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Remote Utilization Management Jobs in Boise, ID (NOW HIRING)

Associate Staff Attorney

Boise, ID · On-site +1

$93K - $159K/yr

... Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Utilization : Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team ...

... Remote work upon completion of training (up to 2 days/wk.) Learn more about Ada County Human ... trends, utilization, and budget forecasting. Vendor & Contract Management Serve as the primary ...

This fully remote role is responsible for leading clients of varying sizes and complexities through ... Manage multiple concurrent implementations and go-live transitions. * Prioritize tasks, manage ...

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Remote Utilization Management information

See Boise, ID salary details

$20

$40

$65

How much do remote utilization management jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for remote utilization management in Boise, ID is $40.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 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 Boise, ID?

The most popular types of Utilization Management jobs in Boise, ID are:

What cities near Boise, ID are hiring for Remote Utilization Management jobs?

Cities near Boise, ID with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Boise, ID as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $83,704 per year, or $40.2 per hour.

Care Manager (UM/UR) - Remote - Pocatello, ID

Veteran Jobs - 2023 Mar 01 - Veterans Resources

Boise, ID • Remote

Full-time

Posted 17 days ago


Job description

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers. If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. Unless specifically stated otherwise, this role is On-Site at the location detailed in the job post.
This is a remote position and will require the Idaho licensure. If you reside outside of Idaho, you will also need to be licensed in the State you reside.
Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and/or outpatient care settings. Collects and analyzes utilization data. Assists with discharge planning and care coordination. Provides member assistance with mental health and substance abuse issues, and participates in special quality improvement projects.
Monitors inpatient and/or outpatient level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness.
Provides telephone triage, crisis intervention and emergency authorizations as assigned.
Performs concurrent reviews for inpatient and/or outpatient care and other levels of care as allowed by scope of practice and experience. 
In conjunction with providers and facilities, develops discharge plans and oversee their implementation. 
Performs quality clinical reviews while educating and making appropriate interventions to advance the care of the member in treatment.
Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria.
Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases.
Participates in quality improvement activities, including data collection, tracking, and analysis.
Maintains an active work load in accordance with National Care Manager performance standards. 
Works with community agencies as appropriate. Proposes alternative plans of treatment when requests for services do not meet medical necessity criteria. 
Participates in network development including identification and recruitment of quality providers as needed. 
Advocates for the patient to ensure treatment needs are met.  Interacts with providers in a professional, respectful manner that facilitates the treatment process.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.