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Remote Utilization Review Manager Jobs in Waukee, IA

REMOTE MDS Coordinator

Carlisle, IA ยท Remote

$33.25 - $42.50/hr

Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ... Review and verify MDS documentation and charting requirements to support the clinical services ...

REMOTE MDS Coordinator

Carlisle, IA ยท On-site +1

$33.25 - $42.50/hr

Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ... Review and verify MDS documentation and charting requirements to support the clinical services ...

REMOTE MDS Coordinator

Carlisle, IA ยท On-site +1

$33.25 - $42.50/hr

Provide Medicare, Medicaid (case mix), and Managed Care oversight to ensure appropriate clinical ... Review and verify MDS documentation and charting requirements to support the clinical services ...

Remote SENIOR HV/BESS ESTIMATION MANAGER Hanwha Qcells USA Corp (Qcells USA), headquartered in ... Conduct regular meetings with the estimation team to review progress, address challenges, and ...

Remote COMMISSIONING MANAGER Hanwha Qcells USA Corp (Qcells USA), headquartered in Irvine, CA ... Review contracts, subcontracts, and project drawings to ensure contracted deliverables are ...

Construction Project Manager

Des Moines, IA ยท On-site +1

$85K - $125K/yr

Flexible hours and remote work possibilities Reach Your Full Potential: * On-the-job and safety ... Review and approve invoices from subcontractors and suppliers. * Review submittals for ...

Showing results 21-40

Remote Utilization Review Manager information

See Waukee, IA salary details

$37.4K

$87.3K

$160.6K

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

As of Aug 23, 2026, the average yearly pay for remote utilization review manager in Waukee, IA is $87,280.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,100.00 and $105,000.00 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 Waukee, IA?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Waukee, IA are:

What cities near Waukee, IA are hiring for Remote Utilization Review Manager jobs?

Cities near Waukee, IA with the most Remote Utilization Review Manager job openings:

Traveling Staff Engineer - civil/geotechnical

W&M Environmental Group

Des Moines, IA โ€ข Remote

$50K - $74K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


Job description

Own where you work. Braun Intertec is proud to be a 100% employee-owned environmental consulting, geotechnical engineering, and testing firm of 1,000 employees with offices located in ten states. As a part of our exciting growth initiatives, we are continuing to build relationships in emerging markets and recruiting new talent. By hiring the best people and helping each other grow both professionally and personally, we ensure a bright future for our employee owners and our clients.
We want our employee-owners to be fully engaged - at home, at work, and in their communities. We provide our employees with a full range of benefits including comprehensive medical, vision, and dental plans, paid time off (as well as volunteer time off), company match 401k, participation in our Employee Stock Ownership Program (ESOP), technical training and career development resources, and access to our wellness program. The ESOP is a benefit we are proud of and celebrate as it allows all employees to be owners within the company.

Braun Intertec is seeking a highly motivated traveling Staff Engineer to join our team. This role involves frequent travel to support renewable energy, infrastructure, and mission critical projects.

Renewable energy and infrastructure projects are largescale developments that generate electricity and move it across long distances. These are utilityscale projects that require engineering, construction, and gridintegration work to expand and strengthen the energy system.

Mission critical projects are landintensive developments that create unique geotechnical challenges, such as major grade changes, heavily loaded structures, complex belowgrade utility and duct bank networks, and fastpaced construction schedules. Their speed and complexity demand close oversight to quickly identify and resolve issues, reduce risk for all stakeholders, and provide the technical expertise needed to exceed client expectations.

Responsibilities

  • Perform oversight of other field personnel on remote job sites.
  • Perform various field testing and observations at remote job sites.
  • Assist field operations on remote projects with technician training and review.
  • Closely coordinate field observations with engineering project lead.
  • Develop scopes of work and prepare proposals for moderate to complex geotechnical engineering projects, primarily in the power and renewables or mission critical field.
  • Prepare proposals for moderate to complex projects.
  • Review field logs and soil samples for classification and boring log preparation.
  • Perform engineering analysis using company and industry methodologies.
  • Prepares engineering reports for senior review.
  • Manage routine to complex geotechnical engineering projects including project scope, schedule, budget, and safety.
  • Work independently on specific assignments of limited scope with Senior review.
  • Perform quality review of work performed by assigned staff; identify, investigate, and resolve internal and external quality issues on projects.
  • Coordinate with regional operations to effectively coordinate staff, resources, and workloads.
  • Ensure client expectations are met or exceeded.
  • Support client relationships to effectively achieve power, renewables, and mission critical market-sector goals and strategies.
  • Must be action oriented, able to effectively/efficiently manage time, and able to learn quickly.

Required Skills

  • Excellent verbal and written communication skills.
  • Possess strong analytical skills and high attention to detail.
  • Strong organization and customer service skills.
  • Ability to exceed client expectations while thriving in a time critical / dynamic work environment.
  • Ability to work both independently and as a team member.
  • Proficient in Microsoft Office including Word, Excel, Outlook, SharePoint.
  • Ability to create, maintain, and communicate project budgets

Required Experience:

  • Bachelor's degree (BS) ingeotechnical, civil, or related engineering field required.
  • Two or more years of construction materials testing or geotechnical engineering experience preferred, but not required.
  • Previous experience with large-scale construction projects preferred.
  • Must have a valid driver's license.
  • Expected travel is 60 to 90%.

Braun Intertec offers a competitive compensation and benefits package, including medical, dental, vision, life insurance, 401(k) plan, PTO, Employee Stock Ownership Program (ESOP), paid holidays, paid volunteer day, tuition reimbursement, and opportunities for professional growth and development.

#LI-JM1

Compensation Range:

$50,000.00 - $74,000.00

As an EEO/Affirmative Action Employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, veteran or disability status.

Braun Intertec strives to ensure that its careers web site is accessible to all. If you need assistance completing your online application, please email hrhelp@braunintertec.com.

As an Equal Opportunity Employer, Braun Intertec is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans. If you need a reasonable accommodation to assist with your job search or application for employment, please e-mail us athrhelp@braunintertec.com. In your e-mail, please include a description of the specific accommodation you are requesting as well as the job title and requisition number of the position for which you are applying.