South Pomfret, VT · Remote
$42 - $55/hr
This is a remote position requiring the teammate to support both ESKD and CKD patients throughout CA, OR and Washington as needed. * The teammate must be based in Northern California, Salem/Portland ...
South Pomfret, VT · Remote
$42 - $55/hr
This is a remote position requiring the teammate to support both ESKD and CKD patients throughout CA, OR and Washington as needed. * The teammate must be based in Northern California, Salem/Portland ...
$22.75 - $27.35
2% of jobs
$27.35 - $31.95
9% of jobs
$35.10 is the 25th percentile. Wages below this are outliers.
$31.95 - $36.55
21% of jobs
The median wage is $40.27 / hr.
$36.55 - $41.15
23% of jobs
$41.15 - $45.75
13% of jobs
$49.33 is the 75th percentile. Wages above this are outliers.
$45.75 - $50.35
10% of jobs
$50.35 - $54.95
8% of jobs
$54.95 - $59.55
5% of jobs
$59.55 - $64.15
5% of jobs
$64.15 - $68.75
2% of jobs
$68.75 - $73.35
2% of jobs
$22
$44
$73
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.
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.
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.
For Remote Utilization Review jobs in Vermont, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review jobs in Vermont are:
Cities in Vermont with the most Remote Utilization Review job openings:
$42 - $55/hr
Full-time
Medical, Retirement
Posted 7 days ago
7.0
Based on 1,183 frontline employees who took The Breakroom Quiz
421st of 898 rated healthcare providers
Posting Date
08/25/20263450 Industrial BlvdSuite 100,West Sacramento,California,95691,United States of AmericaLocation: Sacramento, CA (CKD/ESKD - REMOTE)
This is a remote position requiring the teammate to support both ESKD and CKD patients throughout CA, OR and Washington as needed.
The teammate must be based inNorthern California, Salem/Portland, Oregon, or Seattle/Tacoma, Washington, with flexibility to reside in a surrounding city. The role will support markets across these states, and travel throughout the assigned territory is required.
The teammate must hold a validRN license in California, Oregon, and Washington, or be willing to obtain licensure in any one of these states where they are not currently licensed. Territory assignments may change based on business needs.
Schedule: Monday - Friday
Flexibility is required to accommodate patient needs and nephrology partner availability.
Employment Type: Full-Time
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Wage Range for the role is $42.00-$55.00 per hour.For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates
Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
Sourced by ZipRecruiter
DaVita is a healthcare company that provides compassionate, quality healthcare. The company’s mission is to be the Provider, Partner, and Employer of Choice. DaVita serves more than 200,000 dialysis patients in 10 countries outside the U.S. and has over 55,000 teammates in the U.S. Since 2011, DaVita teammates have donated $11 million to local nonprofits and have volunteered over 180,000 hours since 2006. DaVita has been on Fortune’s list of the world’s most admired companies for 15 years in a row.
Health care and social assistance
10,000+ Employees
Denver, CO, US
1994
