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Remote Utilization Management Jobs in Raleigh, NC

Perdue Farms

Project Manager- Manufacturing

Raleigh, NC · On-site +1

$78K - $116K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is structured as a remote role for individuals residing on the East Coast. The role ... Report key project management metrics. * Build and maintain accurate floor plans and equipment ...

Directive

Paid Social Manager (Remote US)

Raleigh, NC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

Self Help

Network Administrator

Durham, NC · Remote

... Remote services/monitoring, Backup maintenance, EndPoint Hardware/Software, Wireless infrastructures, Vendor management. HeavySecurity emphasis. Collect/review network utilization reports: Debug ...

Canals

Customer Success Manager

Raleigh, NC · Remote

This role blends relationship management with technical problem-solving and strategic enablement ... Demonstrated success driving product adoption, utilization and training end users. * Proven ...

Redhat

Senior AI FinOps Data Analyst

Raleigh, NC · On-site +1

$88K - $141K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... GPU utilization. * Dataverse Pipeline Integration: Act as the core architect for cloud and data ... Dynamic PO Lifecycle Management: Reform the purchase order framework from an annual forecast model ...

Directive

Senior Meta Strategist (Remote US)

Raleigh, NC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

Directive

Meta Strategist (Remote US)

Raleigh, NC · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... a CRM * Responsible for personal productivity and utilization * Work directly with Associate ... remote-first company, you'll have the ability to work from anywhere in the US, with the option to ...

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Showing results 21-40

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Raleigh, NC

Remote Utilization Management information

See Raleigh, NC salary details

$20

$41

$67

How much do remote utilization management jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization management in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 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 the most commonly searched types of Utilization Management jobs in Raleigh, NC?

The most popular types of Utilization Management jobs in Raleigh, NC are:

What are popular job titles related to Remote Utilization Management jobs in Raleigh, NC?

For Remote Utilization Management jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Raleigh, NC look for?

The top searched job categories for Remote Utilization Management jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Utilization Management jobs?

Cities near Raleigh, NC with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Raleigh, NC as of August 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Manager, Field Clinical Services - Peripheral Nerve Stimulation

Osv_bioventus

Raleigh, NC • Remote

Full-time

Re-posted 16 days ago

Job description

Are you ready to work for a more active world?

At Bioventus, our business depends on developing our people. We invest in you and challenge you to be the best. We value our colleagues for their different perspectives and individual contributions, and our leaders listen. Our success rests on working together to achieve shared goals and rewards. Join a diverse team of global colleagues driven to help patients resume and enjoy active lives.

The Manager of Field Clinical Services for Peripheral Nerve Stimulation (PNS) is responsible for leading a national team of Field Clinical Managers who drive clinical excellence, patient support, and sales enablement for the PNS Therapy product portfolio. This role blends clinical leadership with operations management, field service operations, and customer engagement, ensuring optimal patient outcomes while maximizing operational efficiency and customer satisfaction. The Manager of Field Clincal Services ensures consistent, high-quality clinical support while developing a high-performing team to enable the ability to scale the business rapidly and efficiently.
Remote position - Strong preference for candidates who reside close to a major airport hub in the Eastern or Central time zones.
  • Hire, coach, and develop a national team of Field Clinical Managers at a national level
  • Implement engagement, retention, and development plans to ensure a highly motivated team, reduced turnover, and continuous employee growth
  • Conduct regular field observations (case coverage, ride-alongs, OR/clinic support)
  • Drive a culture of accountability, customer focus, continuous improvement, and operational discipline
  • Collaborate with sales leadership to develop and execute account strategies, including new customer onboarding and growth initiatives.
  • Ensure delivery of high-quality clinical support for PNS procedures, including adherence to protocols, regulatory requirements, and patient safety standards.
  • Build systems and processes that enable efficient clinical coverage and operational consistency
  • Ensure timely and efficient case coverage through optimized clinician deployment and capacity planning based on current and future-state business needs
  • Oversee workload balancing, staffing models, and territory alignment to maximize utilization and minimize inefficiencies.
  • Establish and enforce clinical competency frameworks, training programs, and certification processes
  • Participate in customer education events, cadaver labs, and workshops
  • Ensure adherence to regulations, policies, and code of ethics
  • Bachelor's degree required; advanced degree preferred
  • 7+ years of experience in medical devices, including field clinical roles
  • 2+ years leading a field-based team in service delivery or clinical support
  • Implantable, wearable, or programmable medical device experience preferred
  • Experience in surgical/procedural and OR-based environments
  • Demonstrated success in clinical operations and continuous improvement
  • Strong coaching and performance management skills
  • High emotional intelligence and adaptability in clinical environments
  • Excellent communication with physicians and executive stakeholders
  • Strong cross-functional collaboration skills
  • This is a remote position requiring 50% or more travel
  • Proximity to a major airport in the Eastern or Central time zone is a plus

#LI remote

Are you the top talent we are looking for?

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Bioventus is committed to fostering an inclusive and diverse community of employees with a strong sense of belonging. We believe we are bettered by all forms ofdiversity andtake pride in working with top talent from every walk of life. In the spirit of inclusivity, qualified applicants will be considered without regard to age, ethnicity, disability, gender, veteran status, gender expression, gender identity, nationality, race, religion or sexual orientation.All individuals, regardless of personal characteristics, are encouraged to apply.

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