ZipRecruiter

Log In

2

From Home Remote Utilization Management Nurse Jobs

Intus, Inc

Contract Utilization Management Nurse

$42/hr

Role Overview The Contract Utilization Management Nurse plays a critical role in ensuring high ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...

Franciscan Health

Utilization Management Supervisor

Work From Home Work From Home Work From Home, Indiana 46544 The Supervisor Utilization Management ... Bachelor's Degree in Nursing required * Active Indiana Registered Nurse (RN) license required * 5 ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

next page

Showing results 1-20

All JobsUtilization Management Nurse JobsFrom Home Remote Utilization Management Nurse Jobs

From Home Remote Utilization Management Nurse information

See salary details

$39K

$89.5K

$163K

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

As of Aug 4, 2026, the average yearly pay for from home remote utilization management nurse in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between From Home Remote Utilization Management Nurse vs From Home Remote Case Manager?

AspectFrom Home Remote Utilization Management NurseFrom Home Remote Case Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification (e.g., CCM)
Work EnvironmentHome-based, healthcare settingHome-based, healthcare setting
Employer & IndustryInsurance companies, healthcare providersInsurance companies, healthcare providers
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, discharge planning

Both roles are remote healthcare positions requiring RN licensure. The main difference is that Utilization Management Nurses focus on reviewing medical necessity and authorizations, while Case Managers coordinate patient care and discharge planning. Both roles are essential in healthcare management and often overlap in skills and work environment.

What cities are hiring for From Home Remote Utilization Management Nurse jobs? Cities with the most From Home Remote Utilization Management Nurse job openings:
What are the most commonly searched types of Remote Utilization Management Nurse jobs? The most popular types of Remote Utilization Management Nurse jobs are:
What states have the most From Home Remote Utilization Management Nurse jobs? States with the most job openings for From Home Remote Utilization Management Nurse jobs include:
From Home Remote Utilization Management Nurse jobs near you
Infographic showing various From Home Remote Utilization Management Nurse job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 72% Full Time, 23% Part Time, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Lead Utilization Management Nurse

First Match Services, Inc.

Oak Brook, IL • On-site, Remote

Full-time

Retirement, PTO

Re-posted 3 days ago

Job description

We have an innovative organization looking to add a Lead Utilization Management Nurse to its team. Their main purpose is to enable physicians to engage, support, and manage new value-based savings and shared-risk models. They deliver timely, turn-key solutions for healthcare providers, health plans and strategic partners.
In this position as the Lead Utilization Management Nurse you will provide expertise in Utilization Management while managing a small team of UM nurses to help ensure that every patient receives the right type of care, at the right time in the right setting, every day! You will also provide hands-on expertise to help implement company strategies and provide oversight of assigned IPA Utilization Management program.
Some other responsibilities include:
  • Conducting monthly client UM Committee meetings
  • Act as a resource for the UM Nurses (first point of contact for clinical clarification/education)
  • Participate in data analysis of utilization metrics
  • Prepare, participate and present summary utilization management reports to UM/QM Committee
  • Much More!

QUALIFICATIONS
  • Bachelor of Science degree (AND or BSD) in Nursing
  • At least 4-5 years of relevant professional experience, including medical management experience in health plans, provider, or MSO settings and quality chart reviews
  • Registered Nurse (RN) with a current and active nursing license to practice in the State of Illinois is required 
  • A minimum of three (3) years of responsible leadership experiences in management positions
  • Certified Case Manager (CCM) preferred
  • Knowledge/experience in Medicare/Medicaid and HEDIS criteria is highly desirable
  • Valid Driver's License and vehicle required
  • Ability to travel at least 30% for client meetings within the state required

ADDITIONAL DETAILS
  • On-site gym FREE to employees
  • On-site deli
  • Professional Development Opportunities
  • Great base salary with bonus potential
  • Full benefits, 401k and PTO allowance
  • Eligible for consideration of partial work from home status upon completion of probationary period as designated by the direct supervisor.