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Remote Utilization Review Manager Jobs in Utah (NOW HIRING)

Audiohook

Client Success Manager

Eden, UT · Remote

Lead recurring performance calls (bi-monthly or monthly) to review campaign results, align on ... Own client-facing budget pacing conversations and ensure alignment on utilization, flighting, and ...

RainFocus

Project Manager (Remote)

Lehi, UT · On-site +1

Coordinate post-event reviews between client and RainFocus account team * Surface decision points ... Change management * Provide change management support for first-year event clients * Ensure ...

firsthand Health

Remote Triage Nurse

Provo, UT · On-site +1

$80K/yr

... are utilization. Together with our health plan partners, we are changing the way our society ... When not managing acute issues, Triage Nurses focus on care coordination, training, and related ...

401GO

Regional Relationship Manager - HCM

Sandy, UT · On-site +1

Flexible (In Office, Hybrid, or Remote) Job Type: Full-time Reports to: Director of Sales Travel ... Conduct regular business reviews with partners to evaluate performance, identify opportunities, and ...

New

micro1 AI

Managing Partner - Attorney - Remote

Provo, UT · Remote

$140 - $400/hr

Remote micro1 is engaging lawyers to contribute their subject-matter expertise in support of a ... Draft, review, and edit legal content, including memoranda, opinions, contracts, and other relevant ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Utah

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?

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 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 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:
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Remote Utilization Review Manager jobs near you

Tax Senior (Hybrid / Remote)

Solid Rock Recruiting LLC

Salt Lake City, UT • On-site, Remote

$90K - $130K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 3 days ago

Job description

Tax Senior – Fully Remote | Public Accounting Firm

Location: Remote (U.S.-based)
Job Type: Full-time

About the Firm:
Our client is a well-established and growing public accounting firm offering comprehensive tax, advisory, and accounting services to a diverse client base. The firm is committed to fostering a collaborative culture, professional growth, and work-life balance. They are currently seeking an experienced Tax Senior to join their team in a fully remote capacity.

This is an exciting opportunity for a tax professional looking to advance their career in a flexible, client-facing role while gaining exposure to a variety of industries.

Key Responsibilities:
Prepare and review complex tax returns for corporations, partnerships, and individuals.
Assist in providing tax planning, compliance, and advisory services to clients.
Perform tax research and provide recommendations on complex tax issues.
Manage multiple tax engagements, ensuring deadlines are met and work is delivered with high accuracy.
Build and maintain strong client relationships, providing high-quality service.
Support Tax Managers and Partners with the development and implementation of tax strategies.
Mentor and review work of junior staff, offering guidance and training as needed.
Qualifications:
CPA or EA designation preferred.
Bachelor's degree in Accounting, Finance, or related field (Master’s in Taxation is a plus).
3+ years of public accounting experience with a focus on tax.
Strong knowledge of tax laws, compliance, and regulations.
Experience with tax software such as CCH, ProSystem, or UltraTax.
Excellent communication and interpersonal skills.
Ability to work independently and manage time effectively in a remote environment.
Why Join This Firm?

Fully remote work environment with flexible scheduling.
Competitive salary + performance-based bonuses. (Salary range $90k-$130k doe)
Comprehensive benefits package, including health, dental, and 401(k) match.
Generous PTO and paid holidays.
A supportive team that encourages professional development and career growth.

If you're a Tax Senior looking for a remote opportunity with a growing public accounting firm, we’d love to hear from you!

Apply today by sending your resume to Joey@solidrockrecruiting.com or connect with me to learn more! Direct Phone: 605-601-4597