ZipRecruiter

Log In

2

Remote Dental Utilization Management Jobs (NOW HIRING)

Humana

Manager, Utilization Management Nursing

Remote work at Home Location: Reside in a state participating in a compact license, (eNLC) Schedule ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Manager, Utilization Management Nursing

Remote work at Home Location: Reside in a state participating in a compact license, (eNLC) Schedule ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Registered Nurse

Experience working in a fully remote, metrics-focused role * Experience as an MDS Coordinator or ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Registered Nurse

Experience working in a fully remote, metrics-focused role * Experience as an MDS Coordinator or ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Registered Nurse

Experience working in a fully remote, metrics-focused role * Experience as an MDS Coordinator or ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

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 ...

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 ...

Humana

Utilization Management Nurse

This is a remote position. * This role is responsible for overseeing weekend workflow, monitoring ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Toney Healthcare

Be Seen First

Supervisor, Utilization Management & Appeals

Tampa, FL · Remote

$50 - $60/hr

Experience managing or supporting remote clinical teams. * Familiarity with Medicare, Medicaid, and ... Utilization management: 5 years (Required) * Appeals: 2 years (Required) Preferred education ...

Humana

Utilization Management Nurse

This is a remote position. * This role is responsible for overseeing weekend workflow, monitoring ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Humana

Utilization Management Nurse

This is a remote position. * This role is responsible for overseeing weekend workflow, monitoring ... Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings ...

Centene

Supervisor, Utilization Management (RN)

$75K - $135K/yr

Collaborates with utilization management team to resolve complex care member issues * Maintains ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

previous pagenext page

Showing results 21-40

All JobsRemote JobsHealthcare JobsDental JobsDental Office Assistant JobsRemote Dental Utilization Management Jobs

Remote Dental Utilization Management information

See salary details

$15

$31

$53

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

As of Sep 10, 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 is a remote dental utilization management?

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.

What are the key skills and qualifications needed to thrive as a remote dental utilization management professional?

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 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 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.

More about Remote Dental Utilization Management jobs

What cities are hiring for Remote Dental Utilization Management jobs?

Cities with the most Remote Dental Utilization Management job openings:

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 are popular job titles related to Remote Dental Utilization Management jobs?

For Remote Dental Utilization Management jobs, the most frequently searched job titles are:

Remote Dental Utilization Management jobs near you

Manager, Utilization Management Nursing

Remote

Humana
Health Care and Social Assistance • 10K+ employees
Learn more about Humanaexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Humana rating

8.0

Company rating: 8.0 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

172nd of 315 rated insurance

Job description

Become a part of our caring community
The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals.

The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross departmental collaboration, and conducts briefings and area meetings; maintains frequent contact with other managers across the department.


Use your skills to make an impact

Required Qualifications

  • Active Licensed Registered Nurse (RN) in Virginia or enhanced compact license, (eNLC) with no disciplinary action
  • Minimum 2 years of team lead and/or project lead experience
  • Minimum 2 years progressive clinical experience preferably in an acute care, skilled or rehabilitation setting
  • Intermediate to Advanced knowledge using Microsoft Office Word, Excel, PowerPoint, navigating multiple systems and platforms and ability to troubleshoot and resolve basic technical difficulties in a remote environment.
  • Ability to work independently under general instructions and with a team

Preferred Qualifications

  • Bachelor's Degree
  • Prior supervisory experience which may include interviewing, hiring, training, performance evaluation, coaching and up to termination.
  • Utilization management
  • Prior experience within discharge planning, case management
  • Health Plan experience
  • Prior Medicare / Medicaid experience
  • Call center or triage experience
  • Bilingual is a plus

Workstyle: Remote work at Home

Location: Reside in a state participating in a compact license, (eNLC)

Schedule: Must work a minimum of 8 hours between 8:00 AM to 5:00 PM Eastern Time, may be required to work rotating holidays or weekends as determined by business needs

Travel: Less than 10 % for onsite market as business needs

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Florida Background Screening Requirements: Notice for candidates applying to this position from a Florida work location, including Florida home-based work location. This position is subject to Florida Level 2 background screening through the Care Provider Background Screening Clearinghouse. For information about the screening process and requirements, visit: https://info.flclearinghouse.com.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$94,900 - $130,500 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 09-04-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand atCenterWell.com.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

What Humana employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Humana logo

About Humana

Sourced by ZipRecruiter

Humana Inc., headquartered in Louisville, KY., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Louisville, KY, US

Year founded

1961

Social media

FacebookTwitter

View All Humana Jobs

Apply