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Remote Utilization Review Manager Jobs in Oklahoma

Project Manager

Kansas, OK · Remote

$75K - $85K/yr

... post-implementation reviews to identify lessons learned and continuously improve processes ... This is a remote position Travel may be required, typically Salary Range: $75,000 - $85,000 USD per ...

Airport Civil Project Manager

Oklahoma City, OK · On-site +1

$69K - $93K/yr

Ensure efficient and productive utilization of staff in providing high-quality service ... remote opportunities where business needs allow • Life insurance and disability coverage ...

Project Manager - Flooring

Tulsa, OK · On-site +1

$80K - $100K/yr

... the right remote candidate, with some regular travel. What You'll Do as the Project Manager: * Manage commercial flooring projects from award through closeout * Review plans, specifications ...

Project Manager - Flooring

Tulsa, OK · On-site +1

$80K - $100K/yr

... the right remote candidate, with some regular travel. What You'll Do as the Project Manager: * Manage commercial flooring projects from award through closeout * Review plans, specifications ...

Send monthly communication, utilization, etc... * Have daily meaningful contact with customers ... This role may be performed in a remote, hybrid, or office-based environment depending on business ...

... management. * Reviews and approves product structures, policy forms, endorsements, and material ... We embrace a remote-first culture through our Flexible Workplace. Most employees hold Home-Flex ...

New

Tax Senior

Oklahoma City, OK · On-site +1

$90K - $125K/yr

Prepare and review federal, state, and local tax returns for individuals, corporations ... Hybrid work model with flexibility to manage your schedule * Fully remote options available for ...

Showing results 41-60

Remote Utilization Review Manager information

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 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?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth 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 are the most commonly searched types of Remote Utilization Review jobs in Oklahoma?

The most popular types of Remote Utilization Review jobs in Oklahoma are:

What are popular job titles related to Remote Utilization Review Manager jobs in Oklahoma?

For Remote Utilization Review Manager jobs in Oklahoma, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Oklahoma look for?

The top searched job categories for Remote Utilization Review Manager jobs in Oklahoma are:

What cities in Oklahoma are hiring for Remote Utilization Review Manager jobs?

Cities in Oklahoma with the most Remote Utilization Review Manager job openings:

Regional Sales Manager (Central Plains)

Therakos

Oklahoma City, OK • Remote

$145K - $208K/yr

Full-time

Posted 13 days ago


Job description

Job Title

Regional Sales Manager (Central Plains)

Requisition

JR000015893 Regional Sales Manager (Central Plains) (Open)

Location

Oklahoma City, OK

Additional Locations

Kansas City, KS, Kansas City, MO, Omaha, NE

Job Description Summary

We are currently seeking a Regional Manager within Immunology Sales, reporting directly to the Senior Director, Immunology Field Commercial. This position will be responsible for the overall performance of their assigned region by providing leadership to their sales team that creates a motivational environment, removes barriers, develops the team and sets the expectations of success in a compliant manner.

Job Description

Essential Functions:

  • The Regional Sales Manager (RSM) is responsible for the overall performance of their assigned region, providing leadership to their sales team that creates a motivational environment and sets the expectation of success.
  • The RSM will review, modify if necessary, and approve strategically targeted, account-specific business plans developed by each sales representative in their region, that reflect an in-depth understanding of local, regional and national market forces impacting product sales.
  • The RSM schedules ride-a-longs and works one-on-one with sales representatives on product knowledge, call planning, territory management, relationship building and selling skills including opening, probing, supporting, overcoming objections and closing.
  • In addition, the RSM will work closely with home office personnel to assist in the development of marketing plans, targeting strategies, incentive plans, sales training documents, etc.
  • Can think and operate independently while working within the guidelines of the Organization to achieve specific objectives in designated time parameters.
  • Work with Cross Functional Team members to achieve milestone markers and defined goals.
  • Create a sense of team spirit and open communication within your Team and colleagues.
  • Demonstrates a proactive approach to finding answers, helping team members or peers and closely working with all departments.

Skills & Competencies

  • Advanced Selling Skills: Proven ability to drive new business, and expand relationships in nephrology through consultative, data-driven engagement.
  • Clinical Acumen: Strong understanding of nephrology disease states, enabling credible clinical dialogue with specialists and impactful decision-making.
  • Business Acumen - Understands industry trends, economic sectors and market dynamics to drive strategy
  • Communications and Teamwork - Communicates accurately, concisely and compellingly to a variety of audiences and adapts communication style as needed; ability to forge and maintain effective relationships with internal employees and external customers
  • Resource Utilization - Identifies available resources and solves problems by utilizing best available information and support resources
  • Demonstrates Patient Centric, Integrity, Innovative and Collaborative

Qualifications:

  • Bachelor degree and 3-5 years pharmaceutical or biotech sales management experience
  • Therapeutic area experience in Rheumatology, Pulmonology, Ophthalmology experience highly preferred
  • Ability to manage and track complex sequencing of referral and shipped product models and not open channel distribution
  • Key Opinion Leader (KOL) relationships within the geography or nation preferred.
  • Documented track history of Team development inclusive of screening, hiring, training, motivation and performance management.
  • In-depth analytical experience to find solutions and manage through challenges or obstacles.
  • Travel requirements (70%)
  • Exceptional interpersonal and building relationship skills.
  • Ability to work as a collective part of a team and high level of integrity with compassion for others.
  • Strong communication skills - listening and clear communication.
  • A valid motor vehicle operator's license
  • Local travel; some overnight required, may vary depending on the region

Keenova offers employees a Total Rewards package which includes competitive pay and benefits. To learn more about our Total Rewards benefits please visit: Keenova Careers | Serve and Grow with Purpose | Keenova

The expected base pay range for this position is $145K - $208K. Please note that base pay offered may vary depending on factors including job-related knowledge, skills, and experience.

This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.

Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.

#LI-REMOTE

#LI-MR1

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support-showing up in big moments and small to help patients find comfort and confidence.

We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology,men's health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.

We are Keenova-keen to solve, keen to serve. Learn more atwww.keenova.com.