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Remote Utilization Review Manager Jobs in Rochelle, IL

FP&A Manager - AI Trainer

Rockford, IL ยท Remote

$50 - $100/hr

Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an ... Review and improve AI Assistant answers to questions about macro trends, corporate finance, and ...

Medical Writing Manager

Rockford, IL ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

... remote work on Fridays. Join a team that powers everyday impact. Quill, a proud member of the ... Review account performance, revenue analytics, and profitability to support financially sound sales ...

... remote work on Fridays. Join a team that powers everyday impact. Quill, a proud member of the ... Review account performance, revenue analytics, and profitability to support financially sound sales ...

... remote work on Fridays. Join a team that powers everyday impact. Quill, a proud member of the ... Review account performance, revenue analytics, and profitability to support financially sound sales ...

Title Coordinator (Remote - US)

Oregon, IL ยท On-site +1

$20.34 - $27.12/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... and management * A thorough understanding of title documents and contracts in accordance with ... First American intends to conduct a review of an applicant's criminal history in connection with a ...

Client Coordinator

Rockford, IL ยท Remote

$15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Successful candidates will be comfortable reviewing records for accuracy, managing multiple ... remote position. Application Deadline This position is anticipated to close on Aug 13, 2026. About ...

Pharmacovigilance Expert

Rockford, IL ยท Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

Robotics Software Engineer

Hinckley, IL ยท On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote. Primary Responsibilities * Design, develop, and maintain software applications for managing ... Participate in code reviews, architectural discussions, and team meetings to ensure alignment with ...

Healthcare Client Coordinator

Rockford, IL ยท Remote

$15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Dependable, organized, and capable of managing multiple tasks simultaneously. * Ability to review ... remote position. Application Deadline This position is anticipated to close on Aug 26, 2026. About ...

Showing results 21-40

Remote Utilization Review Manager information

See Rochelle, IL salary details

$37.9K

$88.5K

$162.9K

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

As of Aug 17, 2026, the average yearly pay for remote utilization review manager in Rochelle, IL is $88,500.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,900.00 and $106,500.00 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 popular job titles related to Remote Utilization Review Manager jobs in Rochelle, IL?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Rochelle, IL are:

What cities near Rochelle, IL are hiring for Remote Utilization Review Manager jobs?

Cities near Rochelle, IL with the most Remote Utilization Review Manager job openings:

Investor Relations Manager - AI Trainer

DataAnnotation

Rockford, IL โ€ข Remote

$50 - $100/hr

Contractor

Re-posted 4 days ago


Job description

About the job:

DataAnnotation is committed to creating high-quality AI. Enjoy the flexibility of remote work and the freedom to set your own schedule. This is an opportunity to work with us as an independent contractor.

We're currently expanding into an exciting new area – teaching AI Assistant models to be a more useful tool for finance professionals. We're seeking experienced finance professionals with advanced degrees (MBA+) and professional experience to use their expertise to help shape how AI understands financial principles and decision-making.

In this role, you might:

• Review and improve AI Assistant answers to questions about macro trends, corporate finance, and capital markets

• Leverage your education and work experience to check the reasoning and accuracy of an AI Assistant's work

• Push the models with complex, real-world scenarios and edge cases to see where their reasoning holds up – and where it doesn’t.

• Share clear, structured feedback to help make each new version of the AI smarter and more reliable.

To succeed in this position, you should have expert-level financial reasoning and formal training in a finance-related discipline. A Master’s or PhD (completed or in progress) is strongly preferred. Relevant backgrounds include Financial Accounting, Investment Banking, Corporate Development, Wealth Management, and Insurance Planning.

Advantages of contracting with us:

  • You'll be able to choose which projects you want to work on and when
  • You work on your own schedule, on your own computer, from the comfort of your own home
  • Projects are paid hourly starting at $50-$100+/hr, with bonus rates available on some projects

Responsibilities:

  • Give AI chatbots diverse and complex problems and evaluate their outputs
  • Evaluate the quality produced by AI models for correctness and performance

Qualifications:

  • Fluency in English
  • Detail-oriented
  • Proficient in financial analysis, financial modeling, data analysis, and other reasoning exercises related to finance management
  • A current, in progress, or completed Master's and/or PhD is preferred but not required

Note:

Payment is made via PayPal. We will never ask for any money from you. PayPal will handle any currency conversions from USD. This is an independent contractor position.

#finance


Working at DataAnnotation

Perks for workers

  • Work From Anywhere

  • Set Your Own Hours

  • Competitive Pay

  • Learn Valuable AI Skills

  • No Meetings. No Commute.

  • Work on Your Schedule

  • Make a Real-World Impact

What to expect from working at DataAnnotation

From DataAnnotation