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Remote Utilization Management Jobs in Michigan (NOW HIRING)

Stryker

Workplace Design Manager (REMOTE)

Portage, MI · On-site +1

$118K - $255.70K/yr

... optimize space utilization. * Promote agile work environments and space-sharing concepts ... Support change management efforts, guiding employees through transitions to new work environments ...

Aggreko

Project Manager, Events (AES)

Detroit, MI · Remote

$115K - $140K/yr

Remote opportunity located in any city with a major airport located in the United States * Work ... Proficiency with CRM (i.e., Salesforce). * Adept at optimizing resource utilization, forecasting ...

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Remote Utilization Management information

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$18

$36

$60

How much do remote utilization management jobs pay per hour?

As of May 28, 2026, the average hourly pay for remote utilization management in Michigan is $36.85, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $42.31 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

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 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 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 Michigan? The most popular types of Utilization Management jobs in Michigan are:
What are popular job titles related to Remote Utilization Management jobs in Michigan? For Remote Utilization Management jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Michigan look for? The top searched job categories for Remote Utilization Management jobs in Michigan are:
What cities in Michigan are hiring for Remote Utilization Management jobs? Cities in Michigan with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Michigan as of May 2026, with employment types broken down into 2% As Needed, 39% Full Time, 47% Part Time, 2% Temporary, and 10% Contract. Highlights an 89% Physical, and 11% Remote job distribution, with an average salary of $76,654 per year, or $36.9 per hour.

Interface Analyst

N2S Healthcare Staffing Solutions LLC

Sterling Heights, MI • Remote

$60 - $65/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Pay Range: $60 to $65/hr.


Title: Senior IT Interface Analyst

Location: Remote (with a chance to be onsite for a few days around the Go-Live date)

Job Type: Contract to Hire

Shift: 8am-5pm


Job Description:

  • Lead the configuration effort of new interfaces and enhancements to existing interfaces for Epic applications and their corresponding ancillary systems.
  • Troubleshoot technical problems and conducts analyses for efficient program/application solutions (in both Cloverleaf and Epic Bridges) which support client business processes, functional and technical requirements.
  • Assists with activities to monitor and maintain a complex interface environment for efficient program/application operations (including functional and technical system balancing efforts)
  • Consultant for integration solutions and architecture.
  • Coordinate solutions and planning with other IT teams. Collaborate with Application Analysts, IT and Operational areas to identify and resolve workflow impacts.
  • Direct and plan relevant workflow/dataflow sessions and manage resulting requirements changes with senior business sponsors.
  • Perform occasional training of end users for Bridges end user tools.
  • Collaborate with work teams, departments, system leadership, clinicians, staff, other IT groups, and technology vendors to define needs and facilitate solutions.
  • Provides input to estimate work effort and resource requirements for SOWs.
  • Manages medium-to-complex Epic and circle of support integration issues and critical support/enhancements issues in the HELIOS (Epic) systems.
  • Performs maintenance (routine requests), incidents resolution, testing activities and assists teammates.
  • Works closely with Ancillary Departments, HELIOS Application Analysts, Operations, Epic, other technology vendors, and other IT groups to triage, diagnosis and resolve all interface production support issues to the satisfaction of our customers.
  • May supervise the activities and efforts of 1-2 other Interface Analysts, providing leadership, mentoring and coaching on interface activities.

Required:

  • Bachelors
  • Certification: Epic Tapestry Management Utilization and Enrollment
  • Minimum Exp: 3 years of recent experience in Healthcare.
  • Experience with: - EPIC Tapestry Utilization Management and/or Case Management - EPIC Tapestry Appeals and Grievances - EPIC Tapestry Membership/Eligibility and Enrollment Administration -
  • EPIC Tapestry Provider Management and/or Provider/Vendor Contracts
  • EPIC Tapestry Core - EPIC Business Intelligence Developer (BID) – ideally on the payer side, but if they have any of the following, its great:
  • Common Spec/DINE experience
  • Create, maintain, optimize SQL queries in EPIC Clarity o EPIC Cogito experience
  • EPIC Caboodle Data Model experience o Reporting Workbench Report and Extract development Other experience that could be helpful:
  • Experience with Medicare line of business/regulations
  • EPIC Provider/Payer ‘shared instance’ experience (working for an integrated health plan) - SQL and/or PL/SQL experience

Skills:

  • 7 years of applicable work experience required (in addition to the degree substitution experience if applicable); 5 years applicable experience in a Healthcare setting preferred (in addition to the degree substitution experience if applicable). Preferred technical experience includes strong knowledge of state-of-the-art software engineering approaches in design, build, test, debugging problems, and ongoing technical support, and ability to articulate examples of workflows and processes associated with that experience.
  • Expertise with healthcare industry standard messaging formats (e.g., HL7, XML, ANSI x12)
  • Experience/exposure to the System Development Life Cycle (SDLC)
  • Current Certification on Epic Bridges (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment)
  • Certification on Cloverleaf interface engine (version 20.1 or higher) (May hire into position without certification, but must attain certification within the first 6 months of hire to continue employment)
  • Experience on at least two (2) major system implementations
  • Excellent communication and interpersonal skills
  • Demonstrated working knowledge of medical terminology

Apply