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Remote Utilization Review Manager Jobs in Grafton, WI

Network Health, Inc

Pharmacist

Brookfield, WI · On-site +1

This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...

Network Health

Pharmacist

Brookfield, WI · On-site +1

This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...

Network Health

Pharmacist

Brookfield, WI · On-site +1

This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...

UMB Financial

Senior Manager Fund Accounting

Milwaukee, WI · On-site +1

$141K - $207K/yr

Interacts with clients and ensures team delivers daily NAV accounting, pricing, review, and ... Experience managing in office, hybrid and fully remote associate team * Proven ability to mentor ...

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

Remote Utilization Review Manager information

See Grafton, WI salary details

$38.3K

$89.5K

$164.7K

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

As of Sep 7, 2026, the average yearly pay for remote utilization review manager in Grafton, WI is $89,480.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $107,700.00 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 Grafton, WI?

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

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

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

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

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

Remote Utilization Review Manager jobs near you

Remote Senior Manager (Tax)

Solid Rock Recruiting LLC

Milwaukee, WI • Remote

Full-time

Medical, PTO

Re-posted 22 days ago

Job description

About the Role

  • Lead multiple client engagements across corporate, partnership, and high-net-worth individual tax work
  • Serve as the primary client relationship manager for key accounts in a fully remote environment
  • Oversee tax planning, compliance, and review processes while ensuring accuracy and timeliness
  • Collaborate with partners and staff to improve workflow efficiency and service delivery

Key Responsibilities

  • Review and sign off on complex tax returns (1120, 1120S, 1065, 1040 HNW)
  • Manage client deliverables, deadlines, and advisory communications year-round
  • Provide strategic tax planning, entity structuring, and transaction support
  • Supervise and mentor tax staff, seniors, and managers across multiple engagements

Qualifications

  • Active CPA license required
  • 7–12+ years of progressive tax experience in public accounting
  • Strong experience with review-level work and client-facing advisory roles
  • Deep knowledge of federal and state tax compliance across multiple entity types

Preferred Skills

  • Experience with remote team leadership and workflow management tools (e.g., CCH, ProSystem, UltraTax, or similar)
  • Strong client communication skills with ability to explain complex tax issues simply
  • Experience with high-growth clients, private equity-backed companies, or HNW individuals
  • Ability to manage multiple deadlines in a fast-paced, deadline-driven environment

What We Offer

  • Fully remote flexibility with strong team collaboration culture
  • Competitive compensation with performance-based bonus structure
  • Clear path to Partner or Director-level advancement
  • Comprehensive benefits including PTO, health coverage, and continuing education support