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Remote Utilization Review Manager Jobs in Appleton, WI

FindTalent

Solar Project Manager

Green Bay, WI · Remote

While this position offers remote flexibility, regular travel to active project sites is required ... Review and interpret contract terms, drawings, and technical specifications to ensure compliance.

Gcu

University Development Manager

Oshkosh, WI · Remote

Conduct regular performance reviews, provide ongoing coaching and mentorship, and foster a culture ... Experience leading remote or geographically dispersed teams. * Experience managing partnerships ...

Gcu

University Development Manager

Green Bay, WI · Remote

Conduct regular performance reviews, provide ongoing coaching and mentorship, and foster a culture ... Experience leading remote or geographically dispersed teams. * Experience managing partnerships ...

GAI Consultants

Assistant Environmental Manager

De Pere, WI · On-site +1

$112K - $116K/yr

Hybrid or remote arrangements will be considered. This position will either manage such projects or ... Reviews project documents; Agency and subconsultant interface; Adjust project plan as changes are ...

TEKsystems

Claims Analyst

Menasha, WI · Remote

$19.25/hr

... utilization management policies, etc. Reviews home office claims for payment up to $18,000.00 ... remote position. Application Deadline This position is anticipated to close on Sep 11, 2026. About ...

TEKsystems

Claims Analyst

Appleton, WI · Remote

$19.25/hr

... utilization management policies, etc. * Reviews home office claims for payment up to $18,000.00 ... remote position. Application Deadline This position is anticipated to close on Sep 7, 2026. About ...

Wertz & Associates

Audit Manager, CPA

Green Bay, WI · On-site +1

$115K - $150K/yr

Remote work options available * Strong emphasis on work-life balance * Leadership role within a ... Reviews & Compilations * Tax Planning & Compliance * Outsourced Accounting * Business Advisory ...

Alera Group

Commercial Account Manager - WI

Appleton, WI · On-site +1

Appleton, Green Bay, Eau Claire, Madison, Onalaska, Stevens Point, Waukesha, Wausau WI Remote: if ... Prepare and review renewal submissions, applications, and proposals for new and existing business

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Appleton, WI

Remote Utilization Review Manager information

See Appleton, WI salary details

$38.1K

$88.8K

$163.4K

How much do remote utilization review manager jobs pay per year?

As of Sep 10, 2026, the average yearly pay for remote utilization review manager in Appleton, WI is $88,802.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,100.00 and $106,800.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Appleton, WI?

For Remote Utilization Review Manager jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Appleton, WI look for?

The top searched job categories for Remote Utilization Review Manager jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Remote Utilization Review Manager jobs?

Cities near Appleton, WI with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Solar Project Manager

Green Bay, WI • Remote

FindTalent
See more jobs at FindTalentexternal

Full-time

Re-posted 9 days ago

Job description

FindTalent is seeking an experienced Solar Project Manager to lead large-scale solar construction projects in Wisconsin and surrounding regions. This role is responsible for overseeing the full lifecycle of multi-million-dollar solar installations—from preconstruction planning and estimating through execution, closeout, and client handoff. While this position offers remote flexibility, regular travel to active project sites is required. The ideal candidate is a strong leader with expertise in electrical construction, contract management, budgeting, and field operations.

Key Responsibilities:

  • Prepare detailed cost estimates and solicit pricing from subcontractors, suppliers, and equipment vendors.

  • Develop and submit comprehensive project proposals with all required documentation.

  • Review and interpret contract terms, drawings, and technical specifications to ensure compliance.

  • Manage subcontract agreements and purchase orders, providing oversight throughout execution.

  • Plan and coordinate project resources including labor, materials, tools, and equipment.

  • Lead day-to-day project operations, ensuring adherence to budget, schedule, safety standards, and quality expectations.

  • Supervise project supervisors and field management staff, providing direction and performance oversight.

  • Monitor project financials, including job cost tracking, forecasting, reporting, and monthly billing applications.

  • Approve major procurement decisions and construction methodologies prior to implementation.

  • Conduct regular site visits to assess progress, address issues proactively, and maintain alignment with stakeholders.

  • Ensure all installation work meets applicable codes, engineering standards, and client specifications.

  • Oversee project closeout activities including documentation, inspections, and final deliverables.

  • Support workforce development initiatives and contribute to continuous improvement efforts.

Key Qualifications:

  • Bachelor’s degree in Electrical Engineering, Construction Management, or related field preferred; equivalent field leadership experience considered.

  • Minimum 6 years of project leadership experience managing complex electrical or renewable energy construction projects valued in the multi-million-dollar range.

  • Demonstrated success managing budgets, schedules, subcontractors, and cross-functional teams.

  • Strong understanding of electrical systems, construction methods, and safety standards.

  • Experience with contract review, cost control, and financial reporting.

  • Proficiency in project management software and general computer applications.

  • Excellent communication, leadership, and organizational skills.

  • Ability to travel regularly to job sites as required.

Why Apply?
This role offers the opportunity to lead impactful renewable energy projects that shape sustainable infrastructure. You will oversee high-value solar installations while collaborating with skilled professionals in a safety-focused, performance-driven environment. Competitive compensation, comprehensive benefits, and career growth opportunities make this an excellent next step for experienced construction leaders.