2

Remote Utilization Review Manager Jobs in Howell, MI

ERP Release Manager

Novi, MI ยท Remote

  • Medical

  • Dental

  • Life

  • Retirement

  • PTO

... able to review and collaborate with internal and external resources to ensure that we are ... This is a REMOTE role. We are not sponsoring work authorization for this role. Primary ...

Content Strategist (Remote)

West Bloomfield, MI ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Serve as the final editorial reviewer for owned media deliverables as assigned. Team Leadership * Support Organic Social Specialists by providing coaching, workload management, feedback, and career ...

Content Strategist (Remote)

West Bloomfield, MI ยท Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Serve as the final editorial reviewer for owned media deliverables as assigned. Team Leadership * Support Organic Social Specialists by providing coaching, workload management, feedback, and career ...

Content Strategist (Remote)

West Bloomfield, MI ยท Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Team LeadershipSupport Organic Social Specialists by providing coaching, workload management, feedback, and career development.Coordinate freelance writers by assigning work, reviewing deliverables ...

Application Security Engineer (REMOTE)

Novi, MI ยท Remote

$117K - $146K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Integrate and manage security tooling within CI/CD pipelines, including SAST, DAST, SCA, IaC scanning, and container security solutions. Support secure architecture reviews for cloudnative ...

Showing results 41-60

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:

What are popular job titles related to Remote Utilization Review Manager jobs in Howell, MI?

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

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

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:

Internal Wholesaler - West

Lifesecure Insurance Company

Brighton, MI โ€ข Remote

$55K - $65K/yr

Full-time

Re-posted 26 days ago


Job description

Are you a Sales Professional looking for your next opportunity. If so, we would love to hear from you. This is a remote position covering our west coast clients.

At LSI, we are committed to delivering a range of innovative and accessible insurance solutions to protect our clients and their families from unexpected medical claims.

Our business is built on relationships, and we are looking to add to our team. We are seeking individuals that are looking to drive individual and company success, are passionate about the products we sell, and committed to building long-term, meaningful relationships.

This is an opportunity to be paid for what you are worth with a base salary and the ability to achieve sales bonus incentives.

We are seeking a highly motivated and experienced Internal Wholesaler to join our team.

As an Internal Wholesaler, you will be responsible for promoting and selling ancillary products via outbound and inbound call activity. This is a challenging and rewarding role that requires excellent sales skills, strong business acumen, and the ability to build and maintain relationships with clients.

This position plays a critical role and is responsible for making LSI a market leader in the individual ancillary and long-term care worksite space. This individual will be part of a rapidly growing business unit that will execute on LSIs national broker distribution strategy with National Marketing Organizations (NMO’s), Field Marketing Organizations (FMO’s) and other topline distributors.

Essential Duties and Responsibilities:
  • Follow established process to execute sales campaigns including utilization of sales aids and promotional material.
  • Conduct proactive outbound calls to promote ancillary insurance products.
  • Assist Agents with account setup, maintenance, and troubleshooting.
  • May attend trade shows or seminars representing the company to gain new business as directed by Head of Sales.
  • Host webinars to provide product training/demonstrations to agents
  • Lead comprehensive training programs covering product offerings, appointment process, and sales techniques for both agents and agencies.
  • Collaborate with internal teams to provide exceptional customer service, support, and operational compliance.
  • Utilize contact management systems to track activities and maximize results.
  • Annually review and update website training tools.
  • Provide feedback on sales issues and reoccurring issues in process/tools.
  • Stay up to date on industry trends, competitors, and market conditions and provide feedback to appropriate departments.
  • Education and Experience Requirements:
  • 35 years of insurance sales experience, preferably ancillary (Hospital Indemnity, Accident and Critical Illness), life, health, or longterm care products.
  • Understanding of agency administration processes.
  • Technical proficiency with MS Offices as well as Sales database experience, preferably SalesForce.
  • Expert on product knowledge, as well as complex technical needs.
  • Successful remote/virtual sales experience.
  • Qualifications:

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

    Knowledge, Skills, and Abilities Requirements:
  • Excellent customer relationship management skills.
  • Exceptional communication skills, both verbal and written.
  • Detailoriented with excellent organizational skills and the ability to multitask.
  • Special Conditions of Employment (licenses, certificates, credentials, etc.):
  • Must have a valid Health / Life License in state of residency (or will be required to obtain one within 90 days of hire).
  • Light travel possible, including overnight stays.
  • Language Skills:
  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to author routine reports and correspondence.
  • Reasoning Ability:
  • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
  • Ability to deal with problems involving several concrete variables in standardized situations.
  • Physical Demands:
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to sit, reach with hands and arms, and talk or listen. The employee is occasionally required to stand, walk, and use hands to finger, handle, or feel. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
  • Work Environment:
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually quiet.
  • Additional Information:
  • The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job description does not constitute a contract for employment.
  • LifeSecure is an Equal Opportunity Employer

    No recruiters please