ZipRecruiter

Log In

2

Remote Utilization Management Jobs in Columbia, SC

Aggreko

Project Manager AES

Columbia, SC · Remote

$115K - $140K/yr

Proficiency with CRM (i.e., Salesforce). * Adept at optimizing resource utilization, forecasting ... Remote opportunity located in any city with a major airport located in the United States * Work ...

Amerihealth Caritas

Care Manager II

Columbia, SC · On-site +1

This position is a remote field based position in the Richland county area. Must have a BSN RN. ... care management platforms where applicable * Monitor appropriate utilization and coordinate ...

Amerihealth Caritas

Care Manager II

Columbia, SC · On-site +1

This position is a remote field based position in the Richland county area. Must have a BSN RN. ... care management platforms where applicable * Monitor appropriate utilization and coordinate ...

Amerihealth Caritas

Care Manager II

Columbia, SC · Remote

Care Manager II (Field-Based, Remote) This position requires a BSN RN with experience in maternity ... care management platforms where applicable * Monitor appropriate utilization and coordinate ...

Advocate Aurora Health

Financial Analyst Senior

Columbia, SC · On-site +1

$41.10 - $61.65/hr

Fully Remote Role from these states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI ... Detail-oriented, able to manage multiple priorities, and meet deadlines Physical Requirements and ...

CEI

RN/Case Management Coordinator - Remote

Columbia, SC · Remote

$30/hr

Registered Nurse (RN) Care Management Specialist Location: Remote- Onsite for Training (Must reside ... Conduct utilization review and authorization activities to ensure services align with benefit plans ...

New

next page

Showing results 1-20

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Columbia, SC

Remote Utilization Management information

See Columbia, SC salary details

$19

$39

$63

How much do remote utilization management jobs pay per hour?

As of Aug 1, 2026, the average hourly pay for remote utilization management in Columbia, SC is $39.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.91 and $44.90 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 popular job titles related to Remote Utilization Management jobs in Columbia, SC? For Remote Utilization Management jobs in Columbia, SC, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Columbia, SC look for? The top searched job categories for Remote Utilization Management jobs in Columbia, SC are:
What cities near Columbia, SC are hiring for Remote Utilization Management jobs? Cities near Columbia, SC with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Columbia, SC as of July 2026, with employment types broken down into 50% Full Time, 17% Part Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $81,362 per year, or $39.1 per hour.

Managed Care Coordinator

TRC Talent Solutions

Columbia, SC • Remote

$30/hr

Full-time

Posted 5 days ago

Job description

Managed Care Coordinator (RN / Licensed Clinician)
Pay: Up to $30/hr
Schedule: MondayFriday, 8:30 AM5:00 PM
Training: 1 week onsite
After Training: Remote (must live within 2 hours of Columbia, SC)
Equipment Provided
Position Summary
Responsible for reviewing and authorizing medical and/or behavioral health service requests to ensure services meet benefit coverage and medical necessity guidelines. Applies clinical expertise, contract knowledge, and utilization management principles to support quality, cost-effective member outcomes.
Ideal Candidate: A licensed clinician who is detail-oriented, tech-savvy, and comfortable working independently in a remote environment. Strong clinical judgment, time management, and communication skills are essential, along with the ability to prioritize workload and collaborate within a team-centered culture.
Key Responsibilities
  • Perform medical/behavioral utilization reviews and authorizations
  • Prioritize and review cases based on due dates and clinical documentation
  • Compare requests against policy and member contracts
  • Refer complex cases to Medical Director when needed
  • Communicate approvals/denials to providers
  • Ensure accurate documentation and regulatory compliance
Required Qualifications
  • Associate Degree in Nursing OR Masters in Social Work, Counseling, or Psychology
  • Active, unrestricted RN, LMSW, Counselor, or Psychologist license
  • Minimum 2 years of clinical experience
TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.