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Assistant Remote Utilization Review Jobs in Phoenix, AZ

REMOTE RN - Quality Review

Phoenix, AZ ยท Remote

$42 - $43.50/hr

Review medical records to identify potential quality, safety, and utilization concerns * Conduct ... Analyze trends and assist in identifying patterns in care delivery and outcomes * Collaborate with ...

USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting ... Review medical records to identify potential quality, safety, and utilization concerns * Conduct ...

Provides medical guidance and review activities for home health utilization management and medical ... Evaluate potential quality of care concerns as assigned. * Assist in developing and reviewing ...

Medical Director - Pediatrics

Phoenix, AZ ยท Remote

$140 - $145/hr

... peer reviews, utilization management, and provider engagement initiatives. This long-term ... delivery on a national scale, all from a flexible remote environment. Duties ...

The Nurse Care Manager is a remote role responsible for reviewing electronic health records to gather pertinent clinical, behavioral health, social, and utilization information needed to build ...

... remote administrative operations and 25% (1 day per week) to your own private practice or locum ... Duties & ResponsibilitiesClinical Governance & Utilization Review * Coverage Determinations:

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Assistant Remote Utilization Review information

See Phoenix, AZ salary details

$11

$24

$33

How much do assistant remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for assistant remote utilization review in Phoenix, AZ is $24.23, according to ZipRecruiter salary data. Most workers in this role earn between $20.29 and $27.21 per hour, depending on experience, location, and employer.

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

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

What are the most commonly searched types of Remote Utilization Review jobs in Phoenix, AZ?

The most popular types of Remote Utilization Review jobs in Phoenix, AZ are:

What job categories do people searching Assistant Remote Utilization Review jobs in Phoenix, AZ look for?

The top searched job categories for Assistant Remote Utilization Review jobs in Phoenix, AZ are:

Infographic showing various Assistant Remote Utilization Review job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $50,389 per year, or $24.2 per hour.

Utilization Management (UM) Clinical Support Specialist (Remote)

Tango Care

Phoenix, AZ โ€ข On-site, Remote

Full-time

Re-posted 7 days ago


Job description

Description
tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a UM Clinical Support Specialist to join our growing team!
** This is a Non-Clinical role and Clinicians will not be considered **
The UM Clinical Support Specialist plays a vital role in supporting the leadership of the Utilization Management team by collecting, analyzing, and reporting data. This position is responsible for maintaining utilization and productivity logs, developing, and monitoring reports, and ensuring accurate and timely documentation. The role also provides administrative support to the clinical team by managing inbound and outbound calls that do not require clinical intervention, review referrals for completeness, assisting reviewers with obtaining clinical information when needed, and supporting compliance, training, and appeal processes
Office Location:
  • Office located at 2415 E Camelback Road, Suite 700, Phoenix, AZ 85020
  • Remote (MST or PST time zone)

Essential Functions:
  • Works independently with minimal supervision and demonstrates accountability for work quality.
  • Support the UM Director and Supervisor in data collection and analysis.
  • Creates and manage comprehensive reports on utilization and productivity and performance trends.
  • Reviews the human resource credentialing reports with the Supervisor to ensure clinician licenses remain current in all applicable states.
  • Monitors Relias for completion of mandatory training and ensure staff compliance within required timelines.
  • Records and tracks QIO appeal requests and provides assistance as needed.
  • Assists the clinical team by managing non-clinical calls, inquires and administrative tasks.
  • Assists the clinical team by reviewing referrals for missing clinical documentation and obtaining clinical information from providers or facilities when necessary and providing decision notifications back to the providers.
  • Assist UM reviewers with administrative tasks in relation to the PA/RA/Appeals process.
  • Assist UM department with non-clinical RA decisions.
  • Answers and resolves portal tickets in a timely manner.
  • Maintains accurate logs, tracks data trends and identifies opportunities for process improvements.
  • Exhibits a professional, pleasant and welcoming demeanor both in person and on the phone.
  • Schedules 1:1 meetings for leadership and staff as directed.
  • Other duties as assigned.

Qualifications:
  • Associate degree in healthcare administration, business administration, or a related field required; Bachelor's degree preferred.
  • Proven experience in a healthcare support role, particularly in data collection and reporting.
  • Prior experience supporting clinical teams and handling administrative tasks related to healthcare services.

Knowledge and Experience:
  • Proficiency in relevant software applications (e.g., Excel, Power BI, database management systems).
  • General medical knowledge.
  • Understanding of healthcare utilization management processes and terminology.
  • Awareness of privacy regulations and data security practices in healthcare.
  • Excellent organizational skills with strong attention to detail.
  • Critical thinking and troubleshooting skills.
  • Ability to manage multiple tasks and prioritize effectively in a fast-paced environment.
  • Well-developed interpersonal and communication skills.
  • Professional appearance and manner.
  • Ability to work both independently and collaboratively in a team environment.

tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.