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Supervisor Utilization Review Remote Jobs in Ohio

Coding Supervisor

Cuyahoga Falls, OH · Remote

$60K - $107K/yr

... the flexibility of a hybrid-remote role as you take on some tough challenges. Primary ... Develop, review, and implement coding policies, departmental procedures, and internal coding ...

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Supervisor Utilization Review Remote information

What does a supervisor utilization review remote do?

A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.

What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?

To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.

What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?

Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.

What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?

AspectSupervisor Utilization Review RemoteUtilization Review Nurse
CredentialsRN license, possibly supervisor certificationRN license, certification in utilization review often preferred
Work EnvironmentRemote, supervisory role overseeing review teamsRemote or onsite, performing case assessments
Employer & IndustryHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.

Clinical Account Representative, CardioMEMS - Cincinnati

Abbott

Saint Bernard, OH • Remote

Full-time

Medical, Retirement, PTO

Posted 23 days ago


Abbott rating

7.8

Company rating: 7.8 out of 10

Based on 138 frontline employees who took The Breakroom Quiz

170th of 545 rated manufacturers


Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries.

Job Description

PLEASE NOTE: This is not an active open requisition. We are building a candidate slate for a future opening.

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 (https://www.abbott.com/corpnewsroom/strategy-and-strength/tackling-student-debt-for-our-employees.html) student debt program and FreeU (https://www.abbott.com/corpnewsroom/strategy-and-strength/college-degree-for-free-its-possible-with-freeu.html) 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.

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 high‐volume, 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 check‐ins 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 follow‐ups.
  • 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 in‐services 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 committee‐based selling.
  • Familiarity with Cath lab/OR workflows; basic procedural support experience.

Apply Now (https://www.jobs.abbott/us/en)

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com (http://www.abbottbenefits.com/pages/candidate.aspx)

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 – $136,000.00. In specific locations, the pay range may vary from the range posted.

An Equal Opportunity Employer

Abbot welcomes and encourages diversity in our workforce.

We provide reasonable accommodation to qualified individuals with disabilities.

To request accommodation, please call 224-667-4913 or email corpjat@abbott.com


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