... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer and ...
... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer and ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Manager Utilization and Care Management
Murray, UT · On-site +1
$44.99 - $69.44/hr
The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health ... Champion patient care by reviewing medical records and clinical documentation to determine medical ...
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Behavioral Health Utilization Management Specialist
Draper, UT · On-site +1
$60K - $70K/yr
Utah (Hybrid & Remote Options Available) Job Type: Full-time Department: Behavioral Health ... Champion patient care by reviewing medical records and clinical documentation to determine medical ...
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a ... Perform utilization management case reviews. * Maintain productivity score per company standard.
Medical Director - Utilization Management (Remote)
Salt Lake City, UT · On-site +1
$240K/yr
An award-winning remote work environment Position Summary Our Medical Director, also known as a ... Perform utilization management case reviews. * Maintain productivity score per company standard.
Nurse Care Manager
Salt Lake City, UT · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Nurse Care Manager
Salt Lake City, UT · Remote
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
$41.20 - $62.17/hr
Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Manages/facilitates custom Pharmacy and Therapeutics (P&T) committees and Drug Utilization Review Board meetings for select clients, per contractual requirements * Prepare meeting material * Present ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT · Remote
Conducts case reviews requiring physician involvement and/or provides clinical expertise to others ... Other roles as assigned. #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Salt Lake City, UT · Remote
Conducts case reviews requiring physician involvement and/or provides clinical expertise to others ... Other roles as assigned. #LI-Remote Pay ranges vary based on the candidate's work location. The ...
Review and sign off on complex tax returns (1120, 1120S, 1065, 1040 HNW) * Manage client ... Experience with remote team leadership and workflow management tools (e.g., CCH, ProSystem ...
Quick apply
Review and sign off on complex tax returns (1120, 1120S, 1065, 1040 HNW) * Manage client ... Experience with remote team leadership and workflow management tools (e.g., CCH, ProSystem ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our VP of Sales is responsible for ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our VP of Sales is responsible for ...
Remote Care Management Nurse
Salt Lake City, UT · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Salt Lake City, UT · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Quality Assurance Engineer is a ...
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Quality Assurance Engineer is a ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
We specialize in sourcing, training, and managing reliable brand representatives who drive ... We are currently hiring on behalf of a leading online sweepstakes review publisher to support ...
Senior Azure Cloud Engineer (Remote)
Salt Lake City, UT · On-site +1
$54 - $72/hr
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...
Senior Azure Cloud Engineer (Remote)
Salt Lake City, UT · On-site +1
$54 - $72/hr
... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...
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?
| 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 are the most commonly searched types of Remote Utilization Review jobs in Utah?
The most popular types of Remote Utilization Review jobs in Utah are:
What are popular job titles related to Remote Utilization Review Manager jobs in Utah?
For Remote Utilization Review Manager jobs in Utah, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Manager jobs in Utah look for?
The top searched job categories for Remote Utilization Review Manager jobs in Utah are:
What cities in Utah are hiring for Remote Utilization Review Manager jobs?
Cities in Utah with the most Remote Utilization Review Manager job openings:
Contractor
Posted 12 days ago
Job description
Description
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Requirements
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current STATE unencumbered medical license
- Current Board Certification in Radiology, IR/DR certified
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations