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Remote Utilization Management Jobs in Washington, DC

... utilization-management processes is a plus. * Passion for expanding equitable occupational therapy care and experimenting with outcome-driven models. * Enjoys autonomy and remote, flexible ...

... utilization-management processes is a plus. Passion for expanding equitable occupational therapy care and experimenting with outcome-driven models. Enjoys autonomy and remote, flexible ...

... utilization-management processes is a plus. * Passion for expanding equitable occupational therapy care and experimenting with outcome-driven models. * Enjoys autonomy and remote, flexible ...

... utilization-management processes is a plus. Passion for expanding equitable occupational therapy care and experimenting with outcome-driven models. Enjoys autonomy and remote, flexible ...

This role has the potential for a hybrid or remote work schedule with periodic travel to corporate ... Monitor CRM utilization and recommend continued improvements. * Coordinate CRM enhancements, user ...

This role has the potential for a hybrid or remote work schedule with periodic travel to corporate ... Monitor CRM utilization and recommend continued improvements. * Coordinate CRM enhancements, user ...

Showing results 41-60

Remote Utilization Management information

See Washington, DC salary details

$24

$47

$78

How much do remote utilization management jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization management in Washington, DC is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 Washington, DC?

The most popular types of Utilization Management jobs in Washington, DC are:

Infographic showing various Remote Utilization Management job openings in Washington, DC as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 22% Part Time, and 2% Contract. Highlights an 79% Physical, 2% Hybrid, and 19% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

Occupational Therapy Consultant

3Y

Washington, DC • Remote

$320K/yr

Part-time

This job post has expired today. Applications are no longer accepted.


Job description

Occupational Therapist Consultant Opportunity

We're expanding our Occupational Therapy services and need Occupational Therapists (OTs) to serve as part-time consultants. You will help us shape local care models, expand insurance contracts, and if interested, create a launch-pad to build or grow your own independent practice—without the usual operational headache.

Key Responsibilities

  • We are looking for a variable commitment, up to 1 hr commitment per week
  • Advise on state regulations, cultural nuances, and care-model innovation.
  • Advise on policies and outcome metrics to ensure evidence-based, family-centered care.
  • Act as the primary credentialed provider for the group when we are applying to commercial and Medicaid plans in your state.
  • Use and critique our all-in-one tech stack (scheduling, data, EHR, billing) to guide product improvements.
  • If you wish, start seeing clients on our platform and build your own practice over time (no upfront fees, full ops support).

What We Provide

  • World-class operational support so you stay focused on clinical input.
  • Fully integrated practice-management suite, payer enrollment team, and rapid-pay billing.
  • Access to a nationwide peer community
  • Priority eligibility for a full practice-owner track with 3Y Health whenever you're ready.

Ideal Candidate

  • Active OT license in good standing in New Jersey
  • License to practice in multiple states a plus
  • Familiarity with payer credentialing or utilization-management processes is a plus.
  • Passion for expanding equitable occupational therapy care and experimenting with outcome-driven models.
  • Enjoys autonomy and remote, flexible collaboration

Compensation

Compensation will be $100-150 per hour dependent on experience and geographic location.

About 3Y Health

At 3Y Health, we believe OTs deserve more—more freedom, more support, and more impact. That's why we've created a platform where OTs can launch and grow your own practice with no upfront costs and full operational support.

We handle the logistics. You focus on care.

What Makes 3Y Health Different?

  • $0 upfront to join—No fees, no hidden costs.
  • Earn up to $320,000/year based on your client caseload and schedule.
  • Concierge assistance with LLC creation, business banking, and liability insurance.
  • Total flexibility—You choose your hours, clients, and care model.
  • World-class support—We take care of operations so you can focus on clinical outcomes.
  • Custom referral support to help you build your preferred caseload.

What We Provide Practice Owners:

  • All-in-one software suite – Includes Practice Management, Scheduling, EHR, Data Collection, Billing, Onboarding, and mobile apps for you and your clients.
  • Insurance partnerships – We're adding new payer partnerships all the time in multiple states
  • Practice launch support – We'll help you start your own OT-focused company if you don't already have one.
  • Fast payments – Get paid upfront per session. No more chasing down insurance.
  • Payroll made easy – We'll run payroll for you if you'd like.