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Utilization Review Coordinator Remote Jobs in Ohio

Miamioh

Application Review Coordinator

Oxford, OH · On-site +1

Job Title Application Review Coordinator Department Admissions Application Review Worker Type ... Remote work is not a right, but a working arrangement that can be modified or revoked by Miami ...

Miami University

Job Title Application Review Coordinator Department Admissions Application Review Worker Type ... Remote work is not a right, but a working arrangement that can be modified or revoked by Miami ...

Harris

Remote Care Management - CMA

New Hampshire, OH · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

Harris

Remote Care Management - CMA

Delaware, OH · Remote

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Chart Review: 8 min Outreach Attempts: 6 min Actual Call: 11 min Care Coordination: 9 min Total ...

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Utilization Review Coordinator Remote information

What does a utilization review coordinator do when working remotely?

A Utilization Review Coordinator working remotely is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services and procedures. They review medical records, treatment plans, and insurance policies to ensure compliance with regulations and that patients receive proper care without unnecessary costs. Remote UR Coordinators collaborate with healthcare providers, payers, and patients primarily through electronic records and virtual communication, maintaining strong organizational and analytical skills. Their goal is to optimize patient outcomes while managing healthcare resources effectively.

How does a utilization review coordinator typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Coordinator, you will regularly communicate with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Your main responsibilities include reviewing patient records, making coverage determinations, and ensuring compliance with regulatory guidelines. Collaboration often involves clarifying medical necessity, gathering additional documentation, and participating in virtual team meetings to discuss complex cases. Strong communication skills and comfort with digital tools are essential for seamless coordination across remote teams.

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

To thrive as a Utilization Review Coordinator Remote, you need a strong background in healthcare, knowledge of medical terminology, and often an active RN or LPN license. Familiarity with utilization management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and collaborating with providers. These skills ensure accurate, efficient case reviews and compliance with regulations, which are vital for optimizing patient care and managing healthcare costs.

What are popular job titles related to Utilization Review Coordinator Remote jobs in Ohio?

For Utilization Review Coordinator Remote jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Utilization Review Coordinator Remote jobs in Ohio look for?

The top searched job categories for Utilization Review Coordinator Remote jobs in Ohio are:

What cities in Ohio are hiring for Utilization Review Coordinator Remote jobs?

Cities in Ohio with the most Utilization Review Coordinator Remote job openings:

Utilization Review Coordinator Remote jobs near you
Infographic showing various Utilization Review Coordinator Remote job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, 5% Contract, and 1% Nights. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution.

Application Review Coordinator

Miamioh

Oxford, OH • On-site, Remote

Part-time

Posted 17 days ago

Job description

Job Title

Application Review Coordinator

Department

Admissions Application Review

Worker Type

Temporary (Fixed Term)

Pay Type

Period Activity Pay

Benefit Eligible

No

Job Description Summary

This part-time, seasonal position will manage key aspects of the domestic application review process, including training Miami's AI-powered OCR transcript-reading tool, training readers and monitoring performance, reading application files, making application corrections, and performing GPA recalculations. This position is approved for remote work. Remote work is not a right, but a working arrangement that can be modified or revoked by Miami University at any time for any reason.

Job Description

Job Description

Essential Duties:

  • Train and quality-check Miami's AI-powered OCR software to assist in the standardization and review of high school transcripts.

  • Buddy-read with new readers, assessing their review and recommendations to provide follow up and instructions until approved to read without oversight.

  • Read applications.

  • Monitor all applications with problematic data points, making corrections as needed, completing the review if possible, and/or sending the app to the territory reader or supervisor to follow up if necessary.

  • Check and correct or recalculate all incorrect GPAs in application files.

  • Adhere to review deadlines throughout the application cycle.

  • Support Office of Admission internal staff in the designated Slack channel and/or via email, responding in a timely fashion to complex questions about transcript review.

  • Other duties as assigned

Minimum qualifications:

  • Permanent address in Ohio, Kentucky, or Indiana

  • Bachelor's degree

  • 1+ years of experience reviewing admission applications for Miami University

  • Prior professional experience working in Slate

Preferred Qualifications:

  • The above, plus experience

Additional Position Information (if applicable)

Required Application Documents

resume and cover letter

Special Instructions (if applicable)

none

Additional Information

A criminal background check is required. All campuses are smoke- and tobacco-free campuses.

This organization participates in E-Verify.

Remote Work
For positions that are approved for remote work: Remote work is not a right, it is a work arrangement that can be modified or revoked by Miami University at any time for any reason, including the convenience of the University.


Reasonable Accommodations
Requests for reasonable accommodations for disabilities related to employment should be directed to ADAFacultyStaff@miamioh.edu or 513-529-3560. Questions and follow-ups regarding requests should also be directed here.

Miami University Values Statement
Miami University is a scholarly community whose members believe that a liberal education is grounded in qualities of character as well as of intellect. We respect the dignity of other persons, the rights and property of others, and the right of others to hold and express disparate beliefs. We believe in honesty, integrity, and the importance of moral conduct. We defend the freedom of inquiry that is the heart of learning and combine that freedom with the exercise of judgment and the acceptance of personal responsibility.

For more information on Miami University's mission and core values, please visit the Mission and Core Values webpage.


Equal Opportunity/Affirmative Action Statement
Miami University, an Equal Opportunity/Affirmative Action employer, encourages applications from protected veterans and individuals with disabilities. Miami University prohibits harassment, discrimination and retaliation on the basis of age (40 years or older), color, disability, gender identity or expression, genetic information, military status, national origin (ancestry), pregnancy, race, religion, sex/gender, status as a parent or foster parent, sexual orientation, or protected veteran status in its application and admission processes, educational programs and activities, facilities, programs or employment practices. Requests for reasonable accommodations for disabilities related to employment should be directed to ADAFacultyStaff@miamioh.edu or 513-529-3560.

Clery Act
As part of the University's commitment to maintaining a healthy and safe living, learning, and working environment, we encourage you to read Miami University's Annual Security & Fire Safety Report at: http://www.MiamiOH.edu/campus-safety/annual-report/index.html, which contains information about campus safety, crime statistics, and our drug and alcohol abuse and prevention program designed to prevent the unlawful possession, use, and distribution of drugs and alcohol on campus and at university events and activities. This report also contains information on programs and policies designed to prevent and address sexual violence, domestic violence, dating violence, and stalking. Each year, email notification of this website is made to all faculty, staff, and enrolled students. Written notification is also provided to prospective students and employees. Hard copies of the Annual Security & Fire Safety Report may be obtained from the Miami University Police Department at 513-529-2223.


Labor Law Posters for Applicants

Please visit our Labor Law Posters webpage to access all relevant and applicable labor law information.

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