Arlington, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Arlington, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Richmond, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Richmond, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Richmond, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Richmond, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Arlington, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Arlington, VA · On-site +1
The Opportunity As a Remote Sales Manager, you'll lead a team of dedicated professionals while ... Oversee customer accounts, verify coverage eligibility, and review healthcare options. * Process ...
Sentara Health is looking to hire a Behavior Health Utilization Management Care Coordinator ... This position requires both in-person/face-to-face assessments and remote telephonic assessments ...
Sentara Health is looking to hire a Behavior Health Utilization Management Care Coordinator ... This position requires both in-person/face-to-face assessments and remote telephonic assessments ...
Richmond, VA · On-site +1
Lead the annual benefits renewal process, including plan design evaluation, utilization review ... Inform, advise, and counsel management on trends and current developments in the field of employee ...
Richmond, VA · On-site +1
Lead the annual benefits renewal process, including plan design evaluation, utilization review ... Inform, advise, and counsel management on trends and current developments in the field of employee ...
Richmond, VA · On-site +1
Lead the annual benefits renewal process, including plan design evaluation, utilization review ... Inform, advise, and counsel management on trends and current developments in the field of employee ...
Richmond, VA · On-site +1
Lead the annual benefits renewal process, including plan design evaluation, utilization review ... Inform, advise, and counsel management on trends and current developments in the field of employee ...
Fairfax, VA · On-site +1
$80 - $110/hr
Carry and manage a client caseload , serving as the clinical standard-bearer for the organization ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...
Fairfax, VA · On-site +1
$80 - $110/hr
Carry and manage a client caseload , serving as the clinical standard-bearer for the organization ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...
... utilization review, or managed care experience; or any combination of education and experience ... Remote position; candidates must reside within 50 miles or 1-hour (each way) commute to, a relevant ...
... utilization review, or managed care experience; or any combination of education and experience ... Remote position; candidates must reside within 50 miles or 1-hour (each way) commute to, a relevant ...
Fairfax, VA · On-site +1
$90K - $110K/yr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time
Fairfax, VA · On-site +1
$90K - $110K/yr
Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time
Chantilly, VA · On-site +1
$27 - $40/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Chantilly, VA · On-site +1
$27 - $40/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
TechOp Solutions International is experienced Remote Content Research Manager to support a high ... Review customer escalations and coordinate research efforts to resolve complex inquiries Evaluate ...
TechOp Solutions International is experienced Remote Content Research Manager to support a high ... Review customer escalations and coordinate research efforts to resolve complex inquiries Evaluate ...
Fairfax, VA · On-site +1
$27 - $40/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
Fairfax, VA · On-site +1
$27 - $40/hr
Remote Start Date: Negotiable EXPERIENCE & QUALIFICATIONS: Familiarity with document review ... Unlike other eDiscovery vendors, Contact fosters a culture where every project manager, programmer ...
TechOp Solutions International is experienced Remote Content Research Manager to support a high ... Review customer escalations and coordinate research efforts to resolve complex inquiries • ...
TechOp Solutions International is experienced Remote Content Research Manager to support a high ... Review customer escalations and coordinate research efforts to resolve complex inquiries • ...
Mclean, VA · On-site +1
$98K - $163K/yr
Management Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
Mclean, VA · On-site +1
$98K - $163K/yr
Management Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust ... Reviewers may support onsite or remote reviews, participate in quality assurance activities, and ...
Richmond, VA · Remote
$30/hr
The Inside Sales Representative (ISR) will manage an assigned territory and engage healthcare ... utilization of Thyrogen (thyrotropin alfa for injection) . The ISR will build and maintain ...
Richmond, VA · Remote
$30/hr
The Inside Sales Representative (ISR) will manage an assigned territory and engage healthcare ... utilization of Thyrogen (thyrotropin alfa for injection) . The ISR will build and maintain ...
... utilization of Slingshot & Databolt by customers, partners and internal stakeholders. This ... Review documentation for consistency across processes through application of standards and style ...
... utilization of Slingshot & Databolt by customers, partners and internal stakeholders. This ... Review documentation for consistency across processes through application of standards and style ...
... utilization of Slingshot & Databolt by customers, partners and internal stakeholders. This ... Review documentation for consistency across processes through application of standards and style ...
... utilization of Slingshot & Databolt by customers, partners and internal stakeholders. This ... Review documentation for consistency across processes through application of standards and style ...
Norfolk, VA · On-site +1
$23 - $26/hr
Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
Norfolk, VA · On-site +1
$23 - $26/hr
Under general supervision, reviews chemotherapy regimens in accordance to reimbursement guidelines ... Provides prompt feedback to physicians and management regarding pathway documentation issues, and ...
Stafford, VA · Remote
$128K - $166K/yr
Remote in any United States jurisdiction not excluded from this job advertisement Lead a mission ... Leads PI Planning, Sprint Reviews, and executive-level milestone briefings in alignment with ...
Stafford, VA · Remote
$128K - $166K/yr
Remote in any United States jurisdiction not excluded from this job advertisement Lead a mission ... Leads PI Planning, Sprint Reviews, and executive-level milestone briefings in alignment with ...
| 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.
Full-time
Medical
Re-posted 21 days ago
