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Remote Utilization Management Nurse Jobs in Suffield, CT

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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.

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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.

Acute Care Business Manager (Hartford CT)

Therakos

Hartford, CT • Remote

$111K - $207K/yr

Full-time

Re-posted 15 days ago

Job description

Job Title

Acute Care Business Manager (Hartford CT)

Requisition

JR000015867 Acute Care Business Manager (Hartford CT) (Open)

Location

Hartford, CT

Additional Locations

Job Description Summary

The Acute Care Business Manager is a Critical care, rare disease, hospital account sales position focused on launching and selling products. This position requires educating and presenting complex clinical disease state information to advance diagnosis and treatment. P&T formulary approval process and pull through experience necessary. The position requires strong business acumen with a focus on cross functional HCPs including hepatology, nephrology, transplant, critical care, Hospitalists, intensivists, critical care pharmacy and nursing.

Job Description

Principal Responsibilities

  • Meet or exceed sales objectives/quota.

  • Thorough understanding of disease state and ability to effectively educate HCPs

  • Achieve formulary adoption within the hospital/hospital system

  • Sells product and drives adoption

  • Understandsthe market landscape and competing products

  • Analyzes territory and account data, uses good judgment and experience toidentifybusiness opportunities and drive productutilization

  • Prioritizes sales activities and continually evaluates targets to exceed goals and impact

  • Develops KOLs and implements programs consistent with product strategy to drive sales

  • Developsandmaintainsrelationships with internal colleagues and external HCPs

  • Ensures compliance with all applicable laws,policiesand procedures in conducting business

  • Meets specific expectations on speaker events and other available promotional resources

  • Devise and implements a plan to address distribution channel, access, competition, and market challenges to positivelyimpactsales

  • Understands reimbursement model and value proposition for hospital economics within a small company culture

  • Support local and national meetings and conferences

MinimumRequirements
Experience / Skills:

  • B.A. or B.S. degree in relevant field or equivalent experience, M.B.A. a plus

  • 5 years recent hospital sales experience and/or critical care experience, or an emphasis in hepatology/nephrology

  • Current experience within the territory and customer knowledgehighlypreferred.

  • Strong business acumen, planning, technical and clinical presentation skills

  • Excellent verbal and written communication and interpersonal skills

  • Proven record of sales and skill promoting within hospitals, systems and IDNs

  • Strong collaboration and teamwork skills with multiple business partners

  • Valid driver's license

  • Required to pass all product training testing

  • Overnight travel expected as needed

Preferred:

  • Transplant, Academic and Community institutional selling experience

  • Strong success with new product launch formulary approval and pull through success

  • Institutional formulary and contracting process experience

  • Working knowledge of Veeva/CRM systems


Competencies:

  • Selling Skills

  • Clinical Acumen

  • Business Acumen

  • Communication and Teamwork

  • Resource Utilization

Keenova offers employees a Total Rewards package which includes competitive pay and benefits. To learn more about our Total Rewards benefits please visit: Keenova Careers | Serve and Grow with Purpose | Keenova

The expected base pay range for this position is $111K - $207K. Please note that base pay offeredmay vary depending on factors including job-related knowledge, skills, and experience.

This position is eligible for a bonus in accordance with the terms of the applicable program. Bonuses are awarded at the Company's discretion.

Disclaimer: The above statements are intended to describe the general nature and level of work performed by employees assigned to this job. They are not intended to be an exhaustive list of all duties, responsibilities, and qualifications. Management reserves the right to change or modify such duties as required.

#LI-REMOTE

#LI-GN1

At Keenova, we believe that no one should be alone in their pursuit of better health. This purpose drives us as we pair quality therapeutics with human support-showing up in big moments and small to help patients find comfort and confidence.

We bring deep expertise and resolve to every therapeutic area we serve, including immunology, urology,men's health, orthopedics, critical care, and pediatric endocrinology. We work with patients, care partners, and physicians to help them navigate healthcare system complexity and access therapies that make a meaningful difference.

We are Keenova-keen to solve, keen to serve. Learn more atwww.keenova.com.

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