ZipRecruiter

Log In

2

Remote Utilization Review Jobs in Utah (NOW HIRING)

Imh

Manager Utilization and Care Management

Murray, UT · On-site +1

$44.99 - $69.44/hr

The Clinical Manager at Select Health leads and supervises a team of Utilization Review and Care ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Imh

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

Imh

Nurse Care Manager

Salt Lake City, UT · Remote

$41.20 - $62.17/hr

Demonstrated experience in case management, utilization review, value-based care, and/or discharge ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

MRIoA

Quality Assurance Engineer (Remote)

Salt Lake City, UT · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Quality Assurance Engineer is a ...

MRIoA

Senior Azure Cloud Engineer (Remote)

Salt Lake City, UT · On-site +1

$54 - $72/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW Our Principal Cloud Engineer is a senior ...

MRIoA

Business Intelligence Analyst (Remote)

Salt Lake City, UT · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... utilization management company offering expert clinical reviews, regulatory guidance, and ... An award-winning remote work environment POSITION OVERVIEW The Business Intelligence Analyst is a ...

firsthand Health

Remote Triage Nurse

Provo, UT · On-site +1

$80K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... are utilization. Together with our health plan partners, we are changing the way our society ... Such requests will be subject to review and approval by the Company, and exemptions will be granted ...

Imh

Medicare Market Operations Partner

Murray, UT · On-site +1

$59.50 - $91.84/hr

... utilization management, and care coordination ... Ensure operational readiness for CMS audits, program reviews, and regulatory changes as it relates ...

Audiohook

Client Success Manager

Eden, UT · Remote

$120K/yr

  • Medical

  • Dental

  • Vision

  • PTO

Lead recurring performance calls (bi-monthly or monthly) to review campaign results, align on ... Own client-facing budget pacing conversations and ensure alignment on utilization, flighting, and ...

next page

Showing results 1-20

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Utah

Remote Utilization Review information

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are the most commonly searched types of Utilization Review jobs in Utah?

The most popular types of Utilization Review jobs in Utah are:

What are popular job titles related to Remote Utilization Review jobs in Utah?

For Remote Utilization Review jobs in Utah, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Utah look for?

The top searched job categories for Remote Utilization Review jobs in Utah are:

What cities in Utah are hiring for Remote Utilization Review jobs?

Cities in Utah with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Utah as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 6% In-person, and 94% Remote job distribution.

International Radiology Utilization Review- Remote - 1099

MRIoA

Salt Lake City, UT • On-site, Remote

Contractor

Posted 4 days ago

Job description

Description
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
  • Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
  • Covered under MRIoA's Errors and Omissions policy.
  • Independent Contractor (1099) opportunity.
  • Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.

California Consumer Privacy Act (CCPA) Information (California Residents Only):
  • Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
  • Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.

Requirements
  • Must have a Medical Degree MD or DO
  • Must have a current STATE unencumbered medical license
  • Current Board Certification in Radiology, IR/DR certified
  • Must have 5 years of clinical experience residency to be included
  • Daytime availability is required for peer-to-peer conversations

Apply