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Remote Utilization Management Jobs in Tucson, AZ

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally ...

ABB

Utility Sales Support

Tucson, AZ · 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 ...

UnitedHealth Group

Case Manager RN

Tucson, AZ · Remote

$60K - $107K/yr

The RN Care Coordinator focuses on care transitions, high risk patient management , referral coordination, and appropriate site-of-service utilization. This role includes high-volume telephonic ...

All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Tucson, AZ

Remote Utilization Management information

See Tucson, AZ salary details

$20

$39

$65

How much do remote utilization management jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote utilization management in Tucson, AZ is $39.98, according to ZipRecruiter salary data. Most workers in this role earn between $31.59 and $45.91 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 Tucson, AZ?

The most popular types of Utilization Management jobs in Tucson, AZ are:

What are popular job titles related to Remote Utilization Management jobs in Tucson, AZ?

For Remote Utilization Management jobs in Tucson, AZ, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Tucson, AZ look for?

The top searched job categories for Remote Utilization Management jobs in Tucson, AZ are:

What cities near Tucson, AZ are hiring for Remote Utilization Management jobs?

Cities near Tucson, AZ with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Tucson, AZ as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $83,151 per year, or $40 per hour.

Clinical Account Representative

Tucson, AZ • Remote

Gateway Recruiting
1 - 10 employees
Learn more about Gateway Recruitingexternal

Full-time

PTO

Re-posted 19 days ago

Job description

Job Summary:

The Clinical Account Representative (CAR) supports the company's growth by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that the company is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.

Job Responsibilities:

1. Sales & Customer Engagement

  • Serve as the primary point of contact for high-volume, established accounts, ensuring seamless onboarding and patient monitoring workflows.
  • Achieve assigned sales and utilization targets within defined accounts.
  • Execute actionable quarterly business plans with clear activity goals and growth drivers.
  • Conduct routine account check-ins to review program performance, identify barriers, and uncover new opportunities.
  • Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.
  • Provide competitive insights, including customer feedback and market intelligence.
  • Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.

2. Account Management

  • Maintain CRM documentation for key accounts, including activity notes, opportunities, and follow-ups.
  • Build and sustain strong relationships with physicians, APPs, clinics, and administrators.
  • Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.
  • Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.

3. Technical & Clinical Support

  • Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.
  • Offer procedural case support occasionally for broader territory, focusing on priority accounts.
  • Support training and education for new clinical staff, clinics, and administrators.
  • Participate in product in-services and support clinical data collection as needed.
  • Continue developing strong product competency.

4. Compliance & Collaboration

  • Adhere to all FDA, regulatory, and company quality requirements.
  • Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.
  • Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.
  • Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.

Education and Experience:

Required:

  • Bachelor's degree (Business, Life Sciences, Engineering, or related).
  • Experience: 2-4 years in medical device or healthcare (inside or field).
  • Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.
  • Track record of ≥100% to goal in the most recent performance year.
  • Account-facing experience with clinicians and administrators (e.g.,clinics, service line leaders).
  • Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.
  • Comfortable delivering clinical/technical presentations to audiences of 10–50 stakeholders.

Preferred:

  • Knowledge of reimbursement landscape and payment pathways (highly preferred).
  • Experience at top MedTech organizations (highly preferred).
  • 1-2 years of commercial experience.
  • Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.
  • Prior involvement in value analysis or committee-based selling.
  • Familiarity with Cath lab/OR workflows; basic procedural support experience.