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Remote Supervisor Utilization Management Jobs in California

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Remote Supervisor Utilization Management information

What is the highest paying job in healthcare management?

In healthcare management, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Medical Officer (CMO) tend to be the highest paying positions, often earning six-figure salaries. These roles require extensive experience, leadership skills, and often advanced degrees or certifications, and they oversee large healthcare organizations or systems.

How to make 2000 a week working from home?

A Remote Supervisor Utilization Management can earn $2,000 or more weekly by working full-time, managing multiple cases efficiently, and possessing relevant certifications such as CCM or ANCC. Increasing experience, demonstrating strong organizational skills, and working for organizations with higher pay scales can also help achieve this income level.

Is a utilization manager the same as a risk manager?

A utilization management supervisor focuses on evaluating healthcare services to ensure appropriate and efficient use of resources, often within insurance or healthcare organizations. A risk manager, on the other hand, identifies and mitigates potential risks to an organization, which can include financial, legal, or safety concerns. While both roles involve assessment and decision-making, they serve different functions and require distinct skill sets.

How to make $1000 a week remotely?

A Remote Supervisor Utilization Management role can pay around $1,000 or more per week depending on experience, certifications, and workload. Earning this amount typically involves managing a high volume of cases, utilizing strong organizational skills, and working full-time hours, often with overtime or bonuses for productivity. Building expertise in utilization review and maintaining relevant credentials can help increase earning potential in remote management positions.

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are the most commonly searched types of Supervisor Utilization Management jobs in California? The most popular types of Supervisor Utilization Management jobs in California are:
What are popular job titles related to Remote Supervisor Utilization Management jobs in California? For Remote Supervisor Utilization Management jobs in California, the most frequently searched job titles are:
What job categories do people searching Remote Supervisor Utilization Management jobs in California look for? The top searched job categories for Remote Supervisor Utilization Management jobs in California are:
What cities in California are hiring for Remote Supervisor Utilization Management jobs? Cities in California with the most Remote Supervisor Utilization Management job openings:
Remote Supervisor Utilization Management jobs near you

Medical Director - Utilization Management (Part-Time or Full-Time)

Astrana Health, Inc.

Monterey Park, CA • On-site, Remote

$275K - $315K/yr

Full-time

Re-posted 2 days ago

Job description

Medical Director - Utilization Management (Part-Time or Full-Time)
Department: HS - UM
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Dr. George Christidies
Compensation: $275,000 - $315,000 / year
Description
Astrana is seeking a California-licensed Medical Director - Utilization (UM) to provide clinical oversight and strategic leadership through our utilization review operations to ensure members receive high-quality, medically appropriate, and cost-effective care. This is a critical, cross-functional role that bridges clinical expertise with operational execution across value-based care, capitated models, and delegated risk structures.
In this role, you'll apply evidence-based criteria to utilization decisions, mentor clinical review teams, and support compliance with all applicable regulatory and contractual obligations. We are seeking candidates with extensive outpatient UM experience.
This position is ideal for a clinically grounded physician who thrives in a data-informed, team-based environment and is passionate about transforming how care is delivered in a risk-bearing, population health-focused ecosystem.
We are open to part-time (three full 8 hour shifts from 8 AM - 5 PM PST) or full-time (32+ hours per week).
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team

What You'll Do
  • Provide physician oversight and final determination for outpatient utilization management activities, including prior authorizations, retrospective reviews, and appeals.
  • Ensure medical necessity and appropriateness of outpatient services such as specialty referrals, diagnostics, imaging, DME, therapies, and procedures.
  • Support compliance with delegated health plan requirements, regulatory standards, and accreditation guidelines.
  • Conduct peer‑to‑peer reviews and outpatient physician education to improve documentation, guideline adherence, and appropriate utilization.
  • Partner with Outpatient Medical Directors, Population Health, and UM nursing teams to align utilization decisions with Astrana's value‑based care strategy.
  • Identify outpatient utilization trends, leakage, and variation; recommend clinical strategies to improve cost efficiency and quality outcomes.
  • Serve as clinical liaison with health plans and external vendors on outpatient UM‑related matters.

Qualifications
  • MD or DO; Board Certified in Internal Medicine, Family Medicine, or a relevant outpatient specialty required.
  • Active, unrestricted medical license (California required).
  • Prior experience in outpatient utilization management, health plan medical management, or delegated risk environments.
  • Strong understanding of outpatient medical necessity criteria, prior authorization workflows, and appeals processes.
  • Experience working with PCPs and ambulatory specialists in value‑based care models.
  • Strong physician‑to‑physician communication and clinical judgment.

Environmental Job Requirements and Working Conditions
  • This is a remote position. The position will operate in Pacific Standard Time.
  • The national target base salary range for this role is: $275,000 - $325,000. Actual compensation will be determined based on geographic location (current or future), experience, or other job-related factors. Salary will be pro-rated based on agreed upon hours.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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