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Remote Utilization Management Jobs in Chaska, MN

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Remote Utilization Management information

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$22

$45

$73

How much do remote utilization management jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote utilization management in Chaska, MN is $45.34, according to ZipRecruiter salary data. Most workers in this role earn between $35.82 and $52.07 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 cities near Chaska, MN are hiring for Remote Utilization Management jobs? Cities near Chaska, MN with the most Remote Utilization Management job openings:
Infographic showing various Remote Utilization Management job openings in Chaska, MN as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $94,298 per year, or $45.3 per hour.

Utilization Management RN

North Memorial Health

Robbinsdale, MN • On-site, Remote

$39.83 - $59.74/hr

Full-time, Part-time

Medical, Retirement, PTO

Re-posted 3 days ago


North Memorial Health rating

7.5

Company rating: 7.5 out of 10

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Job description

Utilization Management RN
Robbinsdale, MN
Posting Date: Jul 10 2026
Requisition Number: 513995
Why North Memorial Health?
At North Memorial Health, you're part of an inclusive health team that is rooted in our values: Advocate Courageously, Rally Together, Respect Uniqueness and Create Impact. Empathy and care are at the heart of North's culture which is designed to actively support each team member's wellbeing and growth. Our strength lies in our diversity, and we embrace the unique contributions and experiences of each person. Together, we empower patients to achieve their best health.
Our health system encompasses two hospital locations in Robbinsdale and Maple Grove as well as a network of 23 clinics which includes 13 primary clinics, 6 specialty clinics, 4 urgent care/urgency centers and emergency care offerings covering five counties. Our Robbinsdale Hospital, established in 1954, is a 385-bed facility recognized as the top Level 1 Trauma center for 25 years, as well as serving as a Level II pediatric trauma center. Our Maple Grove Hospital was established in 2009, is a 134-bed facility recognized as a top hospital in the state for Women and Children Care, with a Level III NICU, and is the largest Family Birth Center in the state (~5,000 deliveries per year and over 60,000 babies delivered). Both have been named to the 2022 Fortune/Merative 100 Top Hospitals® list, 2023 Women's Choice Award Best Hospitals list.
Benefits the North Way!
As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.
  • Health & Welfare Benefit Packages
  • 401k Retirement Match or Pension Plan, based on workgroup eligibility
  • Generous Paid Time Off (PTO) Plans
  • Adoption Reimbursement up to $3000 per child
  • Child Care Discount Program with New Horizon 10% off weekly childcare tuition
  • Education/Tuition Reimbursement
  • 24/7 Fitness Center Access for all benefit eligible team members

Commitment to Diversity, Equity & Inclusion
At North Memorial Health we recognize that the strength of our team lies in our diversity and make every effort to embrace the unique contributions and experiences of each person on our team. We strive to ensure that everyone feels like they are a valuable part of our community, with initiatives that reinforce our belief in diversity, equity, and inclusivity, to promote a workforce that enables authenticity, as we want to be our best when providing effective services to our patients. We acknowledge and celebrate the unique traditions, backgrounds, languages, beliefs, and customs of our community, and want everyone to feel welcome. Through our DE&I initiatives we hope to dispel myths, assumptions, and acts of implicit bias.
About this position
The Utilization Management RN, under the supervision of the Utilization Management Manager, acts as a support resource to the Medical Staff of North Memorial Health (NMH) and Maple Grove Hospital (MGH) in relationship to clinical documentation of admitted customers. The UM RN assess the documented medical necessity of each bedded patient to assist the MD as needed to determine an appropriate admission status. They provide clinically based information to assist with care coordination and support the delivery of quality customer care as efficiently as possible. The RN has accountability for assisting in ensuring quality clinical outcomes, and appropriate resource management related to admission, readmission, length of stay, extended stay, avoidable days and discharge planning. They work with the medical and care teams (nursing, social services, therapies, and ancillary departments) to ensure the customer is receiving the right care, at the right level across the continuum. Additionally, they know the disease, trajectory of illness, treatment plan, standard of care for the diagnosis, expected outcome, and Length of Stay (LOS) for the case type. They work with all admissions (bedded customers) excluding any customers in the Emergency Department Finally, they UM RN actively and consistently demonstrates the mission, vision, values and guiding principles of North Memorial Health.
Requirements
Education
• Bachelor's Degree from an accredited school of nursing required.
Experience
• Three (3) to five years of previous acute care nursing experience required.
• One (1) year of direct case management experience required.
• Hospital case management and utilization management experience required. • Knowledge of nursing theory and practice and primary care principles and practices.
• Knowledge of Medicare rules and regulations.
• Knowledge of current case management principles, utilization management, length of stay management, and/or transition/discharge planning.
• Knowledge of current nursing principles, techniques and procedures.
• Demonstrated ability to deal with conflict in a positive manner. Has an awareness of, responds to, and considers the needs, feelings and capabilities of others.
• Strong communication skills with demonstrated ability to express ideas and information clearly and concisely in a manner appropriate to the audience.
Licensure/Certification
Current licensure and registration as an RN in the State of MN. - State Requirement
The North Memorial Health System is dedicated to building a diverse, inclusive, and authentic workplace, so if you're excited about this role, but your past experience doesn't perfectly align with every qualification listed, we encourage you to apply anyway. You may still be the right candidate for this or other roles.
Work Group: Non Contract
Hours per two week pay period: 80
Shift: Days 8 hours
Weekend Requirement: Every Other Weekend
Call Requirement: None
Remote or On-site: Hybrid Remote- Must live in MN or WI
FLSA Status: Exempt
Benefit Eligibility: Health insurance benefits are available for this position. North Memorial Health offers multiple health plans based on work group eligibility.
Salary Range: N23 ($39.83 - $59.74), based on experience
Shift Differential: Compensation may include shift differential pay depending on the position and shift worked.
STI Bonus Eligible: False
Employment Sponsorship: Applicants must be currently authorized to work in the United States on a full-time basis. Work visa sponsorship is not available for this position
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EEO/AA STATEMENT
North Memorial Health is an equal employment and affirmative action employer. North Memorial Health does not discriminate against any employee or applicant for employment because of race, color, religion, sex, national origin, age, disability, genetic information, marital status, veteran status, sexual orientation, gender identity, creed, status with respect to public assistance, or other protected class status. North Memorial Health provides reasonable accommodation to disabled applicants and employees and takes affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to protected class status. If you believe that you have been treated in a way that does not conform to these statements, please contact our HR Service Center: JobApplicationAssistance@NorthMemorial.com. If you need a reasonable accommodation, due to a disability, or to assist with the application process, please contact our HR Service Center: JobApplicationAssistance@NorthMemorial.com.
INSPECTION OF AAP
North Memorial Health is a Federal government contractor or subcontractor.
As a part of our obligations under law, we must develop a written Affirmative Action Program for Individuals with Disabilities and Protected Veterans, as specified by law (AAP).
This AAP is available for inspection by applicants and employees in the Human Resources Office during normal business hours.
Link to Policy
North Memorial Health
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