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Remote Utilization Management Jobs in Minnesota (NOW HIRING)

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How much do remote utilization management jobs pay per hour?

As of Aug 16, 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 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.

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 August 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $86,136 per year, or $41.4 per hour.

Behavioral Health Utilization Management Clinician

Adecco

Minneapolis, MN • Remote

$39 - $41.40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Job description

Adecco Healthcare & Life Sciences is currently hiring a Behavioral Health Utilization Management Clinician for a remote telecommute opportunity in Nevada.

This is a remote opportunity with a Monday–Friday schedule.

Please review the details below and apply with an updated resume for consideration.

Position Details:

· Pay: $39 to $41.40/hour

· Contract: Four to Six-Contract, possibility of extension or becoming permanent

· Location: Remote / Telecommute

· Schedule: Monday–Friday, 8:00 AM–5:00 PM PST

Primary Responsibilities:

· Review outpatient ABA requests for medical necessity using established clinical criteria, including MCG, InterQual, ASAM, and plan-specific guidelines.

· Evaluate treatment plans, progress reports, assessments, and supporting documentation submitted by providers.

· Collaborate with providers to clarify documentation and ensure the appropriate level of care.

· Make determinations or recommendations for approval, modification, or denial of services.

· Document clinical decisions and rationale accurately in the utilization management system.

· Review clinical information and apply established guidelines to support appropriate behavioral health services.

· Manage multiple cases in a high-volume, deadline-driven environment.

· Collaborate with internal clinical and administrative teams to support quality patient care.

Qualifications:

· BCBA, LBA, RN, Master's degree in Social Work, or related behavioral health field.

· LCSW, LPC, LMFT, or equivalent behavioral health credentials accepted.

· Active, unrestricted behavioral health license in the State of Nevada preferred.

· Minimum of 2 years of behavioral health clinical experience, including ABA experience.

· Familiarity with Medicaid and commercial benefit structures and utilization management protocols.

· Experience reviewing clinical documentation and determining medical necessity.

· Ability to work independently and effectively within a remote team environment.

· Proficiency with clinical systems, Microsoft Office applications, and electronic documentation platforms.

· Strong ability to multitask and meet deadlines in a high-volume environment.

· Experience in behavioral health utilization management or prior authorization.

Why Work for Adecco?

· Excellent Weekly Pay

· 401(k) Plan

· Skills Training

· Medical, Dental, and Vision Benefits


Pay Details: $39.00 to $41.40 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
  • The California Fair Chance Act
  • Los Angeles City Fair Chance Ordinance
  • Los Angeles County Fair Chance Ordinance for Employers
  • San Francisco Fair Chance Ordinance

Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.