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Remote Utilization Review Manager Jobs in Howell, MI

iFlow Inc

Cloud Engineer

Farmington Hills, MI · Remote

$57 - $76.25/hr

Remote/Farmington Hills, Michigan Duration: Long-term Experience:12-15 Years Description Position ... Manage Linux and Windows Server infrastructure, including installation, configuration, patching ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Howell, MI

Remote Utilization Review Manager information

See Howell, MI salary details

$36.5K

$85.2K

$156.7K

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

As of Aug 19, 2026, the average yearly pay for remote utilization review manager in Howell, MI is $85,166.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,700.00 and $102,500.00 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 the most commonly searched types of Remote Utilization Review jobs in Howell, MI?

The most popular types of Remote Utilization Review jobs in Howell, MI are:

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

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The top searched job categories for Remote Utilization Review Manager jobs in Howell, MI are:

What cities near Howell, MI are hiring for Remote Utilization Review Manager jobs?

Cities near Howell, MI with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Remote AI Task Reviewer - Flexible Hours, No Experience Needed

RLDG

Fowlerville, MI • Remote

$25/hr

Full-time

Re-posted 9 days ago

Job description

About the gig

Join our distributed team as a Remote AI Task Reviewer and help improve AI systems by completing short, style online tasks. This is an easy-to-learn role with full training and ongoing support. No prior experience is required.

What you’ll do
  • Log in to a secure dashboard and follow task instructions
  • Complete interactive game-style tasks within SLA deadlines
  • Flag anomalies or edge cases and leave brief notes
  • Work independently with chat-based support when needed
Perks & Benefits
  • $25/hr + bonuses
  • Work from home on your own schedule
  • Weekly payouts via direct deposit
  • Flexible hours: 5–20 hours/week, set your own schedule
  • No experience needed. Full training provided
What we’re looking for
  • Detail-oriented and dependable
  • Strong written communication
  • Able to follow complex instructions
  • Motivated to work independently and manage your time

Eligibility

  • Reside in Pennsylvania or Michigan (required)
  • Able to pass a background and employment credit check
  • Authorized to work in the U.S.
  • Have a laptop or tablet to complete tasks

How to Apply:

Apply online (takes 3 minutes). You’ll complete a short puzzle-style assessment to demonstrate your problem-solving skills. If accepted, you’ll begin onboarding right away.

If you’re looking for a well-paid, fully remote side gig you can do from your own laptop or tablet, apply today and start earning soon.

Flexible gig. Real opportunity.

Apply