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Remote Utilization Management Jobs in Wingate, NC

Addison Group

Intake Manager

Charlotte, NC · Remote

Charlotte, NC (Hybrid - onsite with one remote day per week) Compensation: $70,000 - $80,000 ... Lead, mentor, and develop a team of intake and utilization management specialists * Oversee the ...

Amerihealth Caritas

Care Manager II

Lancaster, SC · Remote

Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... care management platforms where applicable * Monitor appropriate utilization and coordinate ...

Amerihealth Caritas

Care Manager II

Rock Hill, SC · Remote

Care Manager II (Field-Based, Remote) Responsible for managing and coordinating care, services, and ... care management platforms where applicable * Monitor appropriate utilization and coordinate ...

Perdue Farms

Project Manager- Manufacturing

Charlotte, NC · On-site +1

$78K - $116K/yr

This position is structured as a remote role for individuals residing on the East Coast. The role ... Report key project management metrics. * Build and maintain accurate floor plans and equipment ...

New

Huntington

Commercial Services Manager

Charlotte, NC · On-site +1

Provides leadership, oversight, and day-to-day management of teams performance through utilization ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Solenis

Global Fleet Lead

Fort Mill, SC · Remote

Promote effective fuel management and resource utilization to improve operational efficiency and ... However we are happy to consider remote for the right candidate. #LI-remote We understand that ...

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Remote Utilization Management information

See Wingate, NC salary details

$19

$39

$63

How much do remote utilization management jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for remote utilization management in Wingate, NC is $39.15, according to ZipRecruiter salary data. Most workers in this role earn between $30.96 and $44.95 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 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.

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 cities near Wingate, NC are hiring for Remote Utilization Management jobs?

Cities near Wingate, NC with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Wingate, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $81,430 per year, or $39.1 per hour.

Intake Manager

Addison Group

Charlotte, NC • Remote

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 29 days ago

Job description

Title: Intake Manager

Location: Charlotte, NC (Hybrid – onsite with one remote day per week)

Compensation: $70,000 – $80,000 annually (bonus eligible starting in 2027)

Benefits: This position is eligible for medical, dental, vision, PTO, and 401(k) benefits.

About the Opportunity

Addison Group is seeking an Intake Manager on behalf of our client for a direct hire opportunity within a growing specialty healthcare organization. This leadership role will oversee a team responsible for patient intake, insurance authorization processes, and front-end revenue cycle operations. The position offers the chance to play a key role in supporting patient access and ensuring a seamless experience from initial referral through onboarding.

Key Responsibilities

  • Lead, mentor, and develop a team of intake and utilization management specialists
  • Oversee the patient onboarding process from initial referral through authorization and account setup
  • Ensure efficient handling of insurance verifications, benefits reviews, and prior authorizations
  • Monitor team performance, workflow efficiency, and service quality standards
  • Collaborate cross-functionally with revenue cycle, billing, and operations teams to optimize processes
  • Provide guidance on resolving complex cases related to coverage, eligibility, or patient access
  • Support ongoing training initiatives and foster a team-oriented, service-focused environment
  • Identify opportunities for process improvements and implement best practices across intake operations

Requirements

  • Bachelor’s degree required (or actively pursuing completion)
  • 3+ years of recent experience in healthcare operations, with exposure to intake, authorizations, or revenue cycle processes
  • Prior leadership or supervisory experience managing small to mid-sized teams
  • Background in specialty healthcare or behavioral health environments strongly preferred
  • Strong understanding of front-end revenue cycle functions, including prior authorizations and patient access workflows
  • Excellent interpersonal and customer service skills with a collaborative, team-first mindset
  • Ability to balance leadership responsibilities with hands-on problem-solving
  • Highly organized with strong time management and the ability to manage multiple priorities

Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.

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