ZipRecruiter

Log In

2

Remote Utilization Management Jobs in Detroit, MI

Integra Partners

Medical Coding Specialist

Troy, MI · Remote

$65K - $65K/yr

The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

The Medical Coding Specialist provides coding expertise to support Utilization Management ... Career development opportunities Remote Opportunities We are actively seeking new colleagues in:

Curbee

Senior Dealer Success Manager

Detroit, MI · On-site +1

$110K - $135K/yr

S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... This is not a passive account management role. You are responsible for performance, growth, and ...

Aggreko

Project Manager AES

Detroit, MI · 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 ...

Curbee

Dealer Success Manager

Detroit, MI · On-site +1

$90K - $115K/yr

S. (Mobile and Remote Service). With Curbee., it's simple: dealerships send the right van to the ... This isn't a passive account management position; you'll take ownership of adoption, utilization ...

iFlow Inc

Cloud Engineer

Farmington Hills, MI · Remote

$57 - $76.25/hr

Remote/Farmington Hills, Michigan Duration: Long-term Experience:12-15 Years Description Position ... management, automation, and enterprise infrastructure support. The successful candidate will be ...

next page

Showing results 1-20

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Detroit, MI

Remote Utilization Management information

See Detroit, MI salary details

$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote utilization management in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 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 Detroit, MI? The most popular types of Utilization Management jobs in Detroit, MI are:
What are popular job titles related to Remote Utilization Management jobs in Detroit, MI? For Remote Utilization Management jobs in Detroit, MI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Detroit, MI look for? The top searched job categories for Remote Utilization Management jobs in Detroit, MI are:
What cities near Detroit, MI are hiring for Remote Utilization Management jobs? Cities near Detroit, MI with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Detroit, MI as of July 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $87,064 per year, or $41.9 per hour.
Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

Coordinator-Utilization Review(Clinical Coding)/Full Time/Remote

Corporate Services

Troy, MI • Remote

Other

Posted 5 hours ago

Job description

In this position you will be reviewing patient charts to determine if pre-elective surgical cases should be boarded as inpatient instead of outpatient.  You will also review the CPTs that were boarded for meeting inpatient on the CMS inpatient list and the InterQual inpatient list based on payer criteria used.

Hours are Monday - Friday from 830am until 5pm with no weekends

EDUCATION AND EXPERIENCE: 

  • RHIT, RHIA, or related coding certification required. 
  • Minimum 3-5 years of clinical experience preferred. 
  • Previous utilization management or case management experience preferred. 

CERTIFICATIONS/LICENSURES REQUIRED:

  •  RHIT, RHIA, or related coding certification required.
Additional Information
  • Organization: Corporate Services
  • Department: Central Utilization Mgt
  • Shift: Day Job
  • Union Code: Not Applicable

Apply