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Remote Utilization Review Manager Jobs in Rutherfordton, NC

If remote, candidates should be located near a major metro area. This role is contributing to the ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

If remote, candidates should be located near a major metro area. This role is contributing to the ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

Group Account Manager

Glenwood, NC ยท Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

Group Account Manager

NC ยท Remote

$163K - $261K/yr

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... to review the plan of a particular ABB facility between the hours of 9:00 A.M. - 5:00 P.M. EST ...

Remote Based in the US, Preferably in Eastern and Central time zones Travel: As needed to support ... reviews, business leader working sessions, and implementation activities across the business ...

Remote Based in the US, Preferably in Eastern and Central time zones Travel: As needed to support ... reviews, business leader working sessions, and implementation activities across the business ...

Utility Sales Support

Glenwood, NC 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 ...

Utility Sales Support

NC 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 ...

Remote {#LI-Remote} This role is contributing to the Country Trade Compliance group in the United ... Support the CTCO with managing the Annual Trade Review Program for the review of the transactional ...

Remote based in US, preferably in ET and CT time zones Travel: As required to support strategic ... Conduct talent reviews, succession planning, and capability development for PMO team members.

Technical Consulting Manager II __ Your role and responsibilities: As a Protection & Control ... While this is a full remote position, there is preference for candidates located in the Northern ...

Technical Consulting Manager II __ Your role and responsibilities: As a Protection & Control ... While this is a full remote position, there is preference for candidates located in the Northern ...

This is a remote position. Candidates can be located anywhere in the US. This role is contributing ... Initiate risk reviews with leadership and serve as the primary contact for the risk manager when ...

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Remote Utilization Review Manager information

See Rutherfordton, NC salary details

$34.1K

$79.6K

$146.5K

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

As of Aug 24, 2026, the average yearly pay for remote utilization review manager in Rutherfordton, NC is $79,614.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,000.00 and $95,800.00 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 Rutherfordton, NC?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Rutherfordton, NC are:

What cities near Rutherfordton, NC are hiring for Remote Utilization Review Manager jobs?

Cities near Rutherfordton, NC with the most Remote Utilization Review Manager job openings:

Electronic Health Record (EHR) Analyst

Charles Lea Center

Spartanburg, SC โ€ข On-site, Remote

$45K - $50K/yr

Full-time

Posted 5 days ago


Job description

Electronic Health Record (EHR) Analyst
Charles Lea Center | Program Administration


Drive Data, Compliance, and Quality Outcomes


The Charles Lea Center is seeking a detail-oriented Electronic Health Record (EHR) Analyst to support and optimize the Therap Electronic Health Record (EHR) system across South Carolina, North Carolina, and Tennessee. This position serves as the primary resource for Therap training, support, reporting, and data analysis, helping ensure documentation quality, regulatory compliance, and effective system utilization. Working closely with organizational leadership, the EHR Analyst trains staff, provides technical support, generates reports, and helps maximize the value of EHR data to support quality services and organizational success.


Salary Range

$45,000 - $50,000


Position Summary


Charles Lea Center is seeking a motivated and detail-orientedElectronic Health Record (EHR) Analyst to support the organization's ongoing efforts to effectively store, utilize, and analyze service documentation within the Therap Electronic Health Record (EHR) system across South Carolina, North Carolina, and Tennessee. The EHR Analyst serves as the organization's subject matter expert for Therap EHR, providing training, technical support, data analysis, reporting, and compliance oversight. This position works closely with the Chief Program Officer, Vice President of Business Intelligence, Program Leadership, and other departments to maximize system utilization, improve operational efficiency, ensure regulatory compliance, and support quality service delivery.


Key Responsibilities


Therap EHR Administration & Support

  • Serve as the primary trainer for all program staff using Therap EHR software.
  • Provide ongoing technical assistance and support to employees utilizing Therap.
  • Monitor organizational use of Therap modules to ensure optimal utilization.
  • Support staff competency through individualized training, workshops, webinars, and educational resources.
  • Troubleshoot internal issues and answer staff questions related to Therap functionality.
  • Schedule, coordinate, and confirm training opportunities across the organization.
  • Assist in maintaining and updating Therap-related policies and procedures.

Data Analysis & Reporting

  • Collaborate with the Vice President of Business Intelligence to collect, analyze, and interpret organizational data within Therap.
  • Utilize Therap AI analytics tools to conduct audits, identify trends, monitor compliance, and reduce organizational risk.
  • Generate reports, dashboards, and presentations to support programs operating in South Carolina, North Carolina, and Tennessee.
  • Provide data and reporting support through the BI Collaborative platform.
  • Present findings and communicate the value of Therap data to both internal and external stakeholders.
  • Generate dashboard metrics and reporting for the Quality and Compliance Department.
  • Provide reports and data analysis to Program Managers and Directors as needed.

Compliance & Quality Assurance

  • Work closely with the Service Billing Department to ensure documentation supports billing requirements and claims processing.
  • Perform regular audits to ensure documentation quality, accuracy, and regulatory compliance.
  • Meet with Program Directors and Managers to review findings and recommend improvements.
  • Collaborate with leadership to identify process improvements and enhance organizational training initiatives.
  • Maintain confidentiality and handle sensitive information professionally.

Cross-Functional Collaboration

  • Partner with departments throughout the organization to ensure efficient communication and information sharing.
  • Provide feedback and recommendations to the Chief Program Officer, Vice President of Business Intelligence, and Senior Leadership Team regarding system enhancements and staff development opportunities.
  • Support organizational initiatives and perform additional duties as assigned.


Education & Experience

Required:

  • Associate degree or equivalent combination of education and experience.
  • Minimum of five (5) years of experience working with the population served or in a related field.

Preferred:

  • Bachelor's degree.
  • Experience working with Therap EHR or similar electronic health record systems.

Technical Skills

  • Working knowledge of Therap EHR software.
  • Strong computer proficiency.
  • Experience with Microsoft Office Suite and Google Workspace applications.
  • Ability to analyze and interpret data and generate meaningful reports.


Supervisory Responsibility

No supervision responsibilities


Work Environment

This position operates primarily in a professional office environment with flexibility for remote work. Regular interaction with staff, leadership, and cross-functional teams is required.


Physical Requirements

Thisrole involves regular standing, walking, lifting (up to 15 lbs), and hands-on support. Reasonable accommodations are available.


Travel

Minimal travel to North Carolina and Tennessee may be required.


Ready to Apply?

If you're ready to make a difference and grow in a meaningful career, we'd love to meet you! Fill out our quick, mobile-friendly application today and take the first step toward joining a team that's changing lives.


Charles Lea Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to any status protected by applicable federal, state, or local law. Reasonable accommodations are available for qualified individuals with disabilities throughout the application process.