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Remote Utilization Review Manager Jobs in Rochester, NY

Larimer Law

Document Review Attorney

Mendon, NY · On-site +1

$28/hr

Larimer Law in Upstate, NY is hiring remote Attorneys for new matters. THE COMPANY: Larimer Law ... governance and data management. Our company works with cutting-edge software and information ...

Larimer Law PLLC

Document Review Attorney

Mendon, NY · Remote

$28/hr

Larimer Law in Upstate, NY is hiring remote Attorneys for new matters. THE COMPANY: Larimer Law ... governance and data management. Our company works with cutting-edge software and information ...

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$60 - $65/hr

... management of assigned therapists when necessary * Perform ongoing review of high-risk cases and ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

Solid Rock Recruiting LLC

Tax Manager

Rochester, NY · On-site +1

$125K - $200K/yr

Tax Manager - Public Accounting | Hybrid or Remote Overview: A top-tier public accounting firm is ... Lead client engagements, including planning, budgeting, and supervising tax preparation and review ...

L3HHCM20

Senior Manager, Image Science Engineer

Rochester, NY · On-site +1

$133K - $247K/yr

  • Medical

  • Retirement

  • PTO

... remote sensing, and data exploitation solutions. Provides technical leadership, mentorship, and ... Conduct performance reviews, provide coaching, and support employee development and retention.

First American

Commercial Title Coordinator (Remote)

Rochester, NY · Remote

$20.34 - $27.12/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinates multi-site project intake and transaction management. Reviews and validates the ... This is a remote job opportunity. #LI-DS1 #LI-REMOTE Pay Range: $20.34 - $27.12 Hourly, Remote This ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Rochester, NY

Remote Utilization Review Manager information

See Rochester, NY salary details

$38.5K

$89.8K

$165.3K

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 Rochester, NY is $89,798.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,700.00 and $108,000.00 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 Rochester, NY?

The most popular types of Remote Utilization Review jobs in Rochester, NY are:

What are popular job titles related to Remote Utilization Review Manager jobs in Rochester, NY?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Utilization Review Manager jobs?

Cities near Rochester, NY with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Document Review Attorney

Larimer Law

Mendon, NY • On-site, Remote

$28/hr

Contractor

Re-posted 19 days ago

Job description

Larimer Law in Upstate, NY is hiring remote Attorneys for new matters.
THE COMPANY:
Larimer Law, PLLC, has offices in Rochester and Buffalo, New York, with a team of licensed attorneys who are trained and experienced in electronic document review, information governance and data management. Our company works with cutting-edge software and information technology to deliver best-in-class service for our clients.
THE POSITION:
We are looking for licensed attorneys in any State who can work a minimum of 35 hours per week on document review projects. The scope and duration of work may vary with projects. Prior experience in document review is preferred, but not required. The pay rate is $28/hour.
INTERESTED?
Please apply and include your updated resume.

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