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Remote Utilization Management Nurse Jobs in Springfield, IL

Lantern

Strategy Analyst

Springfield, IL · Remote

Lantern also pairs members with a dedicated care team, including Care Advocates and nurses, for the ... This is a remote-first role with occasional (~1x month) travel. Responsibilities and Duties:

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Remote Utilization Management Nurse information

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

As of Aug 9, 2026, the average hourly pay for remote utilization management nurse in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

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 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.
More about Remote Utilization Management Nurse jobs
What are popular job titles related to Remote Utilization Management Nurse jobs in Springfield, IL? For Remote Utilization Management Nurse jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management Nurse jobs in Springfield, IL look for? The top searched job categories for Remote Utilization Management Nurse jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Utilization Management Nurse jobs? Cities near Springfield, IL 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 Springfield, IL as of August 2026, with employment types broken down into 67% Full Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,174 per year, or $41.9 per hour.

Pediatric Sales Representative - Springfield/Peoria, IL

Abbott

Springfield, IL • On-site, Remote

$61K - $122K/yr

Full-time

Medical, Retirement

Re-posted 2 days ago

Abbott rating

7.8

Company rating: 7.8 out of 10

Based on 137 frontline employees who took The Breakroom Quiz

179th of 537 rated manufacturers

Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.
JOB DESCRIPTION:
Working at Abbott
At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:
  • Career development with an international company where you can grow the career you dream of.
  • Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year
  • An excellent retirement savings plan with high employer contribution
  • Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree.
  • A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
  • A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

The Opportunity
Our nutrition business develops science-based nutrition products for people of all ages, from helping babies and children grow, to keeping adult bodies strong and active. Millions of people around the world count on our leading brands - including Similac®, PediaSure®, Pedialyte®, Ensure®, and Glucerna® - to help get the nutrients they need to live their healthiest life.
Our location in Springfield/Peoria, IL currently has an opportunity for a Pediatric Sales Specialist. This position is responsible for the promotion, management and growth of Abbott Pediatric Nutritional products in hospital and office settings.
Responsibilities
  • Developing and supporting territory sales goals in each hospital and office service area for Similac and PediaSure.
  • Hospital negotiations and contracting.
  • Comprehensive knowledge of all products, clinical studies, protocols and guidelines as well as the ability to deliver the information in a selling environment.
  • New product launches.
  • An understanding of the hierarchy of hospital departments such as NICU, Pediatrics, Pharmacies, Purchasing, PICU, Nurseries and Nursing units. The ability to work effectively with Dietitians, Physicians and Nurses.
  • Effective administrative skills.
  • Budget management.
  • Ability to function independently with a high degree of initiative, independence, and autonomy.
  • Desire to be self- motivated, seeking out success at achieving both short- and long-term goals.

Territory
  • The ideal candidate should reside in Springfield or Peoria, IL
  • This territory includes Springfield and Peoria, IL
  • This position does not offer relocation. Local candidates only, please.
  • Company Car provided

Education and Experience
  • Bachelor's degree required.
  • The ideal candidate will be individuals with 2+ years of healthcare sales experience combined with clinical experience (Registered Dietitians and Registered Nurses).
  • Stability and proven success in sales
  • Subject matter expert and high business acumen
  • Knowledge of hospital settings, specifically within pediatrics a plus.

Apply Now
Learn more about our benefits that add real value to your life to help you live fully: www.abbottbenefits.com
Follow your career aspirations to Abbott for diverse opportunities with a company that provides the growth and strength to build your future. Abbott is an Equal Opportunity Employer, committed to employee diversity.
The base pay for this position is
$61,300.00 - $122,700.00
In specific locations, the pay range may vary from the range posted.
JOB FAMILY:
Sales Force
DIVISION:
ANPD Nutrition Products
LOCATION:
United States of America : Remote
ADDITIONAL LOCATIONS:
WORK SHIFT:
Standard
TRAVEL:
Yes, 10 % of the Time
MEDICAL SURVEILLANCE:
No
SIGNIFICANT WORK ACTIVITIES:
Driving a personal auto or company car or truck, or a powered piece of material handling equipment, Keyboard use (greater or equal to 50% of the workday)
Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.
EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdf
EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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