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Remote Utilization Review Manager Jobs in Baldwin County, AL

$309K - $413K/yr

Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite ... Management will be conducting interviews with those candidates who are the most qualified, with ...

New

$309K - $413K/yr

Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite ... Management will be conducting interviews with those candidates who are the most qualified, with ...

New

Credit Review Team Leader Sr

Hoover, AL ยท On-site +1

$125K - $255K/yr

The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Credit Review Team Leader Sr

Hoover, AL ยท On-site +1

$125K - $255K/yr

The Credit Review Team Leader Sr. has a proven track record in a Credit Review management role or ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ... Our program offers a customized model of remote care services that blends Chronic Care Management ...

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

Run quarterly business reviews with practice leadership using their own metrics: answer rates, hold ... Channel structured client feedback to product Location Remote (US) with approximately 25% travel to ...

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Showing results 1-20

Remote Utilization Review Manager information

See Baldwin County, AL salary details

$30.9K

$72.1K

$132.7K

How much do remote utilization review manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for remote utilization review manager in Baldwin County, AL is $72,105.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,100.00 and $86,800.00 per year, depending on experience, location, and employer.

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 popular job titles related to Remote Utilization Review Manager jobs in Baldwin County, AL?

For Remote Utilization Review Manager jobs in Baldwin County, AL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Baldwin County, AL look for?

The top searched job categories for Remote Utilization Review Manager jobs in Baldwin County, AL are:

What cities near Baldwin County, AL are hiring for Remote Utilization Review Manager jobs?

Cities near Baldwin County, AL with the most Remote Utilization Review Manager job openings:

Owner's Engineering Project Manager

Enertis Applus+

Haleyville, AL โ€ข On-site, Remote

Full-time

Posted 10 days ago


Job description

The OE Project Manager is responsible for managing utility-scale solar, BESS, wind, and associated substation or transmission Owner's Engineering assignments from development and design through construction, commissioning, and closeout. The role serves as the primary client contact and coordinates internal engineering disciplines, field personnel, contractors, consultants, and project stakeholders.
The ideal candidate combines strong project-management discipline with practical renewable-energy construction and engineering experience. The candidate must be capable of identifying technical and commercial risks, maintaining clear written records, managing multiple concurrent projects, and communicating effectively with both technical and executive audiences.
Preferred Experience
  • At least 1 to 3 years managing utility-scale solar, BESS, wind, substation, or transmission projects.

  • Experience supporting projects through several of the following phases:

  • Development and due diligence

  • Design review

  • Procurement and RFP support

  • Construction oversight

  • Commissioning and performance testing

  • Substantial completion and project closeout

  • Experience managing multidisciplinary engineering reviews, including civil, structural, electrical, mechanical, SCADA, controls, substation, and interconnection.

  • Familiarity with EPC contracts, technical specifications, project schedules, payment applications, change orders, RFIs, submittals, NCRs, punch lists, and turnover documentation.

  • Experience coordinating site representatives, construction managers, inspectors, and testing personnel.

  • Prior consulting or client-facing experience strongly preferred.

Core Responsibilities
  • Serve as the primary point of contact for assigned OE clients.

  • Develop and maintain project execution plans, deliverable registers, responsibility matrices, schedules, budgets, and action logs.

  • Coordinate internal engineering reviews and consolidate discipline comments into clear, client-ready deliverables.

  • Review project drawings, specifications, studies, calculations, equipment documentation, schedules, and contractor submittals.

  • Track technical risks, open items, design changes, construction issues, commissioning constraints, and contractual milestones.

  • Lead kickoff meetings, weekly project meetings, design-review calls, construction meetings, and monthly management reviews.

  • Manage full-time and periodic site personnel, including work priorities, reporting expectations, escalation paths, and deliverable quality.

  • Review field reports, photographs, punch lists, NCRs, test results, and commissioning records.

  • Support evaluation of payment applications, schedule updates, change orders, claims, and milestone completion.

  • Prepare concise written recommendations that clearly identify the issue, risk, required corrective action, responsible party, and due date.

  • Maintain project records sufficient to support financing, tax equity, lender, owner, and contractual reliance requirements.

  • Monitor project financial performance, staffing, utilization, scope compliance, and forecast-to-complete.

  • Identify out-of-scope requests and support preparation of amendments or additional-services proposals.

  • Escalate material safety, quality, schedule, cost, and technical risks promptly.

  • Support proposal development, staffing plans, fee estimates, client presentations, and business-development activities.

Education and Credentials
  • Bachelor's degree in engineering, construction management, or a related technical field preferred.

  • Electrical, civil, mechanical, or structural engineering background is beneficial.

  • OSHA 30 or equivalent construction-safety training preferred.

  • Valid driver's license and ability to travel to project sites required.

Travel Expectations
  • Approximately 20% travel, depending on project assignments.

  • Travel may include construction sites, manufacturing facilities, client offices, and commissioning activities.

  • Candidate must be comfortable working around active construction and energized facilities while following site safety requirements.

Departamento Engineering & Construction Role Project Manager Locations USA Remote status Fully Remote Employment type Full-time