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Remote Utilization Management Jobs in Ohio (NOW HIRING)

Understanding of field capacity management, labor utilization, scheduling, work order optimization ... (Remote) : It is expected that you will primarily perform work remotely. You may be asked to travel ...

Comprehensive utilization of a CRM database and call reporting is mandatory. * Maintaining ... LI-Remote , Qualifications * This position requires a college degree or equivalent from an ...

Senior Accountant

Columbus, OH · On-site +1

$71K - $89K/yr

Remote- OH Preferably Reports to: CEO Role Overview: In the BPO industry, our "product" is our ... As a Senior Internal Accountant, you will manage the financial complexities of a high-volume ...

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Remote Utilization Management information

See Ohio salary details

$20

$40

$65

How much do remote utilization management jobs pay per hour?

As of Jun 12, 2026, the average hourly pay for remote utilization management in Ohio is $40.20, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.15 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 Ohio? The most popular types of Utilization Management jobs in Ohio are:
What cities in Ohio are hiring for Remote Utilization Management jobs? Cities in Ohio with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Ohio as of June 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $83,610 per year, or $40.2 per hour.
Solution Architect - Cleveland, OH w/ REMOTE

Solution Architect - Cleveland, OH w/ REMOTE

Two95 International Inc.

Cleveland, OH • Remote

$61 - $80.50/hr

Contractor

Posted 22 days ago


Job description

Title: Solution Architect

Type: Long-term Contract

Client Location: Cleveland, OH (REMOTE)

Rate: $Open


Expert solution architect who can help us redesign the application architecture for scalability and to address the current pain points. The Data Architect will participate in the design of a high performing Enterprise Data Warehouse, using scalable methodologies in conjunction with the utilization of a multi-platform, modern architecture approach. This role will participate in process improvement initiatives and in setting the best practice standards around Data Architecture, Metadata, Data Governance and Master Data Management.


TWO95 International logo

About TWO95 International

Sourced by ZipRecruiter

At TWO95 International, we believe it is imperative that a hiring company is assured of procuring the right candidate to fill a job requirement. We have an extensive local and International network, and a fully digitalized sourcing approach that allows us to find a candidate best suited for the job. Furthermore, we strive to secure well matched opportunities that align with the personal and career aspirations of our candidates.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Cherry Hill, NJ, US

Year founded

2009

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