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Remote Utilization Management Jobs in Massachusetts

... Care Management and Utilization Management feature areas * Optimize team workflows to increase ... Location: Fully remote; must be US-based, ideally in Eastern Time Zone (Boston area preferred)

Director of UX

Boston, MA · On-site +1

$180K - $230K/yr

... Care Management and Utilization Management feature areas * Optimize team workflows to increase ... Location: Fully remote; must be US-based, ideally in Eastern Time Zone (Boston area preferred)

Responsible for problem, incident, and change management and service requests. Provides daily ... system utilization * Develop and execute system test plans for Epic Inpatient upgrades and ...

Responsible for problem, incident, and change management and service requests. Provides daily ... system utilization * Develop and execute system test plans for Epic Inpatient upgrades and ...

... project, utilization insights, and risk/opportunity assessments. * Prepare executive-level ... Highly organized, dependable, and capable of managing competing deadlines in a remote environment.

Showing results 21-40

Remote Utilization Management information

See Massachusetts salary details

$23

$46

$75

How much do remote utilization management jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote utilization management in Massachusetts is $46.18, according to ZipRecruiter salary data. Most workers in this role earn between $36.49 and $53.03 per hour, depending on experience, location, and employer.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

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

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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

The most popular types of Utilization Management jobs in Massachusetts are:

What cities in Massachusetts are hiring for Remote Utilization Management jobs?

Cities in Massachusetts with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Massachusetts as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $96,048 per year, or $46.2 per hour.

Licensed Independent Clinical Social Worker (LICSW) - Remote Hospice Care Specialist

Desta Care Therapeutic

Springfield, MA • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New


Job description

Position Overview

Desta Care Therapeutic is seeking a dedicated and skilled Licensed Independent Clinical Social Worker (LICSW) for a full-time remote position focused on providing high-quality social services within a hospice care setting. This role offers an opportunity to make a profound impact on the lives of patients and their families during challenging times, ensuring they receive comprehensive emotional, psychological, and practical support.

About the Organization

Desta Care Therapeutic is committed to delivering exceptional mental health support tailored to a diverse array of patient needs. Our organization emphasizes the importance of a nurturing and supportive environment designed for personal growth, healing, and empowerment. We believe in the strength of a multidisciplinary approach and cultivate a culture where team members are encouraged to share ideas and contribute to the growth of our services.

Work Environment

This remote position allows flexibility while being integral to a dynamic hospice team. Working from Springfield, Massachusetts, you will be part of a compassionate group that is dedicated to supporting individuals facing serious illnesses. This setting promotes collaboration and communication with other healthcare professionals, family members, and external providers, ensuring comprehensive care for every client.

Key Responsibilities
  • Serve as a vital liaison for families, outpatient providers, and community resources, facilitating necessary communication and coordination of care.
  • Engage with insurance companies for pre-certification and utilization management, advocating for patient needs effectively to ensure continued support and resources.
  • Participate actively in discharge and aftercare planning, working collaboratively to create a seamless transition for patients moving between care settings.
  • Provide therapeutic meal support, focusing on cultivating healthy relationships with food by modeling positive behavior and encouraging informed choices.
  • Deliver empathetic, safe, and affirming care tailored to each client’s unique circumstances, emphasizing respect for their intersecting identities and experiences.
Patient Population / Client Focus

This position focuses primarily on older adults within a hospice care framework, often involving complex health challenges and emotional needs. The ideal candidate will be capable of providing holistic support that addresses not just the medical aspects but also the mental and emotional well-being of clients, ensuring dignified end-of-life care.

Qualifications
  • A Master's degree in Social Work from an accredited institution is required.
  • Possession of a valid LICSW license in Massachusetts is mandatory.
  • Experience working with older adults, preferably in hospice or palliative care settings.
  • Demonstrated strong clinical and diagnostic skills to adequately assess and address patient needs.
  • Exceptional communication and interpersonal skills to build rapport with clients, families, and interdisciplinary teams.
  • Ability to work independently while being a collaborative team player in a remote environment.
Preferred Experience
  • Familiarity with hospice care policies and the ability to navigate complex healthcare systems.
  • Training in grief counseling and bereavement support techniques.
  • Experience with therapeutic meal planning and holistic approaches to well-being.
Compensation and Benefits

The successful candidate can expect an attractive salary ranging from USD 90,000 to 105,000 per year, commensurate with experience and qualifications. Desta Care Therapeutic offers a comprehensive benefits package that includes:

  • Competitive salary structure and flexible spending accounts.
  • Comprehensive medical, dental, and vision insurance options.
  • A robust 401(k) retirement plan with employer matching contributions.
  • Life insurance and accident coverage, ensuring peace of mind.
  • Short-term disability coverage to support employees during unforeseen circumstances.
Career Growth Opportunities

Joining Desta Care Therapeutic provides not just a job but a path towards professional growth. We encourage continuous education, training, and advancement opportunities to help our social workers expand their expertise in hospice care and enhance their clinical skills. Employees can participate in regular workshops and seminars, paving the way for leadership roles and specialized certifications.

Why Join Our Team

At Desta Care Therapeutic, we value the contributions of every team member and strive to create an inclusive, supportive work environment. Our commitment to providing outstanding patient care drives us to seek innovative solutions while embracing empathy and compassion. Join us to be a part of a transformative agency where your input is valued and where you can directly influence the well-being of patients and their families.

Application Information

If you are passionate about making a meaningful difference in the lives of older adults and their families and meet the qualifications listed above, we invite you to apply today! Please submit your resume and a cover letter outlining your experience and suitability for this role. We look forward to welcoming you to our team at Desta Care Therapeutic.