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Remote Utilization Review Manager Jobs in Cochran, GA

micro1 AI

Investment Management Counsel - Remote

Macon, GA · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

DataAnnotation

FP&A Manager - AI Trainer

Macon, GA · Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

GovStrive LLC

HR Specialist - Classification

Dublin, GA · Remote

Remote We are looking for passionate, experienced Federal HR Classification Specialists who thrive ... As part of GovStrive's Managed Services support, the Classification Specialist will provide expert ...

micro1 AI

Lawyer (Asset Management)

Macon, GA · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

Amteck, LLC

Low Voltage Electrical Estimator

Macon, GA · On-site +1

This position is eligible to be fully remote and will report to the Preconstruction Manager ... Review successful bid/proposals with the project management team * Assist in change order pricing ...

GovStrive LLC

HR Specialist - Staffing

Dublin, GA · Remote

Remote We are looking for passionate, experienced Staffing Specialists who thrive in a fast-paced ... Knowledge of reviewing college transcripts to determine Office of Personnel Management (OPM) basic ...

DataAnnotation

Financial Planner - AI Trainer

Macon, GA · Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

DataAnnotation

Treasury Analyst - AI Trainer

Macon, GA · Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

DataAnnotation

M&A Associate - AI Trainer

Macon, GA · Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Cochran, GA

Remote Utilization Review Manager information

See Cochran, GA salary details

$31.8K

$74.3K

$136.7K

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

As of Jul 31, 2026, the average yearly pay for remote utilization review manager in Cochran, GA is $74,265.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,600.00 and $89,400.00 per year, depending on experience, location, and employer.

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, and why are they important?

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 popular job titles related to Remote Utilization Review Manager jobs in Cochran, GA? For Remote Utilization Review Manager jobs in Cochran, GA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Manager jobs in Cochran, GA look for? The top searched job categories for Remote Utilization Review Manager jobs in Cochran, GA are:
What cities near Cochran, GA are hiring for Remote Utilization Review Manager jobs? Cities near Cochran, GA with the most Remote Utilization Review Manager job openings:
Remote Utilization Review Manager jobs near you

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

3:15

Macon, GA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

We believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!


Responsibilities:
  • Welcome patients into continuous care program(s) and review benefits and services included
  • Educate patients on the frequency and use of their assigned in-home monitoring devices
  • Create a personalized, comprehensive care plan with the patient via phone or video visits
  • Identify and address any barriers to patient success
  • Provide specific education and coaching on patients' chronic conditions
  • Connect with the patient frequently to review readings and a monthly update of their plan of care
  • Serve as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)
  • Anticipate patients' needs and bridge any gaps in care
  • Assist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).
  • Review and evaluate in-home device readings in real time, during normal business hours
  • Follow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical record
  • Escalate concerning readings and/or symptoms to the provider following a communication protocol established by the provider
  • Establish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's health
  • Collaborate with virtual team members and in-office staff to ensure patient's needs are being met

Requirements

  • Active and Unrestricted Georgia RN License (Compact License preferred)
  • At least three (3) years of experience in adult health preferred
  • Background in adult chronic health conditions (Medical Surgical, Outpatient/Clinic, Care Management) preferred
  • Variety of Electronic Medical Record (EMR) experience
  • Proficient knowledge, skill, and interest in basic computer skills
  • Proficient in problem solving and ability to multi-task
  • Excellent communication skills (oral and written)
  • Excellent teamwork skills
  • Clean background check and drug screening
  • Comfortable working remotely but collaboratively


Please note our interview process: application reviewed, one way video interview, workplace personality assessment, interview through Microsoft Teams, offer extended if applicable

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Training & Development
  • Work From Home
  • Full Time, Salaried 55-65k