ZipRecruiter

Log In

2

Remote Utilization Review Manager Jobs in Orem, UT

RainFocus

Project Manager (Remote)

Lehi, UT · On-site +1

  • Retirement

  • PTO

Coordinate post-event reviews between client and RainFocus account team * Surface decision points ... Change management * Provide change management support for first-year event clients * Ensure ...

RainFocus

Project Manager (Remote)

Lehi, UT · Remote

Coordinate post-event reviews between client and RainFocus account team * Surface decision points ... Change management * Provide change management support for first-year event clients * Ensure ...

firsthand Health

Remote Triage Nurse

Provo, UT · On-site +1

$80K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... are utilization. Together with our health plan partners, we are changing the way our society ... When not managing acute issues, Triage Nurses focus on care coordination, training, and related ...

401GO

Regional Relationship Manager - HCM

Sandy, UT · On-site +1

Flexible (In Office, Hybrid, or Remote) Job Type: Full-time Reports to: Director of Sales Travel ... Conduct regular business reviews with partners to evaluate performance, identify opportunities, and ...

micro1 AI

Managing Partner - Attorney - Remote

Provo, UT · Remote

$140 - $400/hr

Remote micro1 is engaging lawyers to contribute their subject-matter expertise in support of a ... Draft, review, and edit legal content, including memoranda, opinions, contracts, and other relevant ...

micro1 AI

Managing Partner - Attorney - Remote

Provo, UT · Remote

$140 - $400/hr

Remote micro1 is engaging lawyers to contribute their subject-matter expertise in support of a ... Draft, review, and edit legal content, including memoranda, opinions, contracts, and other relevant ...

Canals

Customer Success Manager

Lehi, UT · Remote

Facilitate regular business reviews to demonstrate ROI and align on future goals. * Contribute to ... Demonstrated success driving product adoption, utilization and training end users. * Proven ...

SunPower

Project Manager (Remote)

Orem, UT · Remote

$70K - $80K/yr

  • Medical

  • Dental

  • Vision

  • PTO

Ready to Schedule Team /Project Management Job Level: Individual Contributor Location: Orem, UT ... Proactively review the pipeline for aging, stagnant, or at-risk projects and take ownership of ...

micro1 AI

Investment Management Counsel - Remote

Provo, UT · Remote

$90 - $130/hr

Remote We are seeking seasoned Funds Attorneys for a part-time role at the forefront of legal AI ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

next page

Showing results 1-20

All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Orem, UT

Remote Utilization Review Manager information

See Orem, UT salary details

$33.9K

$79.1K

$145.6K

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

As of Aug 13, 2026, the average yearly pay for remote utilization review manager in Orem, UT is $79,122.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,700.00 and $95,200.00 per year, depending on experience, location, and employer.

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 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 popular job titles related to Remote Utilization Review Manager jobs in Orem, UT?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Orem, UT are:

What cities near Orem, UT are hiring for Remote Utilization Review Manager jobs?

Cities near Orem, UT with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Behavioral Health Utilization Management Specialist

Row Partners

Draper, UT • On-site, Remote

$60K - $70K/yr

Full-time

Medical, Dental, Vision, PTO

Re-posted 5 hours ago

Job description

Behavioral Health Utilization Management Specialist

Location: Utah (Hybrid & Remote Options Available)

Job Type: Full-time

Department: Behavioral Health / Utilization Management

Who We Are

At Row Partners, we’re more than a healthcare support organization — we’re a passionate team dedicated to empowering behavioral health facilities and their patients. We believe that compassionate, accessible, and high-quality care starts with the right people on our team.

Our Behavioral Health division is growing, and we’re looking for a Behavioral Health Utilization Management Specialist who shares our commitment to improving access, ensuring appropriate care, and supporting patient success stories every day.

If you’re driven by purpose, thrive in a collaborative environment, and want your work to make a real difference, this role is for you.

The Role

As a Behavioral Health Utilization Management Specialist, you will be the bridge between clinical care and insurance coverage — ensuring patients receive the right services, at the right time, for the right reasons. Your expertise will help providers, patients, and payers work together toward the shared goal of better behavioral health outcomes.

What You’ll Do

  • Champion patient care by reviewing medical records and clinical documentation to determine medical necessity and appropriateness of behavioral health services.
  • Collaborate and connect with clinicians, medical staff, and insurance providers to make sure patients get timely access to the services they need.
  • Conduct clinical reviews for inpatient, outpatient, and residential behavioral health services.
  • Ensure quality of care by reviewing treatment plans, discharge plans, and progress toward goals.
  • Support evidence-based treatment by applying clinical criteria and guidelines to approve and recommend necessary care.
  • Stay ahead of industry standards, insurance requirements, and treatment protocols.
  • Advocate for patients by facilitating communication and resolving barriers between providers, patients, and payers.
  • Document with precision for utilization reviews, audits, and compliance needs.

What You Bring

Proven Success

  • A history of professional growth, creative problem-solving, and a commitment to excellence.
  • Integrity, accountability, and a collaborative spirit that uplifts your team and patients alike.

Preferred Experience

  • 2+ years in utilization management, case management, or behavioral health services
  • Familiarity with mental health and substance use disorder diagnoses.
  • Understanding of insurance coding, billing, and behavioral health authorization procedures.

Preferred Skills

  • Strong knowledge of Behavioral Health diagnosis, Treatments, and evidence-based practices.
  • Comfort with utilization management tools (ASAM, MCG, InterQual).
  • Excellent communication and relationship-building skills.
  • Ability to multitask in a fast-paced environment.
  • EHR system proficiency.

(If you don’t have all the experience listed, but have the passion and potential to succeed, we’re willing to train the right candidate.)

Work Location

  • Based in Sandy, Utah — remote work available for those living more than 50 miles from the office.

Why You’ll Love Working With Us

  • Competitive salary & comprehensive benefits (health, dental, vision).
  • Paid time off, sick leave, and paid holidays.
  • Opportunities for growth, training, and continuing education.
  • Supportive, team-first culture where your contributions matter.
  • The chance to impact lives and improve care outcomes every single day.

If you’re ready to use your skills to make a lasting difference in behavioral health care, we’d love to hear from you. Apply today and join a team thats shaping the future of patient care.