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Remote Utilization Management Jobs in Memphis, TN

ABB

Utility Sales Support

MS · Remote

$17.75 - $23.25/hr

... management with local business units and other ABB groups. Additionally, the role will expand to ... While this is a remote position, candidates must be located in the United States. You will be ...

ABB

Utility Sales Support

Byhalia, MS · Remote

$17.75 - $23.25/hr

... management with local business units and other ABB groups. Additionally, the role will expand to ... While this is a remote position, candidates must be located in the United States. You will be ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Memphis, TN

Remote Utilization Management information

See Memphis, TN salary details

$20

$41

$67

How much do remote utilization management jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote utilization management in Memphis, TN is $41.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.16 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 are popular job titles related to Remote Utilization Management jobs in Memphis, TN?

For Remote Utilization Management jobs in Memphis, TN, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Memphis, TN look for?

The top searched job categories for Remote Utilization Management jobs in Memphis, TN are:

What cities near Memphis, TN are hiring for Remote Utilization Management jobs?

Cities near Memphis, TN with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Memphis, TN as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution, with an average salary of $85,437 per year, or $41.1 per hour.

Tennessee Licensed Therapist

Mindoula Health

Memphis, TN • On-site, Remote

$75K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Mindoula Health rating

8.9

Company rating: 8.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Mindoula Health is seeking Therapists licensed in Tennessee (LPC, LCSW, LMFT) to join our Substance Use Disorder Program and serve our substance-exposed members. This position is fully remote.

Our Substance Use Disorder Program focuses on prenatal and postpartum care, as well as supporting individuals facing substance-exposed living. As part of this program, you'll work in a family-focused culture, gaining valuable experience in both the clinical and business sides of the company.

Key Highlights:

  • Flexible schedule with the freedom to create therapy groups and utilize evidence-based practices you're passionate about.
  • Collaborative work environment where you'll provide biopsychosocial assessments, individual and group therapy, and work alongside your team to coordinate care across various substance use disorder treatment settings.
  • Remote work with the autonomy to work from home while making a positive impact on our members' lives.

We're looking for someone eager to join a dynamic team and contribute to the well-being of substance-exposed populations. If you're a passionate clinician looking for a role with flexibility and purpose, we'd love to hear from you!

Compensation: $75,000 a year, plus amazing benefits.

Comprehensive Benefits Package includes:

  • Medical, Dental and Vision Insurance
  • Supplemental Life Insurance
  • Short Term and Long Term Insurance paid by Mindoula
  • 401k, with a company match
  • 3 weeks paid vacation each year, 4 mental wellness days and 11 holidays
  • Parental Leave: 8 weeks of paid parental leave
  • Personal Development Program: $500 credit reimbursement per calendar year

How you'll contribute:

  • Assesses, plans and implements care strategies that are individualized by member and directed toward the most appropriate and least restrictive level of care.
  • Collaborates with member, family and healthcare providers to develop an individualized plan of care.
  • Conducts individual counseling and group therapy with adolescents and adults.
  • Identifies and initiates referrals for social service programs - including financial, psycho-social, community and state supportive services.
  • Advocates for members and families as needed to ensure the patient's needs and choices are fully represented and supported by the healthcare team.
  • Utilizes approved clinical criteria to assess and determine appropriate level of care for members.
  • Documents all member assessments, care plan and referrals provided.
  • Responsible for achieving set goals; Key Performance Indicators (KPIs).
  • Learning the Substance Use Disorder Program model and taking responsibility and ownership for outcome based care.
  • Participates in interdisciplinary team meetings and utilization management rounds and provides information to assist with safe transitions of care.
  • Promotes responsible and ethical stewardship of company resources.
  • Maintains excellent punctuality and attendance during work hours.

Qualifications:

  • LCSW, LPC and LMFT in Tennessee.
  • Preferred experience with substance abuse population.
  • Background in maternal; substance abuse preferred.
  • Experience with adults and adolescents.
  • Familiarity with Medicare and Medicaid procedures.
  • Remote Work Experience.

Come be part of the solution!

Employment Type: FULL_TIME

What Mindoula Health employees say

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Hours and flexibility

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