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Remote Utilization Review Manager Jobs in Utah (NOW HIRING)

Veteran Jobs - 2023 Mar 01 - Veterans Resources

$17/hr

The efficient utilization of various software applications is an essential part of this role ... Accurately documents all customer interactions using Case Management or Customer Relationship ...

Solid Rock Recruiting LLC

Tax Manager

Salt Lake City, UT · On-site +1

$125K - $200K/yr

Tax Manager - Public Accounting | Hybrid or Remote Overview: A top-tier public accounting firm is ... Lead client engagements, including planning, budgeting, and supervising tax preparation and review ...

Executech

IT Project Manager

Salt Lake City, UT · On-site +1

$80K - $90K/yr

... reviews and coordinate handoff to the support team * Update project notes and documentation in project management tool Performance Expectations (KPIs) * Utilization: 90% utilization target.

McQuade Organization

... 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 ...

McQuade Organization

... 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 ...

McQuade Organization

... 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 ...

McQuade Organization

... 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 ...

McQuade Organization

... 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 ...

Coda Testing

Product Manager

West Valley City, UT · Remote

$150K - $300K/yr

Project Manager (Contract) Company: CODA Consortium of Drug and Alcohol Testing and MRO Services ... Flexible remote work environment. * Project-based performance reviews. How to Apply: Interested ...

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Experience reviewing contractual risk transfer provisions and insurance requirements, including ... with the ability to manage multiple priorities in a fast-paced, remote work environment.

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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:
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:
Remote Utilization Review Manager jobs near you

Remote Customer Service Representative w/ the VA (Phone/Email/Chat)

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Remote

$17/hr

Other

Re-posted 9 days ago

Job description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps.

This role requires at least 3 years of customer service or contact center experience.
This job post is for the September 8, 2026 new hire class. 


This position is open to CONUS, AK, HI. California is a specifically excluded hiring location.
The position is fully remote.
Background check required.
Rotational shifts (Performance based 8 hours shift will be designated)
The pay for this role is $17 per hour.
This is a W2 position.
Multiple openings are available, with new hire onboardings expected throughout 2026!
Equipment is provided.
Customer Service Agent/Representative - Remote
Work Timing: 4 AM PST to 10:00 PM PST (Monday - Saturday) 8-hour Shift
Note: The first 2 weeks consist of a mandatory training period being held Monday through Friday from 9am EST to 5:30pm EST. Training is conducted via zoom and requires daily on-screen participation in your personal workspace with a strong internet connection. Attendance is mandatory for graduation. Participants MUST always remain on camera for the entirety of training period each day. Professional attire is always expected with no background distractions or interruptions.
Overview:
The Customer Service Agent/Representative (CSR) is a pivotal role within the Contact Center who receives, investigates and resolves customer inquiries originating primarily from phone, but also fax, email, chat and other communications channels. The CSR provides support on general inquiries from Veterans on the MDE process and Veteran facing portal and web pages. The efficient utilization of various software applications is an essential part of this role, including internal and external websites, telephone systems, CRM applications and other resources. The CSR will enter applicable supporting information into systems and web forms on an application via computer. All transactions must be conducted accurately, courteously, and in a timely manner. 
Customer Service Agents may also provide other functions, such as examination scheduling, rescheduling, or information verification. 
Key Tasks 
  •     Answer inbound telephone calls as well as customer inquiries in other channels (email, chat, SMS) as needed in a courteous, timely, and professional manner following established guidelines and policies 
  •     Make outbound calls as necessary based on business needs 
  •     Resolve or escalate customer inquires in a timely manner 
  •     Encourage use of electronic communication with customers 
  •     Accurately documents all customer interactions using Case Management or Customer Relationship Management (CRM) system 
  •     Follow SOPs and policies 
  •     Maintain a high degree of quality with each customer interaction as measured by internal quality monitoring forms and customer satisfaction surveys. 
  •     Follow-up established escalation process for customer inquiries requiring more investigation and/or a higher level of support 
  •     Use frequently asked questions (FAQs) and help look up and provide information to inquiries 
  •     Utilize departmental knowledge bases and training material to answer customer inquiries 
  •     Maintain up-to-date knowledge of policies and procedures as applicable 
  •     Adhere to published schedule according to attendance guidelines 
  •     May be required to work some weekends and holidays 
  •     Perform other duties as assigned 

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