ZipRecruiter

Log In

2

Remote Utilization Management Nurse Jobs in Ohio

Veterans Health Administration

Nurse

Dayton, OH · On-site +1

$76K - $163K/yr

... utilization. * Provides urgent and emergent care to patients with acute and/or chronic medical ... Demonstrates the ability to cope with and manage competing priorities. * Responsible and ...

SPECIALTY RX, Inc.

Remote Pharmacist

Columbus, OH · On-site +1

$58 - $60/hr

... nursing staff, physicians, and facility personnel as needed. * Receive and manage inbound calls ... Remote & Technical Requirements: * Secure, HIPAA-compliant home workspace. * Reliable high-speed ...

SpecialtyRx, Inc.

Remote Pharmacist

Columbus, OH · Remote

$56.25 - $67.50/hr

... nursing staff, physicians, and facility personnel as needed. * Receive and manage inbound calls ... Remote & Technical Requirements: * Secure, HIPAA-compliant home workspace. * Reliable high-speed ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management Nurse JobsRemote Utilization Management Nurse JobsRemote Utilization Management Nurse Jobs in Ohio

Remote Utilization Management Nurse information

See Ohio salary details

$20

$40

$65

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

As of Sep 8, 2026, the average hourly pay for remote utilization management nurse in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

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

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

More about Remote Utilization Management Nurse jobs

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

The most popular types of Utilization Management Nurse jobs in Ohio are:

What are popular job titles related to Remote Utilization Management Nurse jobs in Ohio?

For Remote Utilization Management Nurse jobs in Ohio, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management Nurse jobs in Ohio look for?

The top searched job categories for Remote Utilization Management Nurse jobs in Ohio are:

What cities in Ohio are hiring for Remote Utilization Management Nurse jobs?

Cities in Ohio with the most Remote Utilization Management Nurse job openings:

Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Ohio as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.

Remote Intake Coordinator - Licensed Practical Nurse (LPN) - $21/hr - Day Shift

CareHarmony

Cleveland, OH • On-site, Remote

$21 - $28/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 12 days ago

CareHarmony rating

4.0

Company rating: 4.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

CareHarmony's Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
CareHarmony is seeking an experienced Licensed Practical Nurse - LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient's healthcare journey.
You will have experience identifying resources and coordinating needs for chronic care management patients. This role is great for anyone who loves meeting and assisting new patients daily.
What's in it for you?
  • Fully remote position - Work from the comfort of your own home in cozy clothes without a commute. Score!
  • Consistent schedule - Full-Time Monday - Friday, no weekends, rotational on-call-once per year on average.
  • Career growth - Many of our team members move up in the company at a faster-than-average rate. We love to see our people succeed!

Requirements
Responsibilities:
  • Accepting transfers from the Patient Enrollment team to conduct preliminary health assessments for newly enrolled patients in our network.
  • Resolve patients' questions and create an open dialogue to understand needs.
  • Identify and coordinate community resources with patients that would benefit their care.
  • Provide patient education and health literacy on the management of chronic conditions.
  • Assist with medication management, including identifying potential medication concerns, adherence, and coordinating refills.
  • Assist in ensuring timely delivery of services to your patients; Home Health, DME, Home Infusion, and other critical needs.
  • This individual must be able to quickly adapt to a fast-paced work environment. This role requires most of your shift on the phone.

Additional Requirements:
  • Active Compact/Multi-State license (LPN) (LVN)
  • Technical aptitude - Microsoft Office Suite
  • Excellent written and verbal communication skills

Remote Requirements:
  • Must have active high-speed Wi-Fi
  • Must have a home office or HIPAA-compliant workspace

Plusses:
  • Epic Experience
  • Bilingual
  • Additional Single State licensures

Physical Requirements
  • This position is sedentary and will require sitting for long periods of time
  • This position will require the ability to speak clearly and listen attentively, often by telephone, for an extended period of time
  • The position will require the ability to understand, process, and take thorough notes in real-time on telephone conversations

Benefits:
  • Health Benefits (core medical, dental, vision)
  • 401k with company match
  • Paid Holidays
  • Paid Time Off (PTO)
  • Sick Time Off (STO)
  • Company laptop provided

Pay:
  • $21/hr-$28/hr
  • Opportunities to pick up OT to increase earnings

Hours:
  • 8:00am - 4:30pm CST
  • 9:00am - 5:30pm CST

What CareHarmony employees say

Pay

Workplace

Get the full story on Breakroom

Apply