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Remote Utilization Review Manager Jobs in Hampton, NH

The Mansion at Brigham

MDS LPN Remote

Newburyport, MA · Remote

$8.2K/mo

Review resident records and clinical documentation * Coordinate with the interdisciplinary care ... Strong communication and time-management skills What We Offer * $8,200/month * Fully remote ...

New

The Wood Group

Engineering Manager

Hampton, NH · Remote

This position is remote in Hampton, NJ. #LI- Remote The Role The Engineering Manager comes with the ... Competitive salary with regular salary reviews to ensure we are rewarding at the right level in ...

New

American Income Life

Sales Manager

Rochester, NH · Remote

We are currently expanding and looking to bring on motivated individuals for a remote position with ... review and explain benefits Help families access no-cost and supplemental programs Build ...

Addison Group

MSP Project Manager

Danvers, MA · Remote

$90K - $100K/yr

Remote with occasional travel Assignment Type: 4-6 Month Contract-to-Hire Pay: $45.00 - $50.00 ... Lead project planning activities, kickoff meetings, status reviews, and stakeholder communications.

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Hampton, NH

Remote Utilization Review Manager information

See Hampton, NH salary details

$40.2K

$93.8K

$172.6K

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

As of Aug 27, 2026, the average yearly pay for remote utilization review manager in Hampton, NH is $93,781.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,300.00 and $112,800.00 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 Hampton, NH?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Hampton, NH are:

What cities near Hampton, NH are hiring for Remote Utilization Review Manager jobs?

Cities near Hampton, NH with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Remote Entry Level Leadership

American Income Life

Rochester, NH • Remote

Full-time

Posted 5 days ago

American Income Life Insurance rating

8.5

Company rating: 8.5 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

109th of 313 rated insurance

Job description

We are currently expanding and looking to bring on motivated individuals for a remote position with a fast-growing organization. This role focuses on helping families understand and access valuable benefits while developing leadership and communication skills.

No prior experience is required—we provide full training, mentorship, and a clear path for growth into leadership.

⸻

Who We're Looking For

Strong communication skills

Coachable and motivated individuals

Positive attitude and work ethic

Comfortable working independently in a remote setting

Leadership-minded (or open to growing into leadership)

⸻

Why This Opportunity Stands Out

No prior experience required

Fast-track advancement opportunities

Work with a supportive and driven team

Make a meaningful impact by helping families

Requirements

What You'll Do

Meet virtually with clients to review and explain benefits

Help families access no-cost and supplemental programs

Build relationships and provide ongoing client support

Schedule and manage appointments

Work within a structured system designed for success

Benefits

What We Provide

Remote work (work from anywhere)

Step-by-step training and mentorship

Weekly team support and coaching

Clear advancement opportunities into leadership roles

Performance-based incentives and recognition

Health benefits reimbursement

How to Apply

Apply directly or request more information to schedule a quick overview and interview.

What American Income Life Insurance employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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