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Remote Utilization Review Manager Jobs in Morehead, KY

Hospitalist

Morehead, KY · On-site +1

$109.50 - $144.50/hr

This role is responsible for diagnosing, treating, and managing patient conditions while ... Actively participate in the maintenance of quality improvement initiatives, peer review processes ...

This role is responsible for diagnosing, treating, and managing patient conditions while ... Actively participate in the maintenance of quality improvement initiatives, peer review processes ...

Remote Utilization Review Manager information

See Morehead, KY salary details

$34.2K

$79.8K

$146.8K

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 Morehead, KY is $79,755.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,100.00 and $96,000.00 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 Morehead, KY?

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

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

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

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

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

Account Executive (Remote: Kentucky) Boyd, Rowan, and Montgomery Counties

Vitu, Inc.

Morehead, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Job description

Account Executive (Remote: Kentucky)
Boyd, Rowan, and Montgomery Counties
As the leading innovator in Vehicle-to-Government (V2Gov) technology, Vitu is transforming the way vehicles, businesses, government, and drivers interact with one another.
Vitu provides innovative, cutting-edge services to the motor vehicle industry. Our namesake solution manages titling and registration transactions in all 50 states and across multiple locations - all on one platform. With the mission of expanding and automating Vehicle-to-Government (V2Gov) transactions, the Vitu platform is reimagining how drivers, businesses and governments interact with vehicles. Vitu has opportunities in California, Colorado, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kentucky, Massachusetts, Maryland, Minnesota, Montana, North Carolina, New Jersey, New York, Ohio, Oregon, Pennsylvania, Texas, Virginia, and Wisconsin.
Job Summary
The Account Executive position is held by a dynamic, highly motivated, service-oriented individual providing training and "white glove" service focused on making clients' lives easier with the ultimate result of increased software utilization/revenue generation, client retention, and stellar Vitu reputation.
This territory includes Boyd, Rowan, and Montgomery Counties in Kentucky. The ideal candidate will reside in or near Ashland, Morehead, or Mount Sterling to effectively support clients across the assigned territory.
KeyResponsibilities
  • Train dealership personnel on the use of Vitu.
  • Meet with dealership management to review processes and procedures pertaining to their DMV paperwork.
  • Monitor dealer error rates, active user list, and RIA/Dealer licenses to ensure compliance with DMV's regulations.
  • Maintain a strong business relationship with key dealership personnel.
  • Provide Vitu/VITU support via phone, chat and email as needed.
  • Deliver exceptional customer service and support by being responsive and proactive to customer needs.
  • Client Advocate - Suggests improvements to the program on behalf of the client and addresses client issues and concerns.
  • Compliance - Ensure that the dealership is following DMV EVR & RIA procedures and regulations by conducting compliance audits.
  • DMV Support - The AE will be called on by clients to answer or find the answer to complex DMV issues.
  • Navigate a dealer's DMS to ensure that it is calculating DMV fees properly.
  • Conduct DMV fee training both in-person and via webinar.
  • Serve as the primary point of contact for assigned dealers, resolving issues and complaints swiftly and effectively, ensuring timely solutions and corrective/preventive actions.
  • Identify upsell and cross-selling opportunities, pitching them to existing clients, and communicating interests to Sales.

Minimum Qualifications and Experience
  • Experience with Reports of Sale and other related DMV documents for both new and used vehicles
  • Experience with DMV accounting and bundle reconciliation
  • EVR program knowledge (E-filing)
  • Knowledge of DMV regulations pertaining to registration processing
  • Experience with Chrome and Firefox configuration and settings
  • Able to use various PC programs including Microsoft Word, Excel, and Google Drive.
  • Ability to effectively communicate with high level executives, all levels of dealership management and team members.
  • Ability to work independently with limited supervision
  • Account management in a business to business environment is preferred.
  • Travel is required up to 150 miles

Compensation
The salary range for this position is: $55,000 - $60,000.
This role includes bonus eligibility and may also offer participation in an incentive compensation plan.
Final compensation for this position will be determined based upon the applicant's relevant experience, skillset, education, location, business needs, market demands, and other factors as permitted by law.
This role includes a company-provided vehicle as part of the total rewards package, in accordance with company policy. This role may involve the use of a vehicle (company owned or leased) within the scope of employment.
The final pay for this position will be determined by multiple factors including, but not limited to, location, education, experience, training and skills.
At Vitu, our engaged workforce is the key to our success. We are committed to creating a positive, inclusive, and motivating environment where employees feel valued, connected, and empowered. We have an employee first culture and foster a collaborative environment where innovation, creativity, diverse ideas and opinions are valued. We value each team member and ensure he/she has the opportunity to grow and contribute to the success of our organization.
At Vitu, we care for our employees and their families. We offer a comprehensive benefits package including -
  • Healthcare Coverage for you and your family covering Medical, Dental & Vision
  • Tax Advantage accounts such as Health Savings Account (HSA) & Flexible Spending Accounts (FSA)
  • Generous PTO
  • Pet Insurance
  • Retirement Planning
  • ID Theft Insurance
  • Life and Disability Insurance
  • Commuter Benefits
  • Short and Long Term Disability
  • Accident & Hospital, Critical Illness Insurance
  • Tuition Reimbursement

Vitu is an Equal Employment Opportunity Employer. We value diversity and are dedicated to providing an equal and inclusive working environment. We are committed to providing an environment that is free from discrimination and harassment. We do not discriminate on the basis of race, color, religion, age, sex, sexual orientation, gender identity, ethnicity, national origin or ancestry, disability, marital status, veteran status or any other category protected by applicable federal, state or local law. Vitu is committed to providing reasonable accommodations when requested by an applicant or employee with disabilities, unless such accommodations would cause undue hardship.