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Remote Utilization Management Jobs in Rensselaer, NY

... ConnectWise, remote management tools, Microsoft 365, Azure/Entra, Intune, Windows Server and ... Meet departmental billable-hour and utilization expectations and record work accurately in ...

... ConnectWise, remote management tools, Microsoft 365, Azure/Entra, Intune, Windows Server and ... Meet departmental billable-hour and utilization expectations and record work accurately in ...

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Remote Utilization Management information

See Rensselaer, NY salary details

$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization management in Rensselaer, NY is $41.98, 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.

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 the most commonly searched types of Utilization Management jobs in Rensselaer, NY?

The most popular types of Utilization Management jobs in Rensselaer, NY are:

What cities near Rensselaer, NY are hiring for Remote Utilization Management jobs?

Cities near Rensselaer, NY with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Rensselaer, NY as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 20% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $87,317 per year, or $42 per hour.

Remote Licensed Clinical Social Worker for Hospice Care

Heart Mental & Wellness Clinic

Schenectady, NY • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago


Job description

Position Overview

Heart Mental & Wellness Clinic is seeking a compassionate and experienced Licensed Clinical Social Worker (LCSW) to join our dedicated team. This full-time position offers the flexibility of remote work within a hospice care setting. As a vital part of our organization, you will play an instrumental role in providing quality mental health support to clients, enhancing their wellbeing through personalized care and therapeutic interventions.

About the Organization

At Heart Mental & Wellness Clinic, we are committed to fostering an environment where every client receives the attention and support they need. Specializing in mental health services, we cater to a diverse client base, including individuals requiring assistance with mental health challenges related to aging, chronic illness, and end-of-life transitions. Our team is a blend of passionate professionals who prioritize a secure and nurturing atmosphere conducive to healing, growth, and empowerment.

Work Environment

This role operates within a remote framework, allowing you to provide services to clients from the comfort of your home while maintaining robust communication with our hospice center and external healthcare providers. This setting emphasizes flexibility, collaboration, and accessibility, ensuring that our care extends to those in need wherever they are located.

Key Responsibilities
  • Act as a liaison between clients’ families and outpatient providers, ensuring seamless communication and coordinated care.
  • Engage with insurance providers to obtain necessary pre-certifications and facilitate utilization management, ensuring clients have the coverage they need for their mental health services.
  • Participate actively in discharge and aftercare planning, employing a systematic approach to support clients’ transitions out of crisis.
  • Provide therapeutic meal support, helping clients cultivate a healthy relationship with food while modeling positive behaviors.
  • Deliver empathetic, client-centered, and affirming care tailored to each client's unique circumstances and diverse intersecting identities.
Patient Population / Client Focus

In this role, you will primarily work with older adults in a hospice setting, addressing their mental health needs as they navigate end-of-life issues. You will focus on providing holistic support that honors their life experiences while addressing emotional and psychological challenges during this sensitive time.

Qualifications
  • A Master’s degree in Social Work from an accredited institution, equipping you with the theoretical knowledge and practical skills essential for this position.
  • Possession of a valid LCSW license in the state of New York, demonstrating your qualification to practice independently.
  • At least one year of relevant experience working with older adults, showcasing your ability to connect with this specific population.
  • Proficient clinical and diagnostic skills, allowing for effective assessment and intervention in mental health cases.
  • Strong communication and interpersonal skills to foster collaborative relationships with clients, their families, and interdisciplinary teams.
  • Ability to work autonomously and within a team dynamic, demonstrating adaptability and commitment to our organizational values.
Preferred Experience
  • Experience in hospice or palliative care settings, providing insight into the unique challenges faced by clients and their families during end-of-life processes.
  • Familiarity with electronic health record (EHR) systems for documentation and progress tracking, ensuring continuity of care and compliance with healthcare regulations.
  • Training in trauma-informed care or similar methodologies, illustrating an understanding of the complexities surrounding mental health and emotional trauma.
Compensation and Benefits

The salary range for this position is competitively set between USD 80,000 to 100,000 per year, commensurate with experience and qualifications. Additionally, we offer a comprehensive benefits package, including:

  • Medical, Dental, and Vision insurance to support your overall health and wellbeing.
  • A 401(k) plan with employer matching and Flexible Spending Accounts to help you plan for the future.
  • Life Insurance and accident coverage, ensuring peace of mind for you and your loved ones.
  • Short-term disability coverage to protect you in the event of illness or injury.
Career Growth Opportunities

Heart Mental & Wellness Clinic encourages professional development and growth within our organization. You will have opportunities for ongoing training, mentorship, and advancement into leadership roles as you demonstrate your expertise and commitment to excellence in care. We believe in nurturing our team members' aspirations and providing pathways for achieving their career goals.

Why Join Our Team

By becoming part of Heart Mental & Wellness Clinic, you will join a compassionate community dedicated to transforming the lives of our clients. We value your insights and contributions, fostering an inclusive culture where every team member plays an essential role in enhancing client care. Your work will not only transform the lives of those we serve but will also create lasting, meaningful impacts in our community.

Application Information

If you are passionate about providing compassionate mental health support and wish to make a difference in the lives of individuals at a critical stage in their journey, we invite you to apply today. Please submit your resume and cover letter through our application portal, and take the first step towards a rewarding career with Heart Mental & Wellness Clinic.