Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Physician-Vice Chair of Northshore
Slidell, LA · On-site +1
... report TATs, peer review outcomes, imaging utilization). * Implement initiatives to reduce ... Please refer to the to determine whether the position you are interested in is remote or on-site.
Physician-Vice Chair of Northshore
Slidell, LA · On-site +1
... report TATs, peer review outcomes, imaging utilization). * Implement initiatives to reduce ... Please refer to the to determine whether the position you are interested in is remote or on-site.
Patient Billing Representative
New Orleans, LA · On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
New Orleans, LA · On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
New Orleans, LA · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Quick apply
Patient Billing Representative
New Orleans, LA · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
New Orleans, LA · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
New Orleans, LA · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Physician-Vice Chair of Northshore
Slidell, LA · On-site +1
... report TATs, peer review outcomes, imaging utilization). * Implement initiatives to reduce ... Please refer to the to determine whether the position you are interested in is remote or on-site.
Physician-Vice Chair of Northshore
Slidell, LA · On-site +1
... report TATs, peer review outcomes, imaging utilization). * Implement initiatives to reduce ... Please refer to the to determine whether the position you are interested in is remote or on-site.
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · Remote
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · Remote
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · On-site +1
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · On-site +1
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · Remote
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
Quick apply
Remote Hospice Triage RN FT 10:30p-5a + rotating Sat & Sun 11:30p-8a CST
New Orleans, LA · Remote
$28/hr
We are growing rapidly and excited to support our clients' nursing staff in the field by leveraging our remote team of nurses to manage after-hours care delivery. Our triage nurses become an ...
RN Case Manager - Remote
Slidell, LA · On-site +1
$80K - $83K/yr
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
RN Case Manager - Remote
Slidell, LA · On-site +1
$80K - $83K/yr
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
RN Case Manager - Remote
Slidell, LA · Remote
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
Quick apply
RN Case Manager - Remote
Slidell, LA · Remote
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
RN Case Manager - Remote
Slidell, LA · Remote
$80K - $83K/yr
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
RN Case Manager - Remote
Slidell, LA · Remote
$80K - $83K/yr
Ability to work independently in a remote environment while staying connected to the team * Comfort with technology and multiple EMR systems * Must be local to St. Tamany Parish, LA WHAT WE'D LOVE ...
Remote Utilization Review information
See Slidell, LA salary details
$18.54 - $22.29
2% of jobs
$22.29 - $26.04
9% of jobs
$28.60 is the 25th percentile. Wages below this are outliers.
$26.04 - $29.79
21% of jobs
The median wage is $32.82 / hr.
$29.79 - $33.54
23% of jobs
$33.54 - $37.29
13% of jobs
$40.20 is the 75th percentile. Wages above this are outliers.
$37.29 - $41.04
10% of jobs
$41.04 - $44.79
8% of jobs
$44.79 - $48.54
5% of jobs
$48.54 - $52.29
5% of jobs
$52.29 - $56.04
2% of jobs
$56.04 - $59.79
2% of jobs
$18
$36
$59
How much do remote utilization review jobs pay per hour?
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.

Full-time
Medical, Retirement, PTO
Posted 20 days ago
Abbott rating
7.9
Based on 136 frontline employees who took The Breakroom Quiz
158th of 536 rated manufacturers
Job description
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:
Career development with an international company where you can grow the career you dream of.
Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year
An excellent retirement savings plan with high employer contribution
Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree.
A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.
Heart Failure
In Abbott's Heart Failure (HF) business, we're developing solutions to diagnose, monitor and manage heart failure, allowing people to restore their health and get on with their lives.
We're looking for high-performing, clinically experienced sales professionals with deep cardiovascular expertise to drive adoption and growth of CardioMEMS across multiple locations (San Francisco Bay Area, CA, Los Angeles, CA, Louisiana, Kansas, Dallas, TX, and Chicago, IL) through strategic account development, education, and partnership.
The Clinical Account Representative (CAR) supports the growth of CardioMEMS by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to the therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that CardioMEMS is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.
WHAT YOU'LL DO
1. Sales & Customer Engagement
Serve as the primary point of contact for highvolume, established accounts, ensuring seamless onboarding and patient monitoring workflows.
Achieve assigned sales and utilization targets within defined accounts.
Execute actionable quarterly business plans with clear activity goals and growth drivers.
Conduct routine account checkins to review program performance, identify barriers, and uncover new opportunities.
Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.
Provide competitive insights, including customer feedback and market intelligence.
Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.
2. Account Management
Maintain CRM documentation for key accounts, including activity notes, opportunities, and followups.
Build and sustain strong relationships with physicians, APPs, HF clinics, and administrators.
Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.
Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.
3. Technical & Clinical Support
Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.
Offer procedural case support occasionally for broader territory, focusing on priority accounts.
Support training and education for new clinical staff, HF clinics, and administrators.
Participate in product inservices and support clinical data collection as needed.
Continue developing strong product, HF, and CardioMEMS competency.
4. Compliance & Collaboration
Adhere to all FDA, regulatory, and company quality requirements.
Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.
Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.
Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.
EDUCATION AND EXPERIENCE YOU'LL BRING
Required
Bachelor's degree (Business, Life Sciences, Engineering, or related).
Experience: 2-4 years in medical device or healthcare (inside or field).
Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.
Track record of 100% to goal in the most recent performance year.
Account-facing experience with clinicians and administrators (e.g., HF clinics, service line leaders).
Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.
Comfortable delivering clinical/technical presentations to audiences of 10-50 stakeholders.
Preferred
Knowledge of reimbursement landscape and payment pathways (highly preferred).
Experience at top MedTech organizations (highly preferred).
1-2 years of commercial experience.
Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.
Prior involvement in value analysis or committeebased selling.
Familiarity with Cath lab/OR workflows; basic procedural support experience.
Apply Now
Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com
Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.
Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.
The base pay for this position is
$68,000.00 - $136,000.00In specific locations, the pay range may vary from the range posted.
JOB FAMILY:Support ServicesDIVISION:HF Heart FailureLOCATION:United States of America : RemoteADDITIONAL LOCATIONS:WORK SHIFT:StandardTRAVEL:Yes, 25 % of the TimeMEDICAL SURVEILLANCE:Not ApplicableSIGNIFICANT WORK ACTIVITIES:Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipmentAbbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf