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Remote Utilization Management Jobs in Scranton, PA

Kane is Able

SR Manager, Projects

Scranton, PA · On-site +1

$98K - $130K/yr

Remote Work Schedule: First Shift: Monday - Friday, 8:00am - 5pmwith flexibility to work outside of ... A project management certification (PMP, CAPM, or equivalent) is required for both internal and ...

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Scranton, PA

Remote Utilization Management information

See Scranton, PA salary details

$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for remote utilization management in Scranton, PA is $41.85, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 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 as a Remote Utilization Management Nurse, and why are they important?

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 popular job titles related to Remote Utilization Management jobs in Scranton, PA? For Remote Utilization Management jobs in Scranton, PA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Scranton, PA look for? The top searched job categories for Remote Utilization Management jobs in Scranton, PA are:
What cities near Scranton, PA are hiring for Remote Utilization Management jobs? Cities near Scranton, PA with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Scranton, PA as of July 2026, with employment types broken down into 81% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $87,057 per year, or $41.9 per hour.
Account Manager - Central PA (Remote)

Account Manager - Central PA (Remote)

Vision Benefits of America (VBA)

Wilkes Barre, PA • Remote

$70K - $80K/yr

Full-time

Medical, Dental, Vision, Life

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

VBA is seeking a competitive, self-motivated Account Manager to take ownership of a well-established book of business across Central Pennsylvania, supporting employer groups in the under 500 eligible employee segment. This role blends relationship management, strategic account growth and consultative client service, making it ideal for someone who wants more than just day-to-day service work.

You'll serve as a trusted advisor to both clients and brokers by helping them navigate benefit strategies, optimize plan performance and uncover opportunities to enhance value.

In the first 90 days, success means quickly learning VBA's business and building strong internal and client relationships while taking full ownership of day-to-day account management. By the end of that period, the Account Manager is confidently leading client interactions, managing their book independently and identifying opportunities to improve and grow accounts.

What Sets This Role Apart:

  • True ownership of your book you're not just servicing accounts, you're managing and growing them
  • Access to decision-makers work directly with leadership in a collaborative, agile environment
  • Flexibility and speed ability to solve problems and implement solutions without layers of bureaucracy
  • Client-first culture strong focus on personalized service as a core differentiator

Starting salary: $70,000-$80,000 base (plus commission)

Essential Functions
  • Accountable for retention and growth of assigned book of business
  • Serve as the primary point of contact for assigned employer groups and broker partners
  • Build and maintain strong relationships to drive retention and satisfaction, including regular client and broker touchpoints (calls, meetings, check-ins) to ensure overall account health and performance
  • Proactively identify and execute upsell and cross-sell opportunities
  • Deliver day-to-day account service by responding to client and broker requests in a timely and accurate manner
  • Manage ongoing service needs and coordinate internally to resolve issues
  • Lead renewals and client strategy through preparing and executing renewal strategies, analyzing plan performance and utilization to inform recommendations
  • Present renewal options and plan enhancements to clients and brokers
  • Support implementation of new groups and plan changes
  • Build and strengthen broker relationships
  • Assist with open enrollment meetings and benefit fairs
  • Perform duties and responsibilities of related lower-level personnel, as assigned or required.

The statements above describe the general nature and level of work performed by individuals assigned to this position. They are not intended to be an exhaustive list of all responsibilities and duties required.

Minimum Qualifications
  • 4+ years of experience in account management or client services within an insurance, benefits or healthcare organization
  • Active Pennsylvania Life, Accident & Health license
  • Demonstrated ability to manage and retain client relationships
  • Established broker relationships.
  • Bachelor's degree in business, healthcare or equivalent professional experience.
  • Valid driver's license, reliable personal transportation and current auto insurance with minimum coverage of $250,000/$500,000.
Knowledge, Skills, and Abilities
  • Strong presentation and communication skills, both written and verbal.
  • Advanced knowledge of Microsoft Office, including Word, Excel and Outlook.
  • Industry knowledge in vision, dental or health insurance (carrier or TPA experience preferred)
  • Proficiency with CRM tools, including HubSpot, to effectively track activity, tasks and goals.
  • Ability to manage a high volume of work with competing priorities.
  • Consultative mindset with strong research and analytical skills.
Work Environment/Physical Demands
  • Work is performed remotely.
  • Selected candidate will reside in Central or Northeastern PA.
  • Ability to travel up to 40% of the time, including overnight travel.
  • Occasionally lift up to 50 pounds.
  • Frequently operate a motor vehicle.

To perform this job successfully, an individual must be able to perform the essential job functions satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary job functions described herein. Because every duty associated with this position may not be specifically listed, employees may be required to perform duties that are incidental to the role, even if not expressly stated in this job description.