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Remote Utilization Review Manager Jobs in Georgetown, KY

FP&A Manager - AI Trainer

Lexington, KY ยท 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 ...

Utility Sales Support

Lexington, KY ยท Remote

$17.75 - $23.25/hr

... management with local business units and other ABB groups. Additionally, the role will expand to ... While this is a remote position, candidates must be located in the United States. You will be ...

Medical Writing Manager

Lexington, KY ยท 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 ...

Remote Job Summary: You'll use your tax expertise to help train next-generation AI systems. The ... Review the AI's formal translation of a statute and score it pass/fail against your rubric ...

Accountant - Entry Level

Lexington, KY ยท Remote

$60K - $80K/yr

Manage accounting data flow from remote facilities * Assist with Sarbanes-Oxley (SOX) compliance and quarterly reviews * Support the annual budgeting process * Train non-financial staff on accounting ...

... to review and approval by senior personnel and the Project Manager * Manage tasks of larger ... Regional travel to field project sites and occasional remote field assignments may be required

Showing results 21-40

Remote Utilization Review Manager information

See Georgetown, KY salary details

$35.2K

$82.2K

$151.2K

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

As of Aug 19, 2026, the average yearly pay for remote utilization review manager in Georgetown, KY is $82,181.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,700.00 and $98,900.00 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 popular job titles related to Remote Utilization Review Manager jobs in Georgetown, KY?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Georgetown, KY are:

What cities near Georgetown, KY are hiring for Remote Utilization Review Manager jobs?

Cities near Georgetown, KY with the most Remote Utilization Review Manager job openings:

Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | Ke

Legion Health

Lexington, KY โ€ข Remote

$50K - $150K/yr

Part-time

Posted yesterday

New


Job description

[We show compassion to heal minds.]

 
🧠 About Legion Health

Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.

We are seeking exceptional Collaborating Psychiatrists (MD or DO) across the United States to collaborate with and supervise psychiatric mental health nurse practitioners through secure telehealth workflows.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional psychiatrists operate with clinical autonomy, supported by experienced peers.

Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.

 
🚀 About the Role

Legion Health is seeking clinically excellent, patient-centered psychiatrists to collaborate with and supervise PMHNPs through secure telehealth workflows. This nationwide, remote, part-time contractor opportunity combines predictable flexibility with meaningful clinical responsibility and the support of a modern clinical organization.

Legion recruits and vets the PMHNPs and manages the operational infrastructure, while you provide responsive clinical guidance, chart review, mentorship, and independent prescribing decisions when legally permitted and clinically appropriate.

 
💙 Benefits

Legion’s model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.

  • Flexibility: Set your own schedule for optimal work-life balance.

  • Work from Home: Collaborate with PMHNPs through secure telehealth and clinical systems.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

  • Legal Protection: We provide full malpractice insurance coverage.

  • PMHNP acquisition: Legion recruits and vets the PMHNPs you support.

  • Clinical autonomy: Exercise independent medical judgment within clear, evidence-based protocols.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

  • Community of Clinical Excellence: You will work alongside the most talented psychiatrists and PMHNPs in the world. Our current providers have trained at some of the country’s most prestigious institutions.

  • Monthly Pay: We pay our providers every month for immediate financial benefit and planning ease.

  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

 
✅ Responsibilities
  • Collaborate with experienced PMHNPs treating low- and medium-acuity psychiatry patients using evidence-based approaches.

  • Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication management, and clinical escalations.

  • Review and authorize prescriptions, including controlled substances when legally permitted and clinically appropriate.

  • Be available during agreed working hours and at the end of PMHNP shifts when required by applicable state rules.

  • Mentor clinicians and reinforce Legion's clinical standards, documentation expectations, and responsible-prescribing protocols.

  • Help Legion expand access to high-quality psychiatric care across the United States.

 
🧰 Qualifications
  • An active, unrestricted license to practice medicine in at least one U.S. jurisdiction.

  • Strong clinical assessment, diagnostic, and medication-management skills.

  • Excellent communication and interpersonal skills.

  • Comfort providing care remotely and using electronic health record systems.

  • Commitment to patient-centered, compassionate, evidence-based care.

 
📍 Role Logistics
  • Location: Fully remote within the United States.

  • Schedule: Part-time

  • Compensation: $50K-150K per year, depending on the number and workload of PMHNPs supervised

 
🤝 Clinical Advisory Board

Legion’s Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion’s medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.

Members of our clinical advisory board include:

  • Madhukar Trivedi, M.D. — Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern

  • Alexander Ruvalcaba, M.D. — Psychiatrist; Physician Executive at MultiCare Behavioral Health Network

  • Jon Kole, M.D. — Psychiatrist; Senior Medical Director at Headspace

  • Liberty Eberly, D.O. — Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry

  • John Lusins, M.D. — Psychiatrist; Founder and President at South Texas Mental Health Associates

  • Jacqueline Champlain, M.D. — Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

 
✨ Bring Your Best Clinical Work to Legion

If you are a thoughtful, evidence-based psychiatrist who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.

 
🤝 Equal Employment Opportunity

Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

Compensation Range: $50K - $150K