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Remote Utilization Review Manager Jobs in Corydon, IN

Oversee utilization management, including prior authorization criteria, medical necessity determinations, concurrent review, and appeals, ensuring evidence based and compliant decision making. * Lead ...

Tax Professionals, all levels

Louisville, KY ยท Remote

$50K - $100K/yr

Proficiency in tax preparation, planning, or review across Staff, Senior, or Manager levels. * Communication: Ability to explain technical tax concepts clearly to clients and team members. * Remote ...

Be Seen First

... manage matters from filing through resolution, including reviewing and approving pleadings and ... Fully remote within Kentucky * Firm-paid bar dues, CLE, and additional state bar admissions Equal ...

Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...

Remote flexibility without sacrificing collaboration or career growth * Longevity matters here: Our ... You will be preparing and reviewing tax returns and accounting prepared by our tax accountants for ...

Quality Assurance Manager

Louisville, KY ยท Remote

$100K - $127K/yr

... reviews, and internal audit schedules across multiple sites. This role will be the Management ... While this role is remote, travel to locations will be required (50% travel). At Wieland, we ...

... reviews, and internal audit schedules across multiple sites. This role will be the Management ... While this role is remote, travel to locations will be required (50% travel). At Wieland, we ...

... reviews, and internal audit schedules across multiple sites. This role will be the Management ... While this role is remote, travel to locations will be required (50% travel). At Wieland, we ...

Showing results 21-40

Remote Utilization Review Manager information

See Corydon, IN salary details

$34.8K

$81.2K

$149.4K

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

As of Sep 5, 2026, the average yearly pay for remote utilization review manager in Corydon, IN is $81,184.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $97,700.00 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 Corydon, IN?

For Remote Utilization Review Manager jobs in Corydon, IN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Corydon, IN look for?

The top searched job categories for Remote Utilization Review Manager jobs in Corydon, IN are:

What cities near Corydon, IN are hiring for Remote Utilization Review Manager jobs?

Cities near Corydon, IN with the most Remote Utilization Review Manager job openings:

Program Manager

Akahi Associates/Kako'o Services, LLC

Fort Knox, KY โ€ข On-site, Remote

Full-time

Re-posted 16 days ago


Job description

Overview

Location:ย Remote for the U.S. Army Recruiting Command (USAREC) Behavioral Health Consultant Support Services

The Program Manager (PM) is responsible for the overall management, coordination, and successful execution of Behavioral Health Consultant Support Services for the U.S. Army Recruiting Command (USAREC). This role oversees contract performance, staffing, and service delivery for remote clinical personnel providing medical waiver review services.

The Program Manager serves as the primary point of contact between the contractor and the Government, ensuring all contract requirements, performance standards, and deliverables are met. This position requires strong leadership, operational oversight, and the ability to manage geographically dispersed teams in a federal contracting environment.

Schedule: The position operates on a standard Monday-Friday schedule (8:00 AM - 4:30 PM EST) and is performed remotely.

*Position is contingent upon contract award.

Responsibilities
  • Serve as the primary liaison between the contractor and the Government, including the Contracting Officer (KO) and Contracting Officer's Representative (COR)
  • Provide overall leadership and management of contract operations, ensuring compliance with all Performance Work Statement (PWS) requirements
  • Oversee recruitment, onboarding, staffing, and retention of qualified personnel (e.g., Clinical Psychologists)
  • Ensure continuous coverage and uninterrupted performance of services across all assigned personnel
  • Monitor staff productivity, quality, and adherence to required performance metrics
  • Manage and coordinate schedules for remote personnel across multiple locations
  • Ensure all deliverables are submitted accurately and on time, including:
    • Monthly Status Reports (MSR)
    • Man-hour reports
    • Quality Control documentation
  • Develop, implement, and maintain a Quality Control Plan (QCP) to ensure contract compliance and service excellence
  • Identify performance issues and implement corrective actions to prevent recurrence
  • Ensure all personnel meet credentialing, training, and security requirements
  • Communicate staffing changes, absences, and coverage plans to the COR in a timely manner
  • Conduct or participate in regular meetings, including post-award conferences and periodic performance reviews
  • Ensure compliance with all applicable federal, DoD, and Army regulations, policies, and security requirements
  • Maintain documentation and records related to contract performance and personnel actions
  • Coordinate and manage transition (phase-in/phase-out) activities as required
QualificationsEducation
  • Bachelor's degree from an accredited college or university (required)
Experience
  • Minimum of three (3) years of relevant experience managing programs of similar size, scope, and complexity
  • Minimum of two (2) years of experience as a contract/program manager
  • Demonstrated experience managing healthcare or behavioral health-related services preferred
  • Experience supporting federal or Department of Defense (DoD) contracts highly preferred
  • Familiarity with U.S. Army Recruiting Command (USAREC) operations is a strong advantage
Skills & Competencies
  • Strong leadership and personnel management skills across geographically dispersed teams
  • Excellent written and verbal communication skills
  • Ability to effectively interface with Government stakeholders and respond to inquiries promptly
  • Strong organizational and problem-solving abilities
  • Ability to manage multiple priorities and meet strict deadlines in a fast-paced environment
  • Knowledge of contract compliance, quality control processes, and performance metrics
Technical Skills
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Teams, SharePoint)
  • Ability to manage reporting, scheduling, and workforce tracking systems
Additional Requirements
  • U.S. Citizenship required
  • Ability to pass background investigation and maintain favorable suitability determination
  • Understanding of military structure and operations preferred
  • Ability to be available during standard operating hours and respond to urgent issues as needed
  • Capability to manage personnel coverage and report absences within required timelines

AKAHI ASSOCIATES LLC

AKAHI Associates is a premier provider of healthcare workers to various military treatment facilities across the United States. With a corporate office in Honolulu, Hawaii and recruiting office in San Antonio, Texas we specialize in providing skilled, trained and highly successful healthcare workers, including RNs, CRNAs, Physicians, LPN/LVN, Licensed Social Workers, and many more.

We have a strong focus on providing our government customers with quality and superior service.

Akahi Associates is an equal opportunity employer and Minorities, Females, Veterans, and Disabled persons are encouraged to apply. For further information, please click the link below to view the EEO Is The Law poster.

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Only qualified individuals who are being considered will be contacted for an interview.

Akahi Associates is an equal opportunity employer. For further information, please click the link below to view theย "Know Your Rights: Workplace Discrimination is Illegal"ย poster.

Know Your Rights: Workplace Discrimination is Illegal

Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, protected veteran status, or other characteristics protected by law.

Only qualified individuals who are being considered will be contacted for an interview.

Employment Type: FULL_TIME