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Remote Utilization Review Manager Jobs in Georgetown, KY

Pharmacovigilance Expert

Lexington, KY ยท Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

... remote, responsible for a territory in and around Nashville, covering Kentucky and Central ... Conduct annual customer business reviews of top accounts and assist in managing escalated accounts ...

Mechanical Engineer

Lexington, KY ยท On-site +1

$30 - $96.15/hr

This is a fully remote opportunity for an engineer who wants to lead projects from concept through ... managers and multidisciplinary teams to ensure successful project execution * Review equipment ...

Coordinate power to sites and manage easements, title reviews, and survey evaluations * Review and ... This role will begin as a remote (work-from-home) position and will transition to a full-time, in ...

Coordinate power to sites and manage easements, title reviews, and survey evaluations * Review and ... This role will begin as a remote (work-from-home) position and will transition to a full-time, in ...

This role works closely with internal engineering teams, remote IT resources, external consultants ... Conduct code reviews and mentor team members to promote technical excellence. * Identify and manage ...

Medical Billing Specialist

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 ...

Showing results 41-60

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 20, 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:

Customer Service - Booking Hotels | We Will Train You

Destination Careers

Lexington, KY โ€ข On-site, Remote

$40K - $70K/yr

Full-time

Re-posted 15 days ago


Job description

Job Title: Customer Service - Booking Hotels
Job Type: Flexible Schedule | Remote Work
We are a trusted travel planning company specializing in personalized vacations, hotel accommodations, cruises, and group travel. We're committed to delivering excellent customer service and helping travelers create unforgettable experiences around the world.
Position Overview:
We are looking for friendly, detail-oriented individuals to join our team as Customer Service Representatives focused on hotel bookings. In this remote role, you will assist clients with researching, planning, and securing hotel accommodations that fit their preferences and needs. This position is ideal for those who enjoy helping people, love travel, and thrive in a virtual work environment.
Comprehensive training and ongoing support are provided to help you succeed.
Key Responsibilities:
  • Assist clients in selecting and booking hotel accommodations
  • Provide accurate information on hotel amenities, pricing, and availability
  • Respond promptly and professionally to client inquiries via phone, email, or online chat
  • Maintain detailed and accurate records of client interactions and bookings
  • Collaborate with team members to ensure seamless client experiences
  • Stay updated on hotel offerings, travel trends, and industry changes
  • Attend virtual training sessions and team meetings

Requirements:
  • Strong communication and customer service skills
  • Friendly, professional demeanor and positive attitude
  • Comfortable working independently and managing time effectively
  • Basic computer skills and a reliable internet connection
  • Interest in travel and helping clients plan memorable stays
  • Previous experience in customer service, hospitality, or sales is a plus but not required

What We Offer:
  • Flexible, remote work environment
  • Full training and access to industry resources and tools
  • Supportive team culture and mentorship
  • Income-earning possibilities based on performance
  • Exclusive travel discounts and perks through industry partners
  • Personal and professional development opportunities

$40,000 - $70,000 a year
Excited to help clients book amazing hotel stays?
Apply today and become part of the team!
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.