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Remote Utilization Review Manager Jobs in Boca Raton, FL

NationsBenefits, LLC

Account Manager

Plantation, FL · On-site +1

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits

Account Manager

Plantation, FL · On-site +1

Open to remote & onsite in Plantation, FL Primary Responsibilities: 1. Client Account Management ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits, LLC

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

Open to remote & onsite/hybrid in Plantation, FL Primary Responsibilities: 1. Client Account ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

NationsBenefits

Associate Account Manager

Plantation, FL · On-site +1

$122K - $127K/yr

Open to remote & onsite/hybrid in Plantation, FL Primary Responsibilities: 1. Client Account ... utilization. * Prepare and present Monthly Reports, Quarterly Business Reviews (QBRs), and ad hoc ...

Advanced Rx Management

Remote Specialist

Sunrise, FL · Remote

$17.25 - $23/hr

This role focuses on managing collection-related communications, coordinating documentation, and ... Review and track outstanding requests, maintaining accurate records and clear communication with ...

Advanced Rx Management

Remote Specialist

Sunrise, FL · On-site +1

$17.25 - $23/hr

This role focuses on managing collection-related communications, coordinating documentation, and ... Review and track outstanding requests, maintaining accurate records and clear communication with ...

Solid Rock Recruiting LLC

Tax Manager

Fort Lauderdale, FL · On-site +1

$125K - $200K/yr

Tax Manager - Public Accounting | Hybrid or Remote Overview: A top-tier public accounting firm is ... Lead client engagements, including planning, budgeting, and supervising tax preparation and review ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Boca Raton, FL

Remote Utilization Review Manager information

See Boca Raton, FL salary details

$37K

$86.4K

$159K

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

As of Sep 10, 2026, the average yearly pay for remote utilization review manager in Boca Raton, FL is $86,367.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,500.00 and $103,900.00 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 Boca Raton, FL?

The most popular types of Remote Utilization Review jobs in Boca Raton, FL are:

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For Remote Utilization Review Manager jobs in Boca Raton, FL, the most frequently searched job titles are:

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The top searched job categories for Remote Utilization Review Manager jobs in Boca Raton, FL are:

What cities near Boca Raton, FL are hiring for Remote Utilization Review Manager jobs?

Cities near Boca Raton, FL with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Remote Tax Manager - (PRO1055452)

Fort Lauderdale, FL • On-site, Remote

RES Consultant Group
See more jobs at RES Consultant Groupexternal

$106K - $139K/yr

Full-time

Medical, Dental, Vision, Retirement

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

Job description

Company Description
Remote Tax Manager needed at a modern accounting firm to deliver advisory and tax services with a concierge-level service. Fully paperless, best-of-breed technology, no time tracking.
Job Description
Job Overview:
Remote Tax Manager will lead tax engagements and serve as a trusted advisor, building strong relationships with clients. Work with a range of clients, including rapidly growing businesses, successful entrepreneurs, and family offices, communicating regularly to ensure they are taken care of and positioned for financial success.
Responsibilities:
  • Delivering high-quality tax compliance and consulting services to a growing client base
  • Managing the preparation and delivery of quarterly tax projections and ad hoc client requests
  • Facilitating and managing the preparation and review of federal and state tax returns and the accurate, timely submission of all tax filings
  • Finding and implementing opportunities for process improvement in tax procedures
  • Delighting our customers with expert guidance and support
  • Available to work between the normal business day (ex. 9am to 5pm) to be responsive to client requests.

Qualifications
  • Bachelor's degree or higher in Accounting or Tax
  • CPA or CPA candidate (REQUIRED)
  • 6+ years (minimum) working in public accounting (REQUIRED)
  • Experience working in a client-facing role, communicating with business leaders via email, phone, and video calls
  • Tech-forward; ability to learn new software and comfortable using technology in general
  • Independent worker
  • Ability to coach and train associates

Nice to haves:
  • Experience using CCH Axcess
  • Experience using SafeSend Suite
  • Prior experience working with small to medium-sized businesses, entrepreneurs, startups, family offices, and individual owners

Additional Information
What's in it for you?
  • Work remotely, no commute
  • Competitive salary and incentive bonus package
  • 401(k) with employer match
  • Medical covered approx. 90% by firm
  • Vision, Dental at employee cost
  • FSA/HSA + Dependent care FSA
  • Ongoing training including technical tax, finance, accounting, software, and soft skills
  • Opportunity to be a key part of building a modern accounting company

If you feel you have the necessary qualifications, please forward a current copy of your resume and state your salary requirements.

Apply