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Remote Utilization Management Jobs in Fredericktown, PA

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Remote Utilization Management information

See Fredericktown, PA salary details

$19

$38

$62

How much do remote utilization management jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization management in Fredericktown, PA is $38.07, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $43.70 per hour, depending on experience, location, and employer.

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 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.

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 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 Fredericktown, PA are hiring for Remote Utilization Management jobs?

Cities near Fredericktown, PA with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Fredericktown, PA as of July 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,190 per year, or $38.1 per hour.

Project Manager- Consulting (remote)

A.C. Coy

Canonsburg, PA • On-site, Remote

Full-time

Re-posted 10 days ago

Job description

Overview
Location: 100% remote- must live near an airport (60% weekly travel)
Job Type: Permanent / Full time
Work Authorization: U.S. Citizen or Green Card
Responsibilities
  • Manage delivery across multiple projects and workstreams by owning integrated workplans, milestones, resourcing, and day-to-day execution, providing daily leadership to the delivery team
  • Manage client engagements end-to-end (scope, schedule, budget, quality), translating SOWs into team deliverables and running stakeholder management and governance (weekly status, steering committees) with executive-ready communications to deliver on time and within budget
  • Provide industrial engineering and operations expertise, including time and motion studies, work measurement, sampling approaches, cost-benefit analysis, and process re-engineering to support evidence-based recommendations
  • Lead operational assessments and current-state diagnostics, synthesizing findings into prioritized opportunities and practical improvement plans
  • Design and deliver engineered labor/time standards (ELS/ETS)-including study approach, standards development, documentation, and rollout-while leading Lean continuous improvement using root-cause tools (5 Whys, Pareto) to prioritize drivers and deliver measurable performance gains
  • Drive productivity improvement initiatives across labor productivity, utilization, and performance management, with measurable impact tracking
  • Redesign operating models and business processes, developing standard work and sustainment mechanisms to embed changes
  • Support account management by identifying follow-on opportunities and developing proposals and presentations
  • Partner with SMEs to develop productivity improvement initiatives (e.g., labor planning, performance routines, standard work) and quantify benefits
  • Translate strategy and customer journey insights into operational requirements and process changes, developing an executable roadmap and implementation plan
  • Ensure deliverables are "client-ready" (clear narrative, defensible analysis, and practical implementation steps)
  • Ability to quickly understand several client industries, environments, and ability to create strategies and implementation plans that align with client and project goals
  • Reviews and approves all travel expenses, travel coordination, and project reviews
  • Coaches and develop project team by providing proper support and direction, from both project and career perspective; ability to provide and engage in feedback, performance, and personal development conversations
  • Facilitate cross-functional workshops (Ops, HR, IT, Finance) to align objectives, validate requirements, and drive decisions
  • Responsible for self-time management, progress reporting of tasks to direct project lead and to stay productive whether onsite with a team, by yourself or working remotely
  • Actively participate in trade shows, networking and recruiting opportunities
  • Travels extensively (60%), and sometimes independently, throughout the US and Internationally

Competencies:
  • Leads multiple projects and large engagements; earns the respect of clients as an expert consultant; models the standard for effective communication to all stakeholders
  • Develops a clear understanding of each clients' business and how our services can help; guides teams to focus on what matters; develops meaningful business relationships with clients
  • Develops comprehensive presentations at the appropriate level of detail
  • Effectively acts as a technical expert and technical leader, leads complex analytical work, and writes comprehensive client reports and internal standard practices
  • Demonstrates the role of the professional consultant and the technical skills required to be an effective Industrial Engineer
  • Demonstrates initiative, responsibility, and analytical thinking
  • Demonstrates understanding of Top-Down ELS development, including Rt/Allowed Deviation and use of sensitivity analysis
  • Effectively writes technical summaries to explain your work
  • Demonstrates strong Excel-based abilities, use of regression analysis and other data-mining techniques
  • Flexibility to work alternative hours, including evenings and weekends

Qualifications
Education: Bachelor of Science degree in Industrial Engineering or equivalent
  • 7+ years' experience in a consulting role using Industrial Engineering principles, having led and managed client engagements across multiple industries- not seeking profiles in IT
  • Experience with Engineering Labor Standards, workforce management (WFM), labor planning, productivity programs, or operational excellence
  • Demonstrate success managing fixed-scope, time-boxed projects and small delivery teams
  • Mastery of core IE principles, including Labor Standards, MOST, time studies
  • Knowledge of change management principles, ability to create influence in implementing recommended solutions
  • Knowledge of and experience in implementing end-to-end project solutions, including industry and customer research, creating strategy and project vision, design and development of solution meeting SOW, and associated change management practices
  • Access to reliable auto transportation and live near a major US airport
A.C. Coy Company- Staffing & Consulting Services logo

About A.C. Coy Company- Staffing & Consulting Services

Sourced by ZipRecruiter

Since 1986, our mission is to be the “Always on Target” staffing and consulting provider by helping people and companies achieve their hiring goals. The team is dedicated to achieving these goals by attracting and retaining top talent that meets our clients’ culture and environment. We are fully engaged with our people and companies through ongoing communication to ensure expectations are met.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Canonsburg, PA, US

Social media

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