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Remote Utilization Review Manager Jobs in Rolla, MO

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Remote Utilization Review Manager information

See Rolla, MO salary details

$38.3K

$89.5K

$164.7K

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

As of Aug 20, 2026, the average yearly pay for remote utilization review manager in Rolla, MO is $89,476.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,500.00 and $107,700.00 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 Rolla, MO?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Rolla, MO are:

What cities near Rolla, MO are hiring for Remote Utilization Review Manager jobs?

Cities near Rolla, MO with the most Remote Utilization Review Manager job openings:

Remote Utilization Review Manager jobs near you

Missouri (remote) - School psychologist

Presence

Rolla, MO • Remote

Full-time

Re-posted 10 days ago

Job description

What youll do

  • Provide student counseling and psychoeducational evaluations

  • Participate in IEP meetings

  • Complete comprehensive case reports and educational eligibility determinations

  • Exercise strong communication and relationship-building skills to collaborate with onsite school personnel and build rapport with students

About you

  • 1 or more valid state licenses or equivalent school psychologist certification

  • Active DOE licensure

  • 1 year of experience providing evaluations/counseling in a school setting (excluding the internship/practicum year)

  • Experience participating in IEP meetings, acting as case manager, and completing comprehensive case reports and educational eligibility determinations

  • Reliable Wi-Fi/Internet access

  • Owns a reliable personal computer

  • Working knowledge of technology, such as headphones and personal computers

  • Nationally Certified School Psychologist (NCSP) credential preferred but not required

About Presence

As a trusted partner and advocate for clinicians since 2009, we offer our large community of remote providers access to an award-winning platform, assessment and therapy materials, continuing education, and networking opportunities to help them succeed. Through ongoing, clinically-led career resources and support, were meeting the needs and creating career options for clinicians todaywherever they are.

Lets talk perks and benefits

  • Flexible, remote scheduling

  • No-cost continuing education courses and clinical workshops tailored to your professional development

  • Access to the award-winning Presence platform, featuring curated session materials from top publishers like Highlights, SPARK Innovations and more

  • An extensive virtual library of peer-reviewed studies and online assessments, including online versions of the Woodcock-Johnson IV and Wechsler Intelligence Scale for Children, Fifth Edition

  • Designated clinical guidance

  • Cross-licensing support

Just so you know

  • All your information will be kept confidential according to Equal Employment Opportunity guidelines

  • Our clinicians can choose to work as little as 5 hours per week or work up to 40: All availability will be considered within typical school-based hours

  • $48- $51 perhour for direct therapy/ counseling services

  • Evaluations will be compensated on a component billing model that is separate from the hourly rate