ZipRecruiter

Log In

2

Remote Utilization Management Nurse Jobs in Suffield, CT

Gateway Recruiting

Territory Manager

Hartford, CT · Remote

... Remote monitoring workflow development, Utilization ramp and adoption metrics * Strong executive ... M platforms (Salesforce preferred), analytics, and Excel. * Willingness to travel 60-70% within ...

Aflac Incorporated

Behav Health Clinician Rev

Windsor, CT · Remote

$75K - $90K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... managing claims. * CDMS or CCM designations. * Utilization review experience and/or experience ...

previous pagenext page

Showing results 21-40

All JobsUtilization Management Nurse JobsRemote Utilization Management Nurse JobsRemote Utilization Management Nurse Jobs in Suffield, CT

Remote Utilization Management Nurse information

See Suffield, CT salary details

$20

$41

$67

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

As of Sep 6, 2026, the average hourly pay for remote utilization management nurse in Suffield, CT is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 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 popular job titles related to Remote Utilization Management Nurse jobs in Suffield, CT?

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

What cities near Suffield, CT are hiring for Remote Utilization Management Nurse jobs?

Cities near Suffield, CT 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 Suffield, CT as of August 2026, with employment types broken down into 2% As Needed, 83% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,451 per year, or $41.1 per hour.

Territory Manager

Gateway Recruiting

Hartford, CT • Remote

Full-time

Posted 13 days ago

Job description

JOB SUMMARY:

The Territory Manager (TM) is responsible for driving therapy adoption, opening new accounts, and growing revenue. This is a hunter-oriented commercial role focused on expanding access, building high-impact customer relationships, and integrating the therapy into clinical workflows across implanting centers and community hospitals.

JOB RESPONSIBILITIES:

Sales & Customer Engagement:

  • Build and maintain strong relationships with physicians, clinics, administrators, and key stakeholders.
  • Deliver clinical, technical, and strategic presentations to drive therapy understanding and adoption.
  • Lead pricing discussions, contract negotiations, and value-based conversations.
  • Plan and execute educational events focused on hemodynamics, GDMT, published data, biomarkers, patient selection, and local case studies.
  • Provide day-of-procedure support and post-operative troubleshooting as needed.
  • Meet or exceed sales targets and execute quarterly business plans.
  • Collaborate closely with Marketing, Professional Education, and Commercial Excellence teams.
  • Track territory performance, customer engagement, and pipeline activity.

Account Management & Program Development:

  • Conduct quarterly business reviews with key accounts to assess performance and identify growth opportunities.
  • Partner effectively with Clinical Account Representative to support priority accounts with a unified strategy.
  • Develop long-term relationships with both new and existing customers.
  • Submit timely and accurate sales reports, forecasts, and competitive insights.

Market Development & Competitive Strategy:

  • Identify, qualify, and convert new business opportunities across implanting and community sites.
  • Use market insights to understand customer needs, emerging trends, and competitive dynamics.
  • Build and execute territory strategies to increase market share and drive sustainable adoption.
  • Maintain strong knowledge of company products, competitive products, and alternative therapies.

Technical & Procedural Support:

  • Provide on-call technical, clinical, and engineering support for field questions and procedural needs.
  • Offer procedural case coverage across the region, ensuring high-quality support for implanting teams.
  • Support clinics with training, education, clinical data collection, and new product introductions.

Compliance & Cross-Functional Collaboration:

  • Adhere to FDA regulations, company policies, quality standards, and operating procedures.
  • Maintain accurate documentation of sales activities, customer interactions, and expenses.
  • Work collaboratively with internal partners, customers, contractors, and vendors.
  • Interact with patients, when necessary, in a professional, compliant manner.

QUALIFICATIONS:

Required:

  • Bachelor's degree in business, Marketing, Life Sciences, Engineering, or related field.
  • 3–5 years of direct healthcare sales experience; 2+ years in cardiology structural heart/heart failure preferred.
  • Track record of ≥100% to quota for 2 consecutive years
  • Demonstrated success opening 3–5+ net-new accounts/year or expanding underdeveloped accounts to sustained utilization.
  • Strong understanding of payor and insurance reimbursement landscape.
  • Recent launch experience (Preferred) (last 3–5 years) leading 2–3 program or therapy launches/year with proof of sustainability (e.g., active clinic users, adherence to workflows, utilization trends), including: Pre-launch planning, Stakeholder alignment and executive sponsorship, Training, education, and clinical workflow integration, Post launch support and long-term sustainability plans.
  • Experience driving program implementation and ongoing program maturity, such as: clinic onboarding, Remote monitoring workflow development, Utilization ramp and adoption metrics
  • Strong executive presence, clinical/technical presentations to audiences of 1–50 stakeholders.
  • Proven ability to influence cross-functional buying groups (value analysis committees, supply chain, service line leadership) Influencing multiple key stakeholders to drive growth.
  • Strong understanding of market dynamics
  • Strong commercial acumen with ability to produce data-driven territory strategies, forecasting models, and QBRs using CRM platforms (Salesforce preferred), analytics, and Excel.
  • Willingness to travel 60-70% within territory, including some overnight and early/late case support.

Preferred:

  • Cath Lab experience preferred
  • 2+ years in cardiology structural heart/heart failure preferred.
  • Experience at top MedTech organizations.
  • Experience operating in a competitive market with multiple industry players.
  • Familiarity with Cath lab/OR workflows.