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

firsthand Health

Remote Triage Nurse

Boise, ID · On-site +1

$80K/yr

... are utilization. Together with our health plan partners, we are changing the way our society ... When not managing acute issues, Triage Nurses focus on care coordination, training, and related ...

IQVIA

Inside Sales Representative

Boise, ID · Remote

... utilization of the product portfolio. This is accomplished by establishing mutually beneficial ... Relies on manager to provide planning and manage resources. * Resolves routine issues. * Works on ...

IQVIA

Inside Sales Representative

Boise, ID · Remote

$32 - $34.62/hr

... utilization of the product portfolio. This is accomplished by establishing mutually beneficial ... Relies on manager to provide planning and manage resources. * Resolves routine issues. * Works on ...

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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 Aug 1, 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.

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 Boise, ID? The most popular types of Utilization Management jobs in Boise, ID are:
What are popular job titles related to Remote Utilization Management jobs in Boise, ID? For Remote Utilization Management jobs in Boise, ID, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Boise, ID look for? The top searched job categories for Remote 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:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Boise, ID as of July 2026, with employment types broken down into 73% Full Time, 24% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $83,704 per year, or $40.2 per hour.

Remote Case Management RN - California License

Vivo HealthStaff

Boise, ID • On-site, Remote

$43 - $48/hr

Contractor

Re-posted 17 days ago

Job description

Vivo HealthStaff is actively recruiting for a fully remote Case Manager position. This temporary 3-month contract role, with an option to extend, and focuses on health care management and coordination for members with complex and chronic care needs. Utilizing the nursing process, the Case Manager will interact effectively with members, caregivers, and interdisciplinary team participants, all while working remotely.
Job Description:
- Care Coordination: Serve as a remote resource for the member, their family, and their physician, ensuring access to appropriate care and facilitating referrals/authorizations.
- Comprehensive Assessments: Conduct thorough remote assessments, evaluating the member's health status, resource utilization, and treatment plans.
- Care Plan Implementation: Collaborate remotely with the member, PCP, and care team to implement a care plan, interfacing with various healthcare professionals.
- Education and Support: Provide remote education and self-management support tailored to the member's unique learning style.
- Problem Solving: Assist in resolving issues with providers, claims, or services from a remote setting.
- Care Coordination Efficiency: Work closely with delegated or contracted providers to ensure effective care coordination, remotely.
- Compliance: Maintain confidentiality of all PHI in compliance with state and federal law and company policy, while working remotely.
Supervisory Responsibilities:
- None.
Minimum Requirements:
Experience:
- 1-3 years of clinical experience, with 2 or more years in case management.
- Health Plan experience preferred.
Education/Licensure:
- Active, valid, and unrestricted California RN license.
Other Skills:
- Understanding of community resources, treatment options, home health, funding options, and special programs.
- Extensive knowledge of chronic condition management.
- Bilingual in Spanish preferred.
- Excellent verbal and written communication skills.
- Team player with effective relationship-building skills.
- Ability to work independently in a remote setting.
- Experience using standardized clinical guidelines.
- Strong organizational skills.
- Proficiency in PC-based software programs, including Word, Excel, and PowerPoint.
Vivo HealthStaff is a healthcare staffing and recruitment firm based in the San Francisco Bay Area, providing permanent and temporary opportunities to organizations across the United States.
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About Vivo HealthStaff

Sourced by ZipRecruiter

Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.

Industry

Health care and social assistance

Company size

11 - 50 Employees

Headquarters location

Dublin, CA, US

Year founded

2016

Social media

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