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From Home Dental Utilization Management Jobs (NOW HIRING)

Actalent

Utilization Management Nurse

$40/hr

Acute Care, Home Health, and Medical Surgery experience preferred. * Strong technical acumen and ... The work hours are from 8 AM to 5 PM CST, with a contract length of 6-8 months and a possibility ...

CVS Health

Utilization Management Nurse Consultant

$26.01 - $56.14/hr

Work-from-Home colleagues are required to work within the state and city where they have confirmed ... The benefits for this position include medical, dental, and vision coverage, paid time off ...

Phsorg

$65K - $111K/yr

Able to summarize from medical clinical notes, progress notes, needs assessments, functional ... dental, vision, short-term and long-term disability, group term life insurance and other optional ...

Access Dubuque

Utilization Management Nurse

Dubuque, IA · On-site

Utilization Management Nurse Cottingham & Butler/ SISCO 1 Positions ID: 4627707008 Posted On 07/01 ... Full-Time Benefits - Most benefits start day 1 * Medical, Dental, Vision Insurance * Flex Spending ...

ICONMA

Spec, Utilization Management

Baltimore, MD · On-site

Spec, Utilization Management Our client, a Health Insurance company, is looking for a Spec ... They must be able to meet established deadlines and handle multiple customer service demands from ...

Oak St. Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

... hear from you. Apply today! Anticipated Weekly Hours: 40 Time Type: Full time Pay Range: $32.01 ... The benefits for this position include medical, dental, and vision coverage, paid time off ...

Corewell Health

Utilization Mgmt Spec

Climax, MI · On-site

Optional identity theft protection, home and auto insurance * Traditional and Roth retirement ... From workshops that develop cultural intelligence, to our inclusion resource groups for people to ...

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How much do from home dental utilization management jobs pay per year?

As of Aug 29, 2026, the average yearly pay for from home dental utilization management in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

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From Home Dental Utilization Management jobs near you

Utilization Management Clinical

Chico, CA • On-site

BUTTE HOME HEALTH INC
Home Health Care Services • 51 - 200 employees
Learn more about BUTTE HOME HEALTH INCexternal

$50 - $60/hr

Full-time

Re-posted 13 days ago

Job description

The Utilization Manager, Registered Nurse, is an office-based nursing position responsible for supporting high-quality patient care through clinical oversight, utilization management, and real-time guidance to field clinicians. This role serves as a key clinical resource within the organization, assisting with nursing calls, care coordination, and clinical decision-making to promote positive patient outcomes while ensuring regulatory and payer compliance.
Key responsibilities include:
  • Provide clinical support and guidance to field clinicians, including RNs, LVNs, and therapy staff.
  • Take and triage nursing calls from clinicians, patients, and caregivers as appropriate.
  • Collaborate with field staff to assist with clinical problem-solving, patient status changes, and care planning.
  • Review plans of care and clinical documentation to ensure appropriate utilization of services and skilled need.
  • Monitor visit frequencies and service utilization in alignment with physician orders, payer guidelines, and agency standards.
  • Support case managers with recertifications, discharges, transitions of care, and care coordination.
  • Participate in interdisciplinary collaboration to promote continuity of care and effective communication.
  • Identify clinical risks or concerns and escalate issues appropriately.
  • Support compliance with Medicare Conditions of Participation, regulatory requirements, and agency policies.
  • Contribute to quality improvement initiatives focused on patient outcomes, documentation accuracy, and clinical best practices.

Required Qualifications
  • Active Registered Nurse (RN) license in the state of California.
  • Strong clinical assessment, critical-thinking, and decision-making skills.
  • Excellent verbal and written communication skills.
  • Ability to work collaboratively with interdisciplinary teams.
  • Proficiency with electronic medical records (EMR) systems and basic computer applications.

Preferred Qualifications
  • Experience in utilization management, case management, or clinical coordination.
  • Home Health experience preferred but not required.
  • Knowledge of Medicare home health regulations, payer guidelines, and Conditions of Participation.
  • Experience providing clinical support, education, or mentorship to field clinicians.
  • Strong organizational skills with the ability to manage multiple priorities in a fast-paced office environment.

Apply