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Remote Utilization Review Manager Jobs in Rochelle, IL

micro1 AI

Medical Billing Specialist

Rockford, IL · 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 ...

DataAnnotation

M&A Associate - AI Trainer

Rockford, IL · 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 ...

CEI Services

Senior Estimator (Civil/Structures)

Rockford, IL · On-site +1

$140K - $185K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

A remote/hybrid arrangement is available with the right experience preferably with Indiana or ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

Ragnar Benson, LLC

Senior Estimator

Rockford, IL · On-site +1

$150K - $180K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position will be remote with 50% travel to any of our project locations. Depending on residing ... Review, analyze and interpret contract documents for complete understanding of the work and owner ...

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Showing results 41-60

All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Rochelle, IL

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 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 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:

Remote Utilization Review Manager jobs near you

Medical Writer / Clinical Document Author

micro1 AI

Rockford, IL • Remote

$50 - $80/hr

Part-time

Posted 13 days ago

Job description

Role Title: Medical Writer / Clinical Document Author


Role Type: Contractor


Location: Remote


micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer’s project focused on developing advanced AI-assisted writing tools for clinical documentation. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.


Scope of Work

  1. Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs, and related clinical documents to inform AI tool development.
  2. Apply expert judgment to assess whether AI-generated content fulfills clinical template and structural requirements, including ICH E3 organization, section sequencing, cross-referencing, and appendix management.
  3. Evaluate scientific accuracy in narrative sections such as efficacy, safety summaries, discussion, and conclusions, distinguishing true scientific or interpretive errors from stylistic differences.
  4. Trace narrative claims to source records—tables, figures, listings, and protocols—to verify that all assertions are appropriately supported.
  5. Provide clear and structured written rationales for each assessment, enabling precise diagnosis and improvement of AI model behavior.
  6. Collaborate with project leads to refine evaluation frameworks and document best practices for clinical regulatory writing in the context of AI.


Preferred Qualifications

  1. Minimum 5 years of regulatory medical writing experience at a sponsor, CRO, or as an independent consultant.
  2. Direct experience independently authoring or leading the authoring of full Clinical Study Reports, beyond summaries or partial contributions.
  3. Fluency with ICH E3 and conventions for periodic safety documentation (ICH E2F, ICH E2C) and eCTD placement.
  4. Demonstrated ability to read and interpret TFLs and protocol documents, identifying where narrative diverges from source data.
  5. Exceptional written and verbal communication skills, especially in providing structured, actionable feedback on clinical content.
  6. Advanced degree in life sciences, pharmacy, or medicine (PhD, PharmD, MD, MSc), or equivalent depth of authoring experience.
  7. Experience across multiple clinical phases and therapeutic areas; oncology and haematology expertise is especially valued.


Join our customer's team and leverage your authoring expertise to help design the next generation of AI-assisted clinical documentation solutions. This high-bar role offers you the chance to shape how tomorrow's writing teams draft and review regulatory documents — through your expert input, judgment, and real-world experience.

Apply