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Remote Utilization Management Jobs in Duluth, MN

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Remote Utilization Management information

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$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote utilization management in Duluth, MN is $42.00, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 are popular job titles related to Remote Utilization Management jobs in Duluth, MN? For Remote Utilization Management jobs in Duluth, MN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Duluth, MN look for? The top searched job categories for Remote Utilization Management jobs in Duluth, MN are:
What cities near Duluth, MN are hiring for Remote Utilization Management jobs? Cities near Duluth, MN with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you

Senior Decision Support Analyst - Cost Accounting

Essentia Health

Duluth, MN • On-site, Remote

$81K - $122K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Essentia Health rating

7.0

Company rating: 7.0 out of 10

Based on 210 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers

Job description

Building Location:
Peerless Building
Department:
1007010 DECISION SUPPORT - EH SS
Job Description:
The Senior Decision Support Analyst is responsible for the development, maintenance, and design specifications of healthcare cost accounting functions and report build utilizing the decision support system, benchmarking tools, and other business intelligence related tools. Supports and reinforces key initiatives within the organization through education and communication with clinical and operational leaders. Organizes and presents quantitative and actionable information to facilitate understanding and illuminate decision making for organizational leaders.
Education Qualifications:
Key Responsibilities:
  • Performs cost accounting system development and maintenance, including design and implementation of process improvements and advanced methodologies
  • Performs a broad range of financial analysis for assigned areas
  • Conducts complex financial analysis upon longitudinal patient conditions and services as assigned
  • Develops and maintains analytical methodologies, tools, and data
  • Provides technical expertise to other staff involved in data analysis; acting as a liaison between finance and operational/clinical leaders to ensure they have relevant tools and data and understand how to use them
  • Serves the organization as technical and subject matter expert for areas in which they work
  • Mentor and support team members on the monthly cost accounting process, assist in answering their questions as they grow their experience
  • Leads complex projects, often serving in the role of project manager
  • Proactively brings forward utilization, cost variation, or other financial opportunities
  • Acts as liaison to clinical and operational leaders and build connectivity and partnerships with other support partners

Educational Requirements:
  • Bachelor's degree in business, finance, accounting, health informatics, computer science, management information systems, statistics, or technology/healthcare related field

Required Qualifications:
  • 5 years of experience working in healthcare accounting, data development, and data analysis
  • Prior experience in healthcare, financial or EMR systems, including business intelligence tools. Examples include, but are not limited to: Registries, Slicer/Dicer, Crystal Reports, SQL, Tableau, Qlik, MS Excel (intermediate to advanced), other analytic toolsets

Preferred Qualifications:
  • Strong experience with healthcare cost accounting and decision support systems (StrataJazz, EPSi)
  • Experience with healthcare general ledger, revenue cycle, coding and classification systems, reimbursement systems and methodologies
  • Experience with understanding clinical language, clinical classification methods and tools and appropriately connecting longitudinal clinical population data to associated financial data
  • Experience building end user analytical tools such as Tableau, Power BI, other reporting tools

Remote Nature:
  • This position functions 100% remotely, however, preference will be given to candidates who sit within our service areas (Minnesota, North Dakota, Wisconsin)

Licensure/Certification Qualifications:
FTE:
1
Possible Remote/Hybrid Option:
Remote
Shift Rotation:
Day Rotation (United States of America)
Shift Start Time:
Shift End Time:
Weekends:
Holidays:
No
Call Obligation:
No
Union:
Union Posting Deadline:
Compensation Range:
$81,889.60 - $122,844.80
Employee Benefits at Essentia Health:At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.

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About Essentia Health

Sourced by ZipRecruiter

Headquartered in Duluth, Minnesota, Essentia Health combines the strengths and talents of 13,500 employees, including 3,500 registered nurses & licensed practical nurses, who serve our patients and communities through the mission of being called to make a healthy difference in people's lives. Essentia Health, which includes many Catholic facilities, is guided by the values of Quality, Hospitality, Respect, Joy, Justice, Stewardship and Teamwork. The organization lives out its mission by having a patient-centered focus at 14 hospitals, 70 clinics, six long-term care facilities, three assisted living facilities, three independent living facilities, five ambulance services and one research institute.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Duluth, MN, US

Year founded

2004

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