Assessment of the claims and providing an analysis to the client and carrier ... Other tasks as assigned by the firm including by a client relationship manager, an Office Managing ...
Take part in code reviews and contribute to the continuous improvement of the development process ... Ability to work independently and manage multiple tasks effectively. What would make you stand out:
Take part in code reviews and contribute to the continuous improvement of the development process ... Ability to work independently and manage multiple tasks effectively. What would make you stand out:
(Remote) Software Engineer
Blair, NE · Remote
Take part in code reviews and contribute to the continuous improvement of the development process ... Ability to work independently and manage multiple tasks effectively. What would make you stand out:
(Remote) Software Engineer
Blair, NE · Remote
Take part in code reviews and contribute to the continuous improvement of the development process ... Ability to work independently and manage multiple tasks effectively. What would make you stand out:
... reviews, and developing cost estimates. You'll also contribute to scope development, support ... Remote
... reviews, and developing cost estimates. You'll also contribute to scope development, support ... Remote
$88K - $163K/yr
Sales Managers are responsible for the generation of new sales acquisition of SME businesses. This ... For information about our comprehensive US benefits programs and eligibility, please review our ...
$88K - $163K/yr
Sales Managers are responsible for the generation of new sales acquisition of SME businesses. This ... For information about our comprehensive US benefits programs and eligibility, please review our ...
Your Work: * Manage homeowners property claims from first notice of loss through resolution ... Write and review repair estimates, evaluate contractor estimates, and determine appropriate claim ...
New
Your Work: * Manage homeowners property claims from first notice of loss through resolution ... Write and review repair estimates, evaluate contractor estimates, and determine appropriate claim ...
New
Remote Utilization Review Manager information
What are some common challenges faced by a remote utilization review manager, and how can they be addressed?
A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.
What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?
| Aspect | Remote Utilization Review Manager | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certifications like URAC or AAPC, and management experience | Licensed Registered Nurse (RN) with utilization review certification often preferred |
| Work Environment | Oversees review teams, manages processes, and ensures compliance remotely | Performs case reviews, assesses medical necessity, and documents findings remotely |
| Employer & Industry Usage | Health insurance companies, third-party administrators, healthcare organizations |
The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.
What is a remote utilization review manager?
A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.
What are the key skills and qualifications needed to thrive as a remote utilization review manager?
To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.
What are popular job titles related to Remote Utilization Review Manager jobs in Nebraska? For Remote Utilization Review Manager jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Manager jobs in Nebraska look for? The top searched job categories for Remote Utilization Review Manager jobs in Nebraska are:
What cities in Nebraska are hiring for Remote Utilization Review Manager jobs? Cities in Nebraska with the most Remote Utilization Review Manager job openings:
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 22 days ago
Job description
In this role, you’ll support clients in understanding their benefit options and ensure they receive an exceptional experience from start to finish. This position focuses on client support, benefits guidance, and clear communication in a fully remote environment.
-Serve as a primary point of contact for clients regarding their employee benefits -Explain benefit options including health, dental, vision, life, and supplemental plans in a clear, easy-to-understand way -Recommend solutions tailored to clients’ needs and help them make informed decisions -Host virtual meetings to review benefits, plan updates, and enhancements -Build strong client relationships and identify opportunities to expand the services they use -Provide responsive support to ensure a smooth and positive client experience -Collaborate with internal teams to ensure accurate information and timely responses - Act as the main point of contact for clients regarding their employee benefits, including health, dental, vision, life, disability, and retirement plans. - Help clients understand their benefit options, explain costs and features, and recommend solutions tailored to their organizational goals. - Lead individual client onboarding, ensuring smooth plan setup and seamless enrollment - Stay up to date on benefits offerings, company processes, and industry trends
-Strong communication and presentation skills—you can explain complex information clearly -Comfortable speaking with clients via phone and video (Zoom) -Organized and detail-oriented, able to manage multiple client needs -Basic experience with CRM systems or willingness to learn (e.g., Salesforce, Ease, Gusto) -Self-motivated and able to work independently in a remote setting -Positive attitude and willingness to learn