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Remote Utilization Review Manager Jobs in Rochester, NY

Livingston Associates

BIM/VDC Manager

Rochester, NY · On-site +1

$80K - $100K/yr

  • Medical

  • Dental

  • Retirement

  • PTO

Review models to ensure adherence to company and project standards * Contribute to the development ... Remote work opportunities available Why Join Hale TIP? * Work on cutting-edge construction ...

Mindex

Engineering Lead - Remote

Rochester, NY · Remote

$105K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Contribute directly to software architecture, design, development, code reviews, production support ... Experience improving CI/CD pipelines, source control, deployment automation, and release management ...

Mindex

Engineering Lead - Remote

Rochester, NY · On-site +1

$105K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Contribute directly to software architecture, design, development, code reviews, production support ... Experience improving CI/CD pipelines, source control, deployment automation, and release management ...

Mindex

Engineering Lead - Remote

Rochester, NY · Remote

$105K - $155K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Contribute directly to software architecture, design, development, code reviews, production support ... Experience improving CI/CD pipelines, source control, deployment automation, and release management ...

Friedman Vartolo LLP

Foreclosure Attorney - Remote

Rochester, NY · On-site +1

$75K - $100K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

Draft and manage the preparation of complex motions necessary to move cases forward efficiently ... Review and oversee the work of paralegals, ensuring that all drafted legal documents, including ...

Lthc

Manager of Credentialing Operations

Rochester, NY · Remote

$71K - $129K/yr

  • Medical

  • Dental

  • Retirement

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

Lthc

Manager of Credentialing Operations

Rochester, NY · Remote

$71K - $129K/yr

  • Medical

  • Dental

  • Retirement

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

Lthc

Manager of Credentialing Operations

Rochester, NY · Remote

$71K - $129K/yr

  • Medical

  • Dental

  • Retirement

... and utilization of personnel and equipment. Develops and implements department goals and ... Participates in budget/invoice reviews as needed. * Consistently demonstrates high standards of ...

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Showing results 21-40

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

BIM/VDC Manager

Livingston Associates

Rochester, NY • On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 29 days ago

Job description

About the job
VDC Manager
Hale Technology in Practice (Hale TIP)
Rochester, NY/Hybrid
Ready to define how construction gets done?
The road to success starts here.
Hale Technology in Practice is seeking a VDC Manager to lead coordination, drive innovation, and deliver excellence across our projects. This role is ideal for someone who thrives at the intersection of technology and construction and is passionate about improving workflows, collaboration, and project outcomes.
About Us
Hale TIP specializes in technology solutions for design and construction firms, with a strong focus on Autodesk Revit and advanced VDC workflows. Our services include 3D HD Laser Scanning, Drone Photogrammetry, 3D Modeling, Training, and BIM Coordination. We help firms stay ahead of evolving technology while improving productivity and collaboration.
What You’ll Do
  • Lead BIM coordination and model management across multiple projects
  • Develop and implement VDC standards, processes, and best practices
  • Collaborate with project teams, designers, and trade partners
  • Identify opportunities to improve constructability, prefabrication, and efficiency
  • Train and mentor team members on design tools and workflows
  • Support troubleshooting of models, files, and interoperability issues
  • Assist with project setup decisions based on collaboration and contract needs
  • Review models to ensure adherence to company and project standards
  • Contribute to the development of tools, templates, and firm-wide resources
What We’re Looking For
  • Bachelor’s degree in Architecture, Engineering, or related field
  • 5+ years of experience in design, production, or VDC/BIM environments
  • Strong proficiency in:
  • Autodesk Revit, AutoCAD, Navisworks
  • Bluebeam, Newforma, and related tools
  • Strong problem-solving, communication, and organizational skills
  • Ability to mentor, multitask, and lead initiatives
  • OSHA 10 certification preferred
What We Offer
  • Competitive compensation: $80,000 – $100,000 (based on experience)
  • Health & wellness benefits (medical, dental)
  • 401(k) with company match
  • Paid time off (vacation, sick days, holidays)
  • Remote work opportunities available
Why Join Hale TIP?
  • Work on cutting-edge construction technology
  • Be part of a collaborative, forward-thinking team
  • Help shape the future of VDC and BIM workflows
  • Make a real impact on project efficiency and innovation

Apply