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Remote Utilization Review Manager Jobs in Utah (NOW HIRING)

White Tiger Connections

Tax Manager

Kaysville, UT · Remote

$110K - $150K/yr

This is a remote position. About the Firm We are representing a well-established, full-service CPA ... About the Role This is a review and advisory role at its core. The firm's private equity and family ...

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 ...

HB Travels

Booking Coordinator - Remote

Saint George, UT · Remote

$30K - $70K/yr

The ideal candidate can manage multiple details while providing customers with a professional and ... Review customer information for accuracy * Provide clear information regarding available options

Coda Testing

Product Manager

Salt Lake 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 ...

LedgerGurus

Part-Time Accounting Manager

Lehi, UT · On-site +1

$32 - $39/hr

PART-TIME REMOTE ACCOUNTING MANAGER LedgerGurus is looking to hire a part-time Accounting Manager ... reviewing finance information from all sections of their company. As an Accounting Manager, you ...

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

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 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 Reservations Coordinator

Salt Lake City, UT • Remote

Viajemos Solas pero en Grupo
11 - 50 employees
Learn more about Viajemos Solas pero en Grupoexternal

$16.75 - $21.25/hr

Full-time

Posted 24 days ago

Job description

We are seeking a detail-oriented Remote Reservations Coordinator to assist clients with researching, coordinating, and managing reservations. This role requires strong organization, accurate recordkeeping, and professional communication.

Responsibilities

  • Research availability based on client requests
  • Assist with reservation coordination
  • Review available options and reservation details
  • Coordinate accommodations, transportation, activities, and related services
  • Provide confirmations and relevant information
  • Verify dates, names, and other important details for accuracy
  • Assist with modifications and special requests
  • Maintain organized reservation records
  • Communicate with service providers
  • Follow up regarding outstanding reservation details

Qualifications

  • Excellent attention to detail
  • Strong written and verbal communication
  • Good organizational abilities
  • Comfortable researching information online
  • Ability to manage multiple reservations and deadlines
  • Comfortable learning digital reservation systems
  • Customer service, hospitality, or reservation experience is helpful

Benefits

  • Fully remote environment
  • Onboarding and training
  • Continuing education
  • Access to professional tools and resources
  • Ongoing team support

Apply