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Remote Utilization Management Jobs in Minnesota (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Saint Paul, MN · On-site +1

$58 - $70.50/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Minneapolis, MN · On-site +1

$57 - $69.25/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Deloitte

Epic Tapestry Specialist

Minneapolis, MN · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Ability to work independently and collaborate as part of a team

Deloitte

Epic Tapestry Consultant

Minneapolis, MN · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...

Deloitte

Epic Tapestry Sr Analyst

Minneapolis, MN · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Analytical/ Decision Making Responsibilities * Analytical ability to ...

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How much do remote utilization management jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for remote utilization management in Minnesota is $41.41, according to ZipRecruiter salary data. Most workers in this role earn between $32.74 and $47.55 per hour, depending on experience, location, and employer.

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 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.

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 Minnesota? The most popular types of Utilization Management jobs in Minnesota are:
What are popular job titles related to Remote Utilization Management jobs in Minnesota? For Remote Utilization Management jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Minnesota look for? The top searched job categories for Remote Utilization Management jobs in Minnesota are:
What cities in Minnesota are hiring for Remote Utilization Management jobs? Cities in Minnesota with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Minnesota as of June 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,136 per year, or $41.4 per hour.
Behavioral Health Advocate, Utilization Management - Remote

Behavioral Health Advocate, Utilization Management - Remote

UnitedHealth Group

Eden Prairie, MN • On-site, Remote

$60K - $107K/yr

Full-time

Retirement

Posted 8 days ago

UnitedHealth Group rating

7.5

Company rating: 7.5 out of 10

Based on 140 frontline employees who took The Breakroom Quiz

225th of 871 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
This is a telephonic, queue based position supporting outpatient services for children and adolescents. As a Behavioral Health Advocate you will respond to treatment requests from providers and facilities, as well as manage and deescalate crisis calls from members. You'll have a direct impact on the lives of our members as you recommend and manage the appropriate level of care throughout the entire treatment plan.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. The schedule is Monday - Friday, 8am - 5pm CST and includes working one weekday holiday per year.
Primary Responsibilities:
  • Work with providers, facilities, and members to perform utilization management and authorization for outpatient services
  • Ensure that behavioral health care services provided are medically necessary, per standard guidelines
  • Ensure that behavioral health care services are provided in the most appropriate setting
  • Integrates a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the options and services to meet the enrollee's health needs, using education, communication, and all available resources to promote quality, cost-effective outcomes
  • Discharge planning or management of transitions between care settings to ensure the appropriate services/resources are in place for quality outcomes
  • Refer members to appropriate psychiatric and community referrals and assist with identifying and removing potential barriers

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • One of the following licensures - must be active and unrestricted
    • Independent behavioral health license with a Master's degree in Psychology, Social Work, Counseling, or related behavioral health discipline
  • 3+ years of post-licensure clinical experience in a related behavioral health environment
  • Proficient with MS Office Suite
  • Access to install secure, high-speed internet and a dedicated, distraction free workspace at home
  • Available to work one weekday holiday per calendar year
  • Desire to work in a telephonic, queue-based position responding to treatment requests and crisis calls
  • Experience working with children, adolescents, and families
  • Experience working with the autism population
  • BCBA Licensure

Preferred Qualifications:
  • Managed care experience
  • Experience working in a hospital setting
  • Experience with medical or behavioral health collaboration within different organizations
  • Proven excellent customer service skills
  • Proven excellent organizational skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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