... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
... reviews & documentation, requirements elicitation, allowing the project team to gain a ... to exceptional utilization of assigned resources. * Be a leader in providing subject matter ...
Delivery Director
Edmonton, AB · On-site +1
Ensure delivery performance, resource utilization, and profitability align with contractual ... Represent MiraCloud in executive-level customer discussions, implementation reviews, and delivery ...
Quick apply
Delivery Director
Edmonton, AB · On-site +1
Ensure delivery performance, resource utilization, and profitability align with contractual ... Represent MiraCloud in executive-level customer discussions, implementation reviews, and delivery ...
Registered Nurse
Edmonton, AB · Remote
Community health nursing in remote Indigenous communities isn't just a job-it's an opportunity to make a real difference, expand your clinical skills, and sharpen your critical thinking in a dynamic ...
Registered Nurse
Edmonton, AB · Remote
Community health nursing in remote Indigenous communities isn't just a job-it's an opportunity to make a real difference, expand your clinical skills, and sharpen your critical thinking in a dynamic ...
Exercise clinical judgement in combination with utilization of protocols to arrive at the appropriate disposition to provide timely and accurate level of care to patients * Promptly complete ...
Quick apply
Exercise clinical judgement in combination with utilization of protocols to arrive at the appropriate disposition to provide timely and accurate level of care to patients * Promptly complete ...
Remote Utilization Review information
See Edmonton, AB salary details
$14.66 - $20.43
5% of jobs
$20.43 - $26.20
4% of jobs
$31.01 is the 25th percentile. Wages below this are outliers.
$26.20 - $31.97
19% of jobs
The median wage is $35.88 / hr.
$31.97 - $37.74
32% of jobs
$41.59 is the 75th percentile. Wages above this are outliers.
$37.74 - $43.51
22% of jobs
$43.51 - $49.28
10% of jobs
$49.28 - $55.05
4% of jobs
$55.05 - $60.82
1% of jobs
$60.82 - $66.59
1% of jobs
$66.59 - $72.36
1% of jobs
$72.36 - $78.13
0% of jobs
$14
$41
$78
How much do remote utilization review jobs pay per hour?
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 popular job titles related to Remote Utilization Review jobs in Edmonton, AB?
For Remote Utilization Review jobs in Edmonton, AB, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Edmonton, AB look for?
The top searched job categories for Remote Utilization Review jobs in Edmonton, AB are:
What cities near Edmonton, AB are hiring for Remote Utilization Review jobs?
Cities near Edmonton, AB with the most Remote Utilization Review job openings:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 6 days ago
Job description
Cayenta, a division of Harris; is seeking an Application Consultant who is passionate about providing segregated IT transformation for our clients.
Our Client Services team has an exciting opportunity for driven individuals with accounting and work management experience. It is important for this individual to evolve into a conduit between Operations, R&D, and our clients, working cross-functionally to become a product expert and a client process advisor.
The Application Consultant role is project driven and will support a wide array of services for our Install Base customers.
This remote role welcomes candidates anywhere in Canada and the US. Travel is required as needed, approximately 25%. Candidates must hold a current, valid passport and be legally eligible to travel internationally. This includes either passport based visa exemption or possession of any required travel visas for entry into Canada, the United States, and the Caribbean.
Salary: 60K - 85K CAD
AI & Innovation Mindset
We are committed to leveraging emerging technologies to improve how we work, serve our customers, and drive business outcomes. The successful candidate will demonstrate curiosity and a willingness to actively adopt and leverage AI tools to improve workflows, solve problems, and increase efficiency. Candidates should be comfortable using AI enabled technologies, including copilots, chat based AI assistants, and automation tools, as part of their everyday work while maintaining appropriate judgment, security, and compliance standards.
What your impact will be:
- Work with colleagues and managers to proactively manage a superior technology solution for our clients.
- Provide support to existing and new clients by leading customers through our processes, communicating with those involved to ensure that solution is completed and any issues are resolved so the client can be successfully utilizing the product. Train users in the system set up, administration and maintenance.
- Provide Business analysis, through gap analysis, root cause analysis, facilitation of business process reviews & documentation, requirements elicitation, allowing the project team to gain a comprehensive understanding of the client's needs in order to overcome barriers and achieve the organizational goals of the client. Understand clients' business processes and configure applications based on business needs and accepted best practices.
- Own the user acceptance testing and change management process by ensuring stakeholder satisfaction with the outcome of the project through client testing and training.
- Create user documentation when required and the complete handover documentation to assist support staff in providing quality customer care.
- Build our clients' capabilities; encouraging them to achieve success beyond their expectations by identifying opportunities for recommending additional products and services that fit the needs of our clients.
- Support Project Managers in managing engagement contracts, identifying & escalating bottlenecks, and project progress updates.
- Efficient delivery of services that ensure key project milestones are met on a timely manner, in addition to exceptional utilization of assigned resources.
- Be a leader in providing subject matter expertise to R&D and other operational groups, by understanding market trends of client needs and business practices to ensure the success of our product, incorporating industry best practices in order to maintain strengthen our position within the market.
What we are looking for:
- Experience in Business Analysis, working on ERP software specifically accounting and work management (or relevant education).
- Exemplary customer service skills and willing to be on a client facing role.
- Problem-solving skills with the knowledge to support business leaders.
- Proficient in Office 365.
- Willingness to travel up to 25%.
What would make you stand out:
- Bachelor's degree in Information Systems, Accounting or combination of Information technology and Accounting/Finance/Payroll from an accredited institution.
- Knowledge of WMS and Asset Management.
- Knowledge of Accounting and Financial Systems.
- Working Knowledge of SQL.
What we can offer:
- 3 weeks' vacation and 5 personal days
- Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment
- Employee stock ownership and RRSP/401k matching programs
- Lifestyle rewards
- Remote work and more!
About Cayenta:
Cayenta is a leading provider of enterprise resource management solutions in the local government, utility and financial industries. Cayenta's products, services and customer relationships provide the foundation for continued innovation and growth.
About Harris:
Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses.
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About Cayenta
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