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Remote Utilization Management Jobs in Savannah, GA

ABB

Utility Sales Support

Bloomingdale, GA · 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 ...

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Savannah, GA

Remote Utilization Management information

See Savannah, GA salary details

$19

$39

$64

How much do remote utilization management jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote utilization management in Savannah, GA is $39.38, according to ZipRecruiter salary data. Most workers in this role earn between $31.11 and $45.24 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 Savannah, GA?

For Remote Utilization Management jobs in Savannah, GA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Savannah, GA look for?

The top searched job categories for Remote Utilization Management jobs in Savannah, GA are:

What cities near Savannah, GA are hiring for Remote Utilization Management jobs?

Cities near Savannah, GA with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Savannah, GA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $81,909 per year, or $39.4 per hour.

Market Physician Executive - Float

Savannah, GA • Remote

Monogram Health
Health Care and Social Assistance • 51 - 200 employees
Learn more about Monogram Healthexternal

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) Float to lead its in-home multi-specialty polychronic care model across an assigned region. This role involves improving the well-being, quality of life, and health outcomes for patients by overseeing clinical strategies, policies, and operations. The MPE Float will contribute to the development and oversight of clinical strategies, policies, programs, processes, protocols, guidelines, and operations that drive improved patient health outcomes within the market.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned region to support all markets.
  • Each market is comprised of 5-10 practices led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists (PharmD).
  • Collaborate with Monogram Health's Multi Specialty Platform to leverage employed specialists to deliver in-home specialty care.
  • Deploy a proven risk based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms.
  • Focus on improving patient experience, population health outcomes, provider satisfaction, and lowering costs.
  • Oversee the daily clinical and business operations through delivery of direct patient care, care management services, social worker support, and pharmacy services within the market.

Responsibilities

  • Know, understand, and deliver on Monogram Health's proprietary evidenced based clinical pathways.
  • Review and approve APP, RN, SW, and PharmD plans of care.
  • Ensure appropriate and timely patient documentation within Salesforce and Athena clinical activities, interventions, and tasks.
  • Overall accountability for reducing total cost of care and Medical Loss Ratio.
  • Responsible for clinical outcomes including clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform, and HEDIS/Gap Closure.
  • Provide direct and indirect patient care (including diagnosis and treatment of disease).
  • Engage with patients on treatment plans, community provider collaboration, and direct evidence-based care pathways.
  • Provide clinical guidance and direction to Market teams to drive Population Health Management activities.

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • Paid holidays
  • Flexible vacation time/PSSL
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts

Shift & Schedule

  • Participate in Monogram On-Call activities
  • 7 days on call minimum once/quarter

Requirements

  • Must be willing and able to obtain hospital privileges at required facilities.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.
  • Demonstrated experience applying evidence based clinical criteria.
  • Experience in renal care and geriatrics.
  • Strong management and communication skills.
  • Active, unrestricted state medical license required in each state within the market.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.

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