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Remote Utilization Review Manager Jobs in Moline, IL

Conflux Systems

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Family Nurse Practitioner Virtual Care - REMOTE

Illinois City, IL · Remote

$58 - $59/hr

Here are the job details for your review: Job Title: Family Nurse Practitioner Virtual Care - MC ... treatment, management of health problems, health counseling, and disposition planning for our ...

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Cedent

Python Developer (Moline, IL; Remote)

Moline, IL · On-site +1

$40 - $60/hr

Local candidates are preferred to work onsite in Moline, IL, but the manager is willing to consider ... We are committed to ensuring equal pay for equal work and regularly review our compensation ...

DataAnnotation

FP&A Manager - AI Trainer

Davenport, IA · Remote

$50 - $60/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... In this role, you might: • Review and improve AI Assistant answers to questions about macro ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Moline, IL

Remote Utilization Review Manager information

See Moline, IL salary details

$35.2K

$82.2K

$151.3K

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

As of Jul 26, 2026, the average yearly pay for remote utilization review manager in Moline, IL is $82,214.00, 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 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 Moline, IL? For Remote Utilization Review Manager jobs in Moline, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Manager jobs in Moline, IL look for? The top searched job categories for Remote Utilization Review Manager jobs in Moline, IL are:
What cities near Moline, IL are hiring for Remote Utilization Review Manager jobs? Cities near Moline, IL with the most Remote Utilization Review Manager job openings:
Remote Utilization Review Manager jobs near you

Remote Support Representative

Viajemos Solas pero en Grupo

Davenport, IA • Remote

$16.25 - $20.75/hr

Part-time

Posted 20 days ago

Job description

We are seeking a professional and customer-focused Remote Support Representative to assist customers with reservations, scheduling, service coordination, and ongoing support. This role involves helping customers navigate available options, coordinating arrangements, maintaining accurate records, and ensuring a positive customer experience from initial inquiry through completion of services.

The ideal candidate is organized, detail-oriented, and enjoys helping customers while managing multiple tasks in a fast-paced remote environment.

Responsibilities
  • Respond to customer inquiries via phone, email, chat, and online platforms
  • Assist customers with reservations, scheduling, and service-related requests
  • Research available options based on customer preferences and needs
  • Coordinate accommodations, transportation, activities, and related arrangements
  • Manage confirmations, updates, and schedule changes
  • Review reservation details and customer information for accuracy
  • Maintain organized customer records and documentation
  • Communicate important updates and information to customers
  • Work with suppliers and service providers to coordinate customer arrangements
  • Assist with modifications, cancellations, and special requests
  • Resolve customer concerns professionally and efficiently
  • Follow up with customers to ensure a smooth and positive experience
  • Maintain high standards of customer service and professionalism
Qualifications
  • Excellent verbal and written communication skills
  • Strong customer service and interpersonal skills
  • Exceptional attention to detail and organizational abilities
  • Ability to multitask and manage priorities effectively
  • Strong problem-solving and critical-thinking skills
  • Comfortable using email, online platforms, and web-based applications
  • Ability to work in a team-oriented environment
  • Previous experience in customer service, hospitality, scheduling, reservations, administrative support, or related fields preferred
  • High school diploma or equivalent preferred
Benefits
  • Remote work environment
  • Comprehensive onboarding and training program
  • Ongoing professional development opportunities
  • Access to company-supported tools and resources
  • Collaborative team environment
  • Employee recognition programs
  • Continuing education and training opportunities
  • Access to industry-specific educational resources
  • Support from experienced team members
  • Opportunities to expand customer service, communication, and coordination skills
Preferred Skills
  • Customer service experience
  • Scheduling and coordination experience
  • Strong communication and follow-up skills
  • Ability to manage multiple customer requests simultaneously
  • Experience working with online systems and digital communication tools
  • Strong attention to detail and accuracy

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