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Remote Utilization Review Manager Jobs in Walterboro, SC

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Senior Software Engineer - Frontend Web

North Charleston, SC · Remote

You'll work closely with product managers, designers, and backend engineers to deliver high-quality ... What We Offer · Competitive salary and equity package · Flexibility with remote work (subject to ...

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Senior Software Engineer - Frontend Web

North Charleston, SC · Remote

You'll work closely with product managers, designers, and backend engineers to deliver high-quality ... What We Offer · Competitive salary and equity package · Flexibility with remote work (subject to ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Walterboro, SC

Remote Utilization Review Manager information

See Walterboro, SC salary details

$33.1K

$77.3K

$142.3K

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

As of Sep 1, 2026, the average yearly pay for remote utilization review manager in Walterboro, SC is $77,343.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,600.00 and $93,100.00 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 Walterboro, SC?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Walterboro, SC are:

What cities near Walterboro, SC are hiring for Remote Utilization Review Manager jobs?

Cities near Walterboro, SC with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Investment Management Counsel - Remote

North Charleston, SC • Remote

micro1 AI
Software Development • 11 - 50 employees
Learn more about micro1 AIexternal

$90 - $150/hr

Part-time

Re-posted 15 days ago

Job description

Role Title: Funds Attorney


Role Type: Contractor


Location: Remote


We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI. This opportunity is for elite lawyers who want to help shape how advanced AI is trained, evaluated, and applied in real-world legal work, especially those who have deep experience with drafting, reviewing, negotiating, and redlining within the tech field.


In this role, you will review, assess, and contribute to contract redlining workflows used to train and evaluate state-of-the-art AI models. Your work will directly improve how these systems identify risk and interpret contract language to create tools with improved precision and legal judgment.


Key Responsibilities:

  1. Perform simulated contract negotiations and redlining exercises.
  2. Review and assess AI responses to contract scenarios, providing expert feedback to improve model performance and output precision.
  3. Create objective evaluation frameworks and grading criteria to assess AI performance on contract tasks with rigor and consistency.
  4. Collaborate with product and research teams to refine data, guidelines, and best practices for AI-driven contract review solutions.


Required Skills and Qualifications:

  1. J.D. from an ABA-accredited law school.
  2. Active bar admission in at least one U.S. jurisdiction.
  3. Minimum of 2 years in the funds department of a corporate law firm.
  4. Familiarity with standard M&A agreements, including LPA’s, subscription agreements, and side letters.
  5. Exceptional written and verbal communication skills with meticulous attention to detail.
  6. Strong analytical capabilities and ability to translate legal expertise into actionable feedback for AI systems.
  7. Demonstrated commitment to innovation at the intersection of law and technology.
  8. Experience working with cross-disciplinary teams in fast-paced environments.


Preferred Qualifications:

  1. Prior exposure to AI, legal tech, or training initiatives.


Why Join:

  1. This is an opportunity to work at the intersection of law and technology.
  2. You will help define how AI is developed for a new generation of legal practitioners.
  3. You will apply your experience in a high-impact research environment.

Apply