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Remote Utilization Management Nurse Jobs in Vermont

$113K - $143K/yr

... remote palliative care in the Grand Rapids area. Visits are clustered by area. Please note, this is ... Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: MED > ...

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Remote Utilization Management Nurse information

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$22

$44

$73

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

As of Aug 21, 2026, the average hourly pay for remote utilization management nurse in Vermont is $44.96, according to ZipRecruiter salary data. Most workers in this role earn between $35.53 and $51.63 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.

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

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

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

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

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

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

Infographic showing various Remote Utilization Management Nurse job openings in Vermont as of August 2026, with employment types broken down into 2% As Needed, 86% Full Time, 6% Part Time, and 6% Contract. Highlights an 100% Remote job distribution, with an average salary of $93,509 per year, or $45 per hour.

Remote Mental Health Counselor (Licensed) - Outpatient Services

InStride Health Associates

South Burlington, VT โ€ข Remote

$90K - $110K/yr

Full-time

Medical, PTO

Posted 3 days ago

New


Job description

Position Overview

InStride Health Associates is seeking a dedicated and passionate Remote Licensed Clinical Mental Health Counselor (LMHC) to provide telehealth services within our outpatient practice. This full-time role allows you to work from the comfort of your home while making a significant impact on the mental health and well-being of clients across Vermont. As an LMHC, you will engage directly with clients, offering them the support and guidance they need through various programs tailored to their unique needs.

About the Organization

At InStride Health Associates, we pride ourselves on our commitment to enhancing the mental health of our community. Our organization is comprised of a collaborative group of mental health professionals dedicated to providing evidence-based treatment in a compassionate and empathetic manner. Operating remotely from our outpatient office in South Burlington, Vermont, we focus on delivering personalized mental health care that responds to the evolving needs of our clients.

Work Environment

This remote position offers the flexibility and convenience of working from anywhere while being part of a supportive team of counselors and licensed practitioners. You will be involved in virtual sessions, utilizing telehealth platforms to effectively engage with clients. Our digital infrastructure ensures seamless communication, collaboration, and access to necessary patient information, fostering a dynamic and efficient remote working environment.

Key Responsibilities
  • Conduct thorough evaluations of clients seeking mental health services, assessing their treatment needs for both mental health and substance abuse issues.
  • Perform prior authorization reviews and concurrent evaluations, ensuring that clinical services are in line with established regulatory guidelines and are medically appropriate.
  • Analyze client behavioral health data to enhance the quality of care and assist in the appropriate utilization of our mental health services.
  • Provide education and resources to clients and their families regarding the process of behavioral health utilization, empowering them to make informed decisions about their care.
  • Collaborate with other healthcare providers to discuss treatment plans, levels of care, and integrate a multidisciplinary approach to patient service.
  • Engage in case presentations during staffing and integrated rounds, contributing to an ongoing dialogue about best practices in patient care.
  • Adhere strictly to organizational policies and continue to improve operational standards within our counseling practices.
  • Be proactive in performing other duties as assigned, contributing to a deep understanding of the operational landscape of behavioral health.
Patient Population / Client Focus

Your primary focus will be diverse individuals seeking mental health support, including those dealing with anxiety, depression, PTSD, and substance use disorders. With a strong commitment to inclusivity, you will work with clients from various backgrounds, tailoring therapeutic approaches to meet their unique cultural and personal circumstances. Each day, you will help clients navigate challenges, enhance coping mechanisms, and build resilience through customized treatment plans.

Qualifications
  • A Masterโ€™s degree in psychology, counseling, social work, or a related field is required.
  • A valid and current state license to practice independently in Vermont, ensuring compliance with local regulations and standards.
  • A minimum of 2 years of formal post-graduate experience in a mental health clinical setting is essential, providing a foundation for effective therapy and care management.
Preferred Experience
  • Experience in telehealth practices is preferred, showcasing your adaptability to virtual platforms and techniques.
  • Prior experience working in an outpatient or community mental health environment is advantageous, enabling you to understand the unique challenges and rewards of this setting.
  • Familiarity with electronic health record (EHR) systems and documentation processes that streamline patient management is viewed favorably.
Compensation and Benefits

We offer a competitive annual salary ranging from $90,000 to $110,000, commensurate with your skills, qualifications, and experience. In addition to a rewarding compensation package, we provide comprehensive benefits, including health insurance, paid time off, and opportunities for professional development and continuing education, fostering your growth as a mental health professional.

Career Growth Opportunities

At InStride Health Associates, we believe in the potential of our employees. As you grow within our organization, you will have access to various training programs, workshops, and mentorship opportunities that will expand your skills and career horizons. There may be pathways for specialization and leadership roles as our practice continues to evolve.

Why Join Our Team

Joining InStride Health Associates means becoming part of a mission-driven team dedicated to making a difference in clientsโ€™ lives. You will experience a collaborative atmosphere that values your input, encourages innovation, and emphasizes the importance of mental health in our society. If you are passionate about helping others and want to work in an environment that supports your wellbeing and career aspirations, we invite you to apply!

Application Information

If you are ready to take the next step in your career as a Remote Licensed Clinical Mental Health Counselor with InStride Health Associates, we encourage you to submit your resume and a cover letter detailing your qualifications and interest in the position. We look forward to learning about how you can contribute to our team and our mission!