This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
Clinical Quality Assurance Coordinator (32722)
Atlanta, GA · Remote
$31.25/hr
Why you'll love this role: * 100% remote - work from the comfort of home * Work-life balance with a ... Perform quality assurance review of peer review reports, correspondences, addendums or supplemental ...
Clinical Quality Assurance Coordinator (32722)
Atlanta, GA · Remote
$31.25/hr
Why you'll love this role: * 100% remote - work from the comfort of home * Work-life balance with a ... Perform quality assurance review of peer review reports, correspondences, addendums or supplemental ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average ... Claims , workers compensation , bill review , or similar experience required * Ability to assist ...
Regional Diagnostic Director
Atlanta, GA · On-site +1
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Regional Diagnostic Director
Atlanta, GA · On-site +1
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Quick apply
This is a remote field-based position. Candidates should live in close proximity to a large airport ... Educate HCPs and associated internal partner labs for seamless sponsored testing utilization
Clinical Quality Assurance Coordinator (32345)
Atlanta, GA · Remote
$27 - $31.25/hr
In this role, you'll ensure our Peer Review case reports are nothing short of exceptional ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
Clinical Quality Assurance Coordinator (32345)
Atlanta, GA · Remote
$27 - $31.25/hr
In this role, you'll ensure our Peer Review case reports are nothing short of exceptional ... The position is 100% remote with a schedule of Monday through Friday: * 12:00pm - 8:30pm EST ...
CRE Portfolio Manager I
Atlanta, GA · On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
CRE Portfolio Manager I
Atlanta, GA · On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
Senior Treasury Analyst
Atlanta, GA · Remote
English (Required) Work Shift: 1st Shift (United States of America) Please review the following ... This role is remote, but we would prefer someone in Charlotte, Dallas, Birmingham, New York ...
Senior Treasury Analyst
Atlanta, GA · Remote
English (Required) Work Shift: 1st Shift (United States of America) Please review the following ... This role is remote, but we would prefer someone in Charlotte, Dallas, Birmingham, New York ...
Controller - Financial Solutions
Atlanta, GA · On-site +1
... remote, U.S.-based Assistant and Financial staffing solutions. We are a fast-paced team of high ... Serve as the primary point of contact and trusted advisor for clients, leading financial review ...
Controller - Financial Solutions
Atlanta, GA · On-site +1
... remote, U.S.-based Assistant and Financial staffing solutions. We are a fast-paced team of high ... Serve as the primary point of contact and trusted advisor for clients, leading financial review ...
... remote, U.S.-based Assistant and Financial staffing solutions. We are a fast-paced team of high ... Serve as the primary point of contact and trusted advisor for clients, leading financial review ...
Quick apply
... remote, U.S.-based Assistant and Financial staffing solutions. We are a fast-paced team of high ... Serve as the primary point of contact and trusted advisor for clients, leading financial review ...
This is avolunteer, part-time fully remote role. Time commitment 5-8 hours per week (6 months, but ... Establish quality gates, review processes, and audit mechanisms to ensure projects adhere to ...
This is avolunteer, part-time fully remote role. Time commitment 5-8 hours per week (6 months, but ... Establish quality gates, review processes, and audit mechanisms to ensure projects adhere to ...
Monitor customer adoption, utilization, and overall health to proactively identify opportunities ... Conduct regular customer touchpoints and business reviews to ensure continued alignment with ...
Monitor customer adoption, utilization, and overall health to proactively identify opportunities ... Conduct regular customer touchpoints and business reviews to ensure continued alignment with ...
Senior Product Engineer
Atlanta, GA · Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
Quick apply
Senior Product Engineer
Atlanta, GA · Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
Senior Product Engineer
Atlanta, GA · Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
Senior Product Engineer
Atlanta, GA · Remote
As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...
... capacity utilization. * Develop technical solutions involving AC and DC power systems, UPS ... Support RFP responses, technical evaluations, and customer design reviews. * Deliver customer ...
... capacity utilization. * Develop technical solutions involving AC and DC power systems, UPS ... Support RFP responses, technical evaluations, and customer design reviews. * Deliver customer ...
Senior PDS Sourcing Manager
Atlanta, GA · On-site +1
$146K - $147K/yr
Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Remote -Atlanta, GA, Charlotte, NC, Chicago, IL, Houston, TX If this resonates with you, we ...
Senior PDS Sourcing Manager
Atlanta, GA · On-site +1
$146K - $147K/yr
Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Remote -Atlanta, GA, Charlotte, NC, Chicago, IL, Houston, TX If this resonates with you, we ...
Technical Specialist II, Electronic/IT
Tucker, GA · Remote
$105K/yr
... remote and onsite employees (PSS, PFM, SDS, SDM, RAM, GSDM) to successfully deliver fleet ... coach, advise and review their progress in achieving individual and team utilization and ...
Technical Specialist II, Electronic/IT
Tucker, GA · Remote
$105K/yr
... remote and onsite employees (PSS, PFM, SDS, SDM, RAM, GSDM) to successfully deliver fleet ... coach, advise and review their progress in achieving individual and team utilization and ...
Senior PDS Sourcing Manager
Atlanta, GA · Remote
$146K - $147K/yr
Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Remote -Atlanta, GA, Charlotte, NC, Chicago, IL, Houston, TX If this resonates with you, we ...
Senior PDS Sourcing Manager
Atlanta, GA · Remote
$146K - $147K/yr
Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Remote -Atlanta, GA, Charlotte, NC, Chicago, IL, Houston, TX If this resonates with you, we ...
... utilization to QE leadership * Maintain a production readiness checklist and support release go/no-go readiness reviews Required Qualifications * 15+ years in QA/QE with 5+ years in complex, multi ...
... utilization to QE leadership * Maintain a production readiness checklist and support release go/no-go readiness reviews Required Qualifications * 15+ years in QA/QE with 5+ years in complex, multi ...
Remote Utilization Review information
See Atlanta, GA salary details
$20.57 - $24.74
2% of jobs
$24.74 - $28.90
9% of jobs
$31.74 is the 25th percentile. Wages below this are outliers.
$28.90 - $33.06
21% of jobs
The median wage is $36.43 / hr.
$33.06 - $37.22
23% of jobs
$37.22 - $41.38
13% of jobs
$44.62 is the 75th percentile. Wages above this are outliers.
$41.38 - $45.54
10% of jobs
$45.54 - $49.70
8% of jobs
$49.70 - $53.86
5% of jobs
$53.86 - $58.02
5% of jobs
$58.02 - $62.18
2% of jobs
$62.18 - $66.35
2% of jobs
$20
$40
$66
How much do remote utilization review jobs pay per hour?
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 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 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 are the most commonly searched types of Utilization Review jobs in Atlanta, GA?
The most popular types of Utilization Review jobs in Atlanta, GA are:
What are popular job titles related to Remote Utilization Review jobs in Atlanta, GA?
For Remote Utilization Review jobs in Atlanta, GA, the most frequently searched job titles are:
- Utilization Review Nurse
- Remote Hedis Review Nurse
- Home Based Utilization Review Nurse
- Cvs Utilization Management Nurse
- Optum Health Utilization Review
- Remote Utilization Management Nurse
- Night Utilization Review Nurse
- Temporary Utilization Review Nurse
- Remote Utilization Review Nurse
- Remote Utilization Review Social Worker
What job categories do people searching Remote Utilization Review jobs in Atlanta, GA look for?
The top searched job categories for Remote Utilization Review jobs in Atlanta, GA are:
What cities near Atlanta, GA are hiring for Remote Utilization Review jobs?
Cities near Atlanta, GA with the most Remote Utilization Review job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 13 days ago
Key responsibilities
Identify opportunities, seek and engage new clients, develop new proposals, and manage existing accounts.
Represent the company at industry functions, conferences, tradeshows, seminars, and meetings, including organizing and conducting client entertainment when necessary.
Maintain customer relationships, develop and implement strategies for expanding the customer base, and analyze market and competition to adapt sales strategies.
ExamWorks rating
8.0
Based on 23 frontline employees who took The Breakroom Quiz
Job description
Prizm LLC (an ExamWorks company) is seeking an experienced sales professional in the claims industry to join the team as a Business Development Manager!
This role is Monday - Friday 100% remote aside from travel to tradeshows and exhibitions on average up to two times per month. It is highly preferred that this candidate be on the Central (CST) or Eastern (EST) time zone.
The Business Development Manager is responsible to identify opportunities, seek and engage new clients, develop new proposals and manage existing accounts. This position requires consistent contact with clients, awareness regarding industry standards and client expectations, efficient time utilization and travel on an as needed basis. Working in conjunction with the President as well as others to achieve superior customer service and market knowledge, and strive to meet and exceed company’s revenue objectives.
ESSENTIAL JOB FUNCTIONS
- Drive the development of sales with particular focus on the medical legal market.
- Maintain customer relationships, develop and implement strategies for expanding customer base.
- Act as a liaison between clients and the company, actively promote services and gather and exchange information.
- Represent the company at industry functions, conferences, tradeshows, seminars, meetings, and when necessary, organize and conduct client entertainment; travel as necessary.
- Inform clients of updates in regards to policy changes, services and physicians.
- Assist in resolving client concerns relative to service and report quality issues in a timely manner.
- Visit physicians as necessary and assist with physician recruiting efforts as required.
- Evaluate the results of overall sales efforts and report results to the President.
- Continuously analyze the market and competition and identify external threats and opportunities; adapt sales strategy to changing conditions.
- Provide weekly, monthly and or quarterly updates as directed.
- Attend all sales and marketing meetings as directed.
- When necessary, assist with account collection activity.
- Perform other duties as assigned by management.
- Bachelor degree (business, marketing or sales is preferred), or five years related experience in outside sales, or equivalent combination of education and experience. Strong knowledge of the medical legal industry is preferred.
- Valid State Driver’s License require
- Claims, workers compensation, bill review, or similar experience required
- Ability to assist with development and delivery of compelling presentations.
- Ability to problem solve and develop alternative solutions when dealing with client issues or emotional topics.
- Must be able to maintain confidentiality.
- Must be able to demonstrate team behavior and willing to promote a positive team -oriented environment with the ability to both convey and understand the philosophies of others.
- Ability to use good judgment and include the appropriate people in the decision-making process.
- Must be able to divide work requirements between office time and travel.
WHO WE ARE
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.
Equal Opportunity Employer - Minorities/Females/Disabled/Veterans
ExamWorks offers a fast-paced team atmosphere with competitive benefits (medical, vision, dental), paid time off, and 401k.
#LI-MB1
What ExamWorks employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About ExamWorks
Sourced by ZipRecruiter
ExamWorks is a leading provider of innovative healthcare services including independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services. Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers' compensation insurance coverages.
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Atlanta, GA, US
Year founded
2008