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From Home Utilization Management Jobs (NOW HIRING)

Humana

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work ...

Humana

Manager, Utilization Management Nursing

Utilization management * Prior experience within discharge planning, case management * Health Plan ... Remote work at Home Location: Reside in a state participating in a compact license, (eNLC) Schedule:

Humana

Utilization Management Nurse

Reporting to the Manager, Utilization Management Nursing, the Part C Grievance & Appeals (G&A ... Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work ...

UHS

Director Utilization Management

Plymouth, IN · On-site

... and home. For more information, please visit our website: Position Summary: The Director of ... From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Utilization Management Nurse Consultant Clinical Precertification RN (Commercial) Remote ... Work-from-Home colleagues are required to work within the state and city where they have confirmed ...

UHS

Director Utilization Management

Plymouth, IN · On-site

... and home. For more information, please visit our website: Position Summary: The Director of ... From Fortune , ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.

CVS Health

Utilization Management Nurse Consultant

$29.10 - $62.32/hr

Registered Nurse (RN) - Utilization Management Join a team that makes a difference in healthcare ... Work from Home Requirements: * You must have or be able to obtain a direct/hardwired internet ...

Wellpath

Director Utilization Mgmt

Lemoyne, PA · On-site

O.) from an accredited university Experience * One (1) year of experience in utilization management is required. * Excellent communication and organizational skills required. * Experience in ...

CVS Health

Utilization Management Nurse Consultant

$26.01 - $56.14/hr

Position Summary Utilization Management is a 24/7 operation and work schedules will include ... Work-from-Home colleagues are required to work within the state and city where they have confirmed ...

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From Home Utilization Management information

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$39K

$89.5K

$163K

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

As of Sep 6, 2026, the average yearly pay for from home utilization management 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 Utilization Management vs From Home Case Management?

AspectFrom Home Utilization ManagementFrom Home Case Management
CertificationsCPUR, CCM, or similarCPUR, CCM, or similar
Work EnvironmentRemote, healthcare insurance companiesRemote, healthcare insurance companies
Primary FocusReviewing medical necessity and resource utilizationCoordinating patient care and services
Employer UsageHealth insurers, managed care organizationsHealth insurers, managed care organizations

From Home Utilization Management primarily focuses on evaluating medical necessity and resource utilization, ensuring appropriate healthcare services. In contrast, From Home Case Management emphasizes coordinating patient care and services to support health outcomes. Both roles are remote, require similar certifications, and are used within healthcare insurance companies, but their core responsibilities differ.

What cities are hiring for From Home Utilization Management jobs?

Cities with the most From Home Utilization Management job openings:

What are the most commonly searched types of Utilization Management jobs?

The most popular types of Utilization Management jobs are:

What states have the most From Home Utilization Management jobs?

States with the most job openings for From Home Utilization Management jobs include:

From Home Utilization Management jobs near you

Utilization Management Supervisor

Franciscan Health

Remote

Full-time

Re-posted 12 days ago

Franciscan Health rating

6.9

Company rating: 6.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Work From Home
Work From Home Work From Home, Indiana 46544
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
  • Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
  • Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
  • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
  • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
  • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
  • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

QUALIFICATIONS
  • Bachelor's Degree in Nursing required
  • Active Indiana Registered Nurse (RN) license required
  • 5 years of Nursing/Patient Care required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:
Up to 20%
JOB RANGE:
Supervisor Utilization Management: $82,347.20 - $113, 235.20
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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