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Remote Utilization Review Manager Jobs in Oneida, NY

Lthc

Manager of Credentialing Operations

Utica, NY · Remote

$71K - $129K/yr

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

Lthc

Manager of Credentialing Operations

Utica, NY · Remote

$71K - $129K/yr

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

Lthc

Manager of Credentialing Operations

Utica, NY · Remote

$71K - $129K/yr

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

Addition Management

Senior Staff Accountant

Liverpool, NY · Remote

$85K - $100K/yr

Syracuse (Liverpool), NY (Remote) Salary: 75k - 85k Growing boutique CPA firm seeks Senior Staff ... manage Bookkeepers assigned. * Conduct weekly work status/production meetings to review work ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Oneida, NY

Remote Utilization Review Manager information

See Oneida, NY salary details

$39.5K

$92.1K

$169.5K

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 Oneida, NY is $92,116.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $110,800.00 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 Oneida, NY?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Oneida, NY are:

What cities near Oneida, NY are hiring for Remote Utilization Review Manager jobs?

Cities near Oneida, NY with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Health Information Management Technician 2 (NY HELPS), Secure Treatment and Rehabilitation Center...

New York State

Marcy, NY • On-site, Remote

$56K - $72K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

New York State rating

7.7

Company rating: 7.7 out of 10

Based on 187 frontline employees who took The Breakroom Quiz

24th of 50 rated states

Job description

Duties Description As a Health Information Management Technician 2, you will work under the direction of a Health Information Management Administrator to supervise Health Information Management Technicians 1 and clerical support staff engaged in health information management activities. Duties include: Ensuring the accuracy of clinical progress notes, laboratory reports, and treatment records. Reviewing facility staff medical and clinical services documentation for Medicaid funding.

Transcribing and coding medical, clinical, and mental health services. Maintaining databases for tracking health information disclosures. Providing technical assistance and support to facility and clinical staff on health information management requirements.

Conducting audits for utilization review activities and reporting deficiencies to the Utilization Review Committee. Implementing corrective actions as determined by internal and external audit findings. May supervise Health Information Management Technicians 1 and other support staff.

Minimum Qualifications Candidates from outside State Service can be considered for hire under the Hiring for Emergency Limited Placement - Statewide (HELPS) program if they have a current certification by the American Health Information Management Association as a Registered Health Information Administrator (RHIA) or current certification by the American Health Information Management Association as a Registered Health Information Technician and have one year of full-time professional (post-RHIT) health information management experience. OR Candidates can be considered for a competitive class appointment if they are reachable on the current Health Information Management Technician 2 eligible list. OR Candidates from within State Service can be considered for a competitive class appointment if they have one year of permanent competitive or 55-b/55-c service in a title eligible for transfer under Section 70.1 of the Civil Service Law

Additional Comments All OMH employees receive a generous benefits package including: NYS medical, dental, & vision insurance Access to tuition assistance programs Excellent opportunities for advancement & professional growth Paid time off - 13 paid vacation days in the first year, 5 paid personal days, 13 paid holidays, & paid sick leave NYS Retirement programs Background checks will be required. Notes: 1. If you fail to maintain your certification once you are appointed, action will be taken to remove you from the position.

2. In order to be eligible for appointment and to maintain employment, you cannot be listed as an excluded individual or entity on any of the Federal and/or State Medicaid and Medicare exclusion lists (or excluded from any other Federal or Federally assisted program). If you are appointed and subsequently listed as an excluded individual or entity on any of these lists (or excluded from any other Federal or Federally assisted program), you may be terminated from your employment.

3. If appointed you may be required to become an enrolled Medicare provider; obtain and provide to your employer a National Provider Identifier (NPI) number issued by the National Plan and Provider Enumeration System (NPPES); and otherwise actively participate to the degree necessary to allow for your services to be billed through Medicare and Medicaid. If you are appointed and you lose the ability to bill through Medicare and Medicaid, you may be terminated from your employment.

Some positions may require additional credentials or a background check to verify your identity.

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