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Remote Dental Utilization Management Jobs (NOW HIRING)

Intus, Inc

Utilization Management Nurse

$80K - $95K/yr

Comprehensive benefits including health, dental, and vision insurance. * A collaborative, inclusive ... This is a fully remote role based in the United States. Sponsorship: This position is not eligible ...

Dragonfly Recruiting

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Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...

CorroHealth

Coordinator, Utilization Management

$19 - $20/hr

Title: Coordinator, Utilization Management Location: Remote (Within US Only) Required Schedule ... Remote within US ONLY * Equipment provided * Medical/Dental/Vision Insurance * 401k program * PTO ...

CommonSpirit Health

$43K - $49K/yr

Job Summary and Responsibilities As our Utilization Management (UM) Assistant, you will provide ... Job Requirements This is a remote position. Education and Experience: * Associates Other in ...

Allmed Staffing Inc

$20.80/hr

Utilization Management LPN Allmed Benefits: Vision Insurance, Health Insurance ... Dental Insurance and 401(k) Pay Rate: $20.80/hr (Paid Weekly) Work Location: Remote (Must have ...

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Remote Dental Utilization Management information

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How much do remote dental utilization management jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for remote dental utilization management in the United States is $31.94, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $40.62 per hour, depending on experience, location, and employer.

What are some remote dental jobs?

Remote dental jobs include roles such as dental utilization management specialists, case managers, and claims reviewers, which involve evaluating dental benefits and coordinating care remotely. These positions often require knowledge of dental procedures, insurance policies, and strong communication skills, and may involve using specialized software or electronic health records systems.

What's the highest paid dental job?

In dental utilization management, senior roles such as Dental Director or Dental Benefits Manager tend to have the highest salaries, often exceeding $100,000 annually. These positions require extensive experience, strong knowledge of dental insurance policies, and often involve overseeing large teams or complex case reviews.

What is dental utilization management?

Dental utilization management is a process used by insurance companies or healthcare organizations to review and approve dental treatments and procedures. It ensures that care is necessary, appropriate, and cost-effective, often involving review by dental professionals and adherence to clinical guidelines. This role requires knowledge of dental procedures, insurance policies, and sometimes certification in dental or healthcare management.

What is the difference between Remote Dental Utilization Management vs Remote Dental Claims Processing?

AspectRemote Dental Utilization ManagementRemote Dental Claims Processing
Primary RoleReviewing and authorizing dental treatments based on medical necessityProcessing and adjudicating dental insurance claims for reimbursement
Required SkillsDental knowledge, review protocols, insurance policiesClaims coding, data entry, insurance guidelines
Work EnvironmentRemote, healthcare/insurance industryRemote, insurance/healthcare industry
CertificationsDental credentials often preferred; insurance knowledgeClaims processing certifications, insurance knowledge

Remote Dental Utilization Management focuses on evaluating dental treatments for necessity, while Remote Dental Claims Processing handles the financial reimbursement process. Both roles are essential in dental insurance workflows but differ in responsibilities and skill sets.

Do remote dental billers need a home office?

Remote dental billers typically need a dedicated home office space with reliable internet and computer equipment to perform billing tasks efficiently. Having a quiet, organized environment helps ensure accuracy and productivity while working remotely.

What are some common challenges faced by professionals in Remote Dental Utilization Management roles?

Professionals in Remote Dental Utilization Management often encounter challenges such as staying updated on evolving dental policies and coverage criteria, as well as interpreting complex clinical documentation without direct patient interaction. Communicating effectively with providers and patients via phone or email, rather than in-person, can also be demanding. Additionally, balancing productivity expectations with the need for careful, accurate reviews requires strong time management and attention to detail. Collaborating virtually with team members and adapting to new technologies are also important aspects of the role.

What are the key skills and qualifications needed to thrive as a Remote Dental Utilization Management professional, and why are they important?

To thrive as a Remote Dental Utilization Management professional, you need a background in dental hygiene or dentistry, strong analytical abilities, and knowledge of insurance guidelines, usually supported by credentials such as RDH, DDS, or DMD. Familiarity with dental claims processing software, electronic health record (EHR) systems, and utilization review platforms is typically required. Exceptional communication, attention to detail, and critical thinking skills help professionals effectively assess claims and collaborate with providers. These competencies are essential to ensure accurate adjudication, cost control, and high levels of service in remote dental benefits management.

What is a Remote Dental Utilization Management job?

A Remote Dental Utilization Management job involves reviewing dental treatment plans and claims to ensure they meet established clinical guidelines and policies, all while working from a remote location. Professionals in this role assess the necessity and appropriateness of dental services, help control costs, and may interact with dentists, patients, and insurance companies. They often use their dental expertise to make recommendations or decisions about coverage and authorizations. This position typically requires a background in dentistry or dental hygiene, strong analytical skills, and familiarity with insurance processes.
More about Remote Dental Utilization Management jobs
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What are the most commonly searched types of Dental Utilization Management jobs? The most popular types of Dental Utilization Management jobs are:
What states have the most Remote Dental Utilization Management jobs? States with the most job openings for Remote Dental Utilization Management jobs include:
What job categories do people searching Remote Dental Utilization Management jobs look for? The top searched job categories for Remote Dental Utilization Management jobs are:
Remote Dental Utilization Management jobs near you

Utilization Management Nurse

Intus, Inc

Remote

$80K - $95K/yr

Full-time

Medical, Dental, Vision

Posted 23 days ago

Job description

About IntusCare
IntusCare is the only end-to-end ecosystem built specifically to help Programs of All-Inclusive Care for the Elderly (PACE) programs deliver exceptional care, strengthen financial performance, and stay compliant. IntusCare replaces outdated technology and manual workarounds with purpose-built solutions for care coordination, risk adjustment, population health, and utilization management. IntusCare empowers teams to take control of their operations and improve outcomes for dual-eligible seniors - some of the most socially vulnerable and clinically complex individuals in the US healthcare system.
Role Overview
The Utilization Management Nurse plays a critical role in ensuring high-quality, cost-effective, and compliant care for PACE participants supported by IntusCare. This individual partners closely with PACE Interdisciplinary Teams, Medical Directors, and provider networks to review service utilization, guide care decisions and support timely, appropriate transitions across care settings. Blending clinical expertise with analytical thinking, the Utilization Management Nurse ensures services are medically necessary, aligned with care plans and consistent with PACE regulations and best practices. This role is essential to maintaining program integrity, improving participant outcomes and supporting the delivery of coordinated, value-based care.
Responsibilities
  • Rigorous adherence to PACE program service authorization policies, ensuring that participant care and related claims are:
    • Reasonable and necessary for diagnosis or treatment and consistent with PCP coordination decisions.
    • In accordance with accepted medical standards and consistent with the participant care needs including level of care and advanced care planning principles.
  • Active involvement in various aspects of the utilization management process, including:
    • Concurrent review of all hospital admissions (observation and inpatient) with the Interdisciplinary Team driving efficient and timely transitions of care, retrospective review of inpatient admissions under 48 hours, and claims submitted inconsistent with the service authorization.
    • Concurrent review of all subacute and SNF admissions with the Interdisciplinary Team driving efficient and timely discharge plans and transitions of care.
    • Coordination and review of all other services delivered by contracted providers and identified by the PACE program assuring consistency with Interdisciplinary Team service authorization, care plans, and PCP coordination decisions.
  • Employ effective use of knowledge, critical thinking, and skills to:
    • Advocate quality care and enhanced quality of life
    • Advocate decreased hospital stay when appropriate
    • Maintain accurate records of all patient related interactions
  • Appeal Management - In cases of claim rejection, the Intus Care Utilization Management Nurse will lead the provider appeals process. Responsibilities Include:
    • Comprehensive review of provider network appeals.
    • Collaboration with the PACE Program's Medical Director to review and respond to appeal requests, ensuring issuance of a written determination consistent with the PACE program policies.

Qualifications
  • 3 to 5 years of utilization management experience.
  • Current RN license
  • Proven experience working in risk based integrated models of care.
  • Ability to use data to drive decisions and collaboration with internal and external stakeholders.
  • Strong strategic thinking, problem solving, and decision making skills.
  • Excellent communication and leadership abilities, capable of motivating and guiding teams toward timely and efficient care management strategies

What We Offer
  • A chance to be a part of a trailblazing team in healthcare technology.
  • Competitive salary and equity package.
  • Comprehensive benefits including health, dental, and vision insurance.
  • A collaborative, inclusive, and dynamic work environment.
  • Opportunities for professional growth and development

Compensation: The salary range for this role is $80K-$95K. We expect the ideal candidate to fall near the midpoint of this range, though final compensation will be determined based on experience, skills, and organizational needs.
Work location: This is a fully remote role based in the United States.
Sponsorship: This position is not eligible for sponsorship.

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