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Remote Supervisor Utilization Management Jobs (NOW HIRING)

Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

Additional duties as requested by supervisor * Maintains knowledge of CMS, State and NCQA ... 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

Additional duties as requested by supervisor * Maintains knowledge of CMS, State and NCQA ... 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

Additional duties as requested by supervisor * Maintains knowledge of CMS, State and NCQA ... 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

Additional duties as requested by supervisor * Maintains knowledge of CMS, State and NCQA ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Actalent

Utilization Management Rn - Remote

$34 - $40/hr

Qualifications: * 3+ years of utilization management, concurrent review, prior authorization ... remote position. Application Deadline This position is anticipated to close on Jun 26, 2026. About ...

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All JobsRemote Supervisor Utilization Management Jobs

Remote Supervisor Utilization Management information

See salary details

$39K

$91K

$167.5K

How much do remote supervisor utilization management jobs pay per year?

As of Jun 29, 2026, the average yearly pay for remote supervisor utilization management in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 per year, depending on experience, location, and employer.

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.

More about Remote Supervisor Utilization Management jobs
What cities are hiring for Remote Supervisor Utilization Management jobs? Cities with the most Remote Supervisor Utilization Management job openings:
What are the most commonly searched types of Supervisor Utilization Management jobs? The most popular types of Supervisor Utilization Management jobs are:
What states have the most Remote Supervisor Utilization Management jobs? States with the most job openings for Remote Supervisor Utilization Management jobs include:
What job categories do people searching Remote Supervisor Utilization Management jobs look for? The top searched job categories for Remote Supervisor Utilization Management jobs are:
Remote Supervisor Utilization Management jobs near you
Infographic showing various Remote Supervisor Utilization Management job openings in the United States as of June 2026, with employment types broken down into 60% Full Time, 20% Part Time, 10% Temporary, and 10% Contract. Highlights an 37% Physical, 3% Hybrid, and 60% Remote job distribution, with an average salary of $91,011 per year, or $43.8 per hour.
Utilization Management LPN

Utilization Management LPN

Allmed Staffing Inc

Pearland, TX • Remote

$40/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 6 days ago

Job description

Job Title: Utilization Management LPN
Allmed Benefits: Vision Insurance, Health Insurance, Dental Insurance and 401(k)
Pay Rate: $40/hr (Paid Weekly)
Work Location: 11511 SHADOW CREEK Pkwy, Pearland, TX
Contract: 05/11/2026 to 08/07/2026
Schedule: Monday – Friday, 8:00 AM – 5:00 PM

Position Overview:

The Utilization Management LPN supports daily utilization management operations by reviewing authorization requests, ensuring timely and accurate processing, and maintaining compliance with health plan and regulatory requirements. This role is essential in supporting workflow efficiency, particularly during periods of increased volume or team coverage needs.

Team Environment:

This position reports to a supervisor and works within a collaborative team of approximately 10–11 members. The team includes licensed nurses and utilization management professionals dedicated to meeting service level agreements, productivity goals, and quality standards in a fast-paced environment.

Key Responsibilities:

  • Review and process authorization requests, including consults, follow-up visits, and procedures
  • Apply medical necessity criteria such as InterQual and evaluate plan benefits
  • Ensure accurate and timely documentation within EPIC or similar systems
  • Communicate authorization decisions and status updates to providers verbally and in writing
  • Maintain compliance with regulatory, quality, and audit requirements
  • Support high-volume work queues and assist with coverage needs
  • Coordinate redirection of services, benefit clarification, and continuity of care
  • Meet established productivity, turnaround time, and quality benchmarks
  • Assist with workflow improvements and departmental goals as needed

Qualifications:

Required:

  • Active LVN/LPN license in a Compact State or Texas
  • Minimum 2 years of clinical experience, preferably in utilization management or managed care
  • Strong knowledge of medical terminology and clinical workflows
  • Experience applying medical necessity criteria such as InterQual
  • Excellent communication, documentation, and organizational skills
  • Ability to multitask, prioritize workload, and meet deadlines

Preferred:

  • Previous Utilization Management or Prior Authorization experience
  • Experience with EPIC and/or IQ Cloud systems
  • Knowledge of Medicare Advantage and Commercial plan requirements
  • Strong understanding of compliance, audits, and regulatory processes
  • Ability to work independently in a remote environment

Additional Information:

  • License Required: Yes – Active LVN/LPN (Compact State or Texas)
  • Dress Code: Business casual (remote-appropriate)
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