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Remote Utilization Review Manager Jobs in Utah (NOW HIRING)

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 ...

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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

Managing Partner - Attorney - Remote

micro1 AI

West Valley City, UT • Remote

$140 - $400/hr

Part-time

This job post has expired today. Applications are no longer accepted.

Job description

Role Title: BigLaw lawyers

Role Type: Contractor

Location: Remote


micro1 is engaging lawyers to contribute their subject-matter expertise in support of a customer's project. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.


This opportunity is tailored for legal professionals with mandatory experience working at one or more Vault Law 100 firms. We are seeking candidates with top-tier legal training and exposure to sophisticated, high-stakes legal matters who are interested in applying their expertise in a collaborative, technology-driven environment.


Scope of Work

  1. Conduct comprehensive legal analysis on a variety of US law topics, providing nuanced insights and guidance.
  2. Perform in-depth legal research to support project objectives and ensure current, accurate information is utilized.
  3. Draft, review, and edit legal content, including memoranda, opinions, contracts, and other relevant documents.
  4. Assess and provide structured feedback on legal texts for clarity, accuracy, and alignment with best practices.
  5. Participate in remote, multidisciplinary collaboration to refine project deliverables and address complex legal scenarios.
  6. Contribute to content quality assurance by spotting errors, inconsistencies, or ambiguities in legal materials.
  7. Apply meticulous attention to detail to maintain exceptionally high standards in all submissions.


Preferred Qualifications

  1. Active license to practice law with strong academic credentials.
  2. Current or prior experience at a top-tier US law firm, with exposure to varied practice areas.
  3. Proven abilities in legal analysis, research, and drafting across a range of legal subjects.
  4. Exceptional written and verbal communication skills, with demonstrated experience in legal content review.
  5. Track record of successful remote collaboration and participation in multidisciplinary projects.
  6. Experience with quality assurance and rubric-based evaluation of legal documents is a plus.
  7. Demonstrated commitment to precision, accuracy, and upholding legal best practices in all work.

Apply