ZipRecruiter

Log In

2

Remote Utilization Review Manager Jobs in Baton Rouge, LA

FMOLHS

Manager Coding Physician Group

Baton Rouge, LA · Remote

Manage records review/audit requests from governmental, regulatory and other third-party commercial ... site and remote) and managing multiple priorities. * Associates degree (or 5 years Coding ...

Dutch

Virtual Care Veterinarian (Remote)

Baton Rouge, LA · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...

Dutch

Virtual Care Veterinarian (Remote)

Baton Rouge, LA · Remote

$50 - $80/hr

Review medical history, symptoms, and treatment concerns shared through Dutch's digital platform ... Comfort using telehealth tools and managing consults independently What to Expect This is a 1099 ...

ABB

Global Product Manager - Transformers

LA · Remote

If remote, candidates should be located near a major metro area. This role is contributing to the ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

ABB

Group Account Manager

LA · Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

Republic Finance

Project Manager

Baton Rouge, LA · On-site +1

For the right candidate, this position may be remote, provided the individual resides in a state ... Actively participate in PMO process improvement reviews and special assignments. * Assist Senior ...

micro1 AI

Medical Writing Manager

Baton Rouge, LA · Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Baton Rouge, LA

Remote Utilization Review Manager information

See Baton Rouge, LA salary details

$37.4K

$87.4K

$160.8K

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

As of Sep 11, 2026, the average yearly pay for remote utilization review manager in Baton Rouge, LA is $87,392.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $105,100.00 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 the most commonly searched types of Remote Utilization Review jobs in Baton Rouge, LA?

The most popular types of Remote Utilization Review jobs in Baton Rouge, LA are:

What are popular job titles related to Remote Utilization Review Manager jobs in Baton Rouge, LA?

For Remote Utilization Review Manager jobs in Baton Rouge, LA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Baton Rouge, LA look for?

The top searched job categories for Remote Utilization Review Manager jobs in Baton Rouge, LA are:

What cities near Baton Rouge, LA are hiring for Remote Utilization Review Manager jobs?

Cities near Baton Rouge, LA with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Remote Insurance Agency Sales Agent

Baton Rouge, LA • Remote

Shaun Lanza: Allstate Insurance
See more jobs at Shaun Lanza: Allstate Insuranceexternal

$80K - $120K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Job description

Benefits:
  • 401(k)
  • Bonus based on performance
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance


Property & Casualty Insurance Specialist: Work Remotely with a Leading Local Allstate Agency

About the Role: Do you have experience in Property and Casualty Insurance? Interested in working from the comfort of your own home? This position might be the right opportunity for you!
We're searching for energetic and dedicated individuals with a positive mindset to become part of some of the top-performing Local Allstate Agencies across the nation.
Experience and Credentials:
  • Required: Active Property and Casualty License.
  • Preferred:Experience in insurance agency sales.
  • 1+ years in the insurance industry.
What We Are Looking For:
  • Positive Outlook & Disposition.
  • Coachable and Eager to Learn.
  • Willingness to Learn New Programs and Processes.
  • Reliable.
  • Experience in insurance sales.
Responsibilities:
  • Maintain high activity levels, handling phone calls, texts, and emails.
  • Manage the new business onboarding process.
  • Schedule insurance reviews and financial appointments.
  • Identify new business opportunities via telephone, referrals, and various lead sources provided.
  • Identify cross-sell opportunities.
Work Schedule: Monday to Friday. A consistent 40-hour workweek. 

Benefits:
  • Competitive Compensation: Base pay plus bonuses, ranging from $80,000 to $120,000 annually.
  • Leadership and growth opportunities.
  • Comprehensive 401(K).
  • Paid sick days.
  • Medical, dental, and vision insurance.
  • Disability coverage.
  • Generous paid time off, weekends off, and paid holidays.
Work Location: Fully remote.
How to Apply: Click on 'Apply'. For direct inquiries, you can text (936) 279-2470. Please mention your name so that we can easily find your Application and resume.

This is a remote position.