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Remote Utilization Review Jobs in Reston, VA (NOW HIRING)

ColonialWebb

Service Estimator

Gaithersburg, MD · On-site +1

$90K - $110K/yr

This role can be remote or hybrid, based on your location! Who we are: At ColonialWebb, we are ... Manage a daily review of all open quotes, tracking each by submission date, and completing ...

ColonialWebb

Service Estimator

Gaithersburg, MD · On-site +1

$90K - $110K/yr

This role can be remote or hybrid, based on your location! Who we are: At ColonialWebb, we are ... Manage a daily review of all open quotes, tracking each by submission date, and completing ...

Ntiva

IT Advisor

Mclean, VA · Remote

This is a remote position; however, team members should be willing and able to travel if the need ... Schedule annual IT reviews and mid-year reviews with assigned clients * Review and update ...

SOSi

DoD SkillBridge Logistics Manager

Reston, VA · On-site +1

... utilization of logistics support services. Responsibilities: * Foster a team-oriented work ... Reviews and analyzes reports, such as revenue and performance records to recommended process ...

SimpliGov

Customer Success Manager

Washington, DC · Remote

US - Remote About Us: SimpliGov is the government forms and workflow automation platform that helps ... Track customer utilization and adoption metrics, highlighting trends or risks to the CSM team.

SimpliGov LLC

Customer Success Manager

Washington, DC · Remote

US Remote About Us: SimpliGov is the government forms and workflow automation platform that helps ... Track customer utilization and adoption metrics, highlighting trends or risks to the CSM team.

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Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for remote utilization review in Reston, VA is $43.99, according to ZipRecruiter salary data. Most workers in this role earn between $34.76 and $50.53 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?

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 typical day look like for someone in a Remote Utilization Review role?

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 job?

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 Reston, VA? The most popular types of Utilization Review jobs in Reston, VA are:
What are popular job titles related to Remote Utilization Review jobs in Reston, VA? For Remote Utilization Review jobs in Reston, VA, the most frequently searched job titles are:
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Remote Utilization Review jobs near you
Clinical Specialist - TEG (Washington, DC/Fairfax, N. Virginia) (Field Sales)

Clinical Specialist - TEG (Washington, DC/Fairfax, N. Virginia) (Field Sales)

Haemonetics Corporation

Washington, DC • On-site, Remote

$88K - $96K/yr

Full-time

Medical, Retirement, PTO

Posted 12 days ago

Key responsibilities

  • Provide clinical education and ongoing case support for TEG product line at existing and new customer sites within the defined territory.

  • Train new and existing customers on all product and clinical aspects of the TEG line and provide onsite support including after-hours and go-live support.

  • Resolve technical, operational, and clinical customer concerns through accurate and timely investigation and partner with cross-functional team members to develop solutions.

Haemonetics rating

8.1

Company rating: 8.1 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

We are constantly looking to add to our core talent. If you are seeking a career that is challenging and rewarding, a work environment that is diverse and dynamic, look no further - Haemonetics is your employer of choice.
Job Details
Job Summary: In this role you will Function as TEG (Thromboelastographic) product line Clinical Advisor/Clinical Specialist to the customer and effectively drive utilization and expansion of TEG product line at existing customer sites within defined territory. Support ongoing account management sales process through clinical education and ongoing case support in all existing and potential areas of operation and clinical utilization within the customer site. Grow sales in existing accounts (organic growth) and support new accounts (go-lives) with a growth mindset. This role will require up to 25% travel to include day or overnight domestic travel depending on the territory. Ideal candidates will be located within approx. This role is remote with travel from the above designated territory. Candidates need to currently reside within this territory the DC and Fairfax, North Virginia area.
Essential Duties:
  • Territory management for existing TEG customer base.
  • Increase product usage at existing accounts and expand customer base through clinical education of new users and generate revenue growth. Ensure customers are able to independently, safely and efficiently operate TEG equipment, software, and related disposables as well as interpret the TEG results in the many applications of use.
  • Train new and existing customers on all product and clinical aspects of TEG line. Provide summary of training sessions and ensure follow up as needed through onsite support in the many areas of operation and application such as lab, critical care, and OR.
  • Provide clinical expertise to help ensure that our TEG product line reaches standard of care levels within the account, leveraging our CRM tool and market data.
  • Help drive and expand existing business to include broadening application of our TEG within the account, achieving assigned sales AOP annually, by ensuring all applicable TEG assays and most updated software versions are being utilized to maximum effectiveness. This is achieved by developing new relationships with clinicians, further cultivation of existing relationships, didactic education provision and grand rounds presentations, case support, taking calls from the end users, and hosting market development events.
  • Visit assigned hospital accounts, identify and train clinical champions and establish relationships with key decision makers.
  • Provision of dedicated onsite support for new TEG customers "going live" with the technology or additional assays inclusive of all affected shifts and areas of use case support and training inclusive of after-hours support.
  • Resolve technical, operational, and clinical customer concerns through accurate and timely investigation and partner with cross-functional team members to develop solutions.
  • Increase professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies and conferences.
  • Provide history by maintaining records within CRM tool on area of responsibility and customers in that area.
  • Support VAD/ECMO customers, Trauma, CV, High Risk Obstetrics, Liver transplant, Vascular, and all Critical Care clinicians in their use of TEG.
  • Assist customers in tailoring their products training materials and needs.
  • Understand competition and competitive landscape in existing territory and convert to TEG business in existing accounts.
  • Work closely with Account Manager in overlapping market to target key accounts for expansion and forecast revenue increase during quarterly business planning and monthly cadence calls with management.
  • Provide tradeshow support, both regionally and nationally.
  • Drive demand for device and software upgrades as well as add on devices.
  • Work closely with Account Manager and Implementation team during laboratory installation, validation, and verification process including assistance with training, competency, SOP and IQCP development, normal donor sourcing, logistics support for TEG program, and ordering/interfacing needs.
  • Prospect and develop multi-level relationships (including C-level) within defined territory.
  • Participate in product development market needs and/or quality investigative needs and launches while providing feedback to sales, marketing and R&D

Education/ Experience:
  • Bachelors of Arts or Science (Required) in Nursing (RN) or related Clinical field of study
  • Masters of Arts or Science or Business Administration (Preferred)
  • 3+ years Industry or clinically related experience, preferably in complex medical devices and/or critical care environments. This may include working in in an ICU/CICU, emergency room (ER), trauma or other critical care medical environments where you would be communicating with senior level medical professionals and monitoring hemostasis.
  • Preference for experience running the TEG® Analyzer, understanding application of results, and manipulating the software.

EEO Policy Statement
Pay Transparency:
The base pay actually offered to the successful candidate will take into account, without limitation, the candidate's location, education, job-knowledge, skills, and experience in prior relevant roles. Incentives may also be provided as part of Haemonetics' employee compensation. For sales roles, employees will be eligible for sales incentive (i.e., commission) under the applicable plan terms. For non-sales roles, employees will be eligible for a discretionary annual bonus, the target amount of which varies based on the applicable role, to be governed by the applicable plan terms. Employees may also be eligible to participate in the Company's long-term incentive plan, with eligibility and target amount dependent on the role.
In addition to compensation, the Company offers a competitive suite of benefits to its employees, including without limitation, a 401(k) with up to a 6% employer match and no vesting period, an employee stock purchase plan, "flexible time off" for salaried employees and, for hourly employees, accrual of three to five weeks' vacation annually (based on tenure), accrual of up to 64 hours (annually) of paid sick time, paid and/or floating holidays, parental leave, short- and long-term disability insurance, tuition reimbursement, and/or health and welfare benefits.
Depending on your location, you may be eligible for more detailed information related to the compensation and benefits related to this job posting. If you believe you may be entitled to such information by law, you may contact 1-781-348-7777, Monday through Friday, 7:30 a.m. - 5 p.m. ET or email AskHR@Haemonetics.com.
The base salary range for this role is:
$86,800.00-$161,200.00/Annual

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