This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Manage authorization denials including referral for peer review. * Document and record all ...
Quick apply
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Manage authorization denials including referral for peer review. * Document and record all ...
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ...
Quick apply
Utilization Review Nurse
Roseburg, OR · Remote
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR ... POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Manage authorization denials including referral for peer review. * Document and record all ...
ABA Utilization Review (UR) Specialist
Skokie, IL · On-site +1
This is a fully remote or office/home hybrid position. Your Responsibilities: * Review patient ... Manage authorization denials including referral for peer review. * Document and record all ...
Partners with Manager and Director to troubleshoot workflows and processes to achieve efficiency ... LI-REMOTE Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay curious & heed ...
Quick apply
Partners with Manager and Director to troubleshoot workflows and processes to achieve efficiency ... LI-REMOTE Our Values * Connection: Care deeply & inspire hope. * Congruence: Stay curious & heed ...
As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
As a Utilization Review Nurse (UR Nurse), you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ...
Utilization Review Nurse
Roseburg, OR · On-site +1
$85K - $105K/yr
UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as ... POSITION PURPOSE The Utilization Management Nurse evaluates clinical service requests to ensure ...
Utilization Review Coordinator
Phoenix, AZ · On-site +1
As the Utilization Review Coordinator, you will develop and implement systems for authorizations ... Payer Management * Obtain and maintain authorization for each patient. Problem-solve issues ...
Utilization Review Coordinator
Phoenix, AZ · On-site +1
As the Utilization Review Coordinator, you will develop and implement systems for authorizations ... Payer Management * Obtain and maintain authorization for each patient. Problem-solve issues ...
Utilization Review Coordinator
Phoenix, AZ · On-site +1
As the Utilization Review Coordinator, you will develop and implement systems for authorizations ... Payer Management * Obtain and maintain authorization for each patient. Problem-solve issues ...
Utilization Review Coordinator
Phoenix, AZ · On-site +1
As the Utilization Review Coordinator, you will develop and implement systems for authorizations ... Payer Management * Obtain and maintain authorization for each patient. Problem-solve issues ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
Utilization Review Nurse
Murray, UT · On-site +1
Alerts and discusses with physician/provider and case manager/discharge planner when patient no ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
Utilization Review Nurse
Murray, UT · On-site +1
Alerts and discusses with physician/provider and case manager/discharge planner when patient no ... One year Utilization Review or Case Management experience. Licenses Required * Current license to ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible remote opportunity requiring just 1-2 hours per week -with no minimum commitment.
Utilization Review Nurse
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
Utilization Review Nurse
Dallas, TX · Remote
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... User-friendly portal and streamlined case management * Full onboarding and ongoing support included ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... User-friendly portal and streamlined case management * Full onboarding and ongoing support included ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... User-friendly portal and streamlined case management * Full onboarding and ongoing support included ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... User-friendly portal and streamlined case management * Full onboarding and ongoing support included ...
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
New
... utilization management and clinical medical review solutions. We're a leader in Peer and ... This is a flexible, fully remote opportunity requiring just 1-2 hours per week -with no minimum ...
New
Remote Utilization Review Manager information
See salary details
$39K - $50.7K
9% of jobs
$59.3K is the 25th percentile. Wages below this are outliers.
$50.7K - $62.4K
22% of jobs
$62.4K - $74K
11% of jobs
The median wage is $81.2K / yr.
$74K - $85.7K
14% of jobs
$85.7K - $97.4K
12% of jobs
$104.7K is the 75th percentile. Wages above this are outliers.
$97.4K - $109.1K
13% of jobs
$109.1K - $120.8K
13% of jobs
$120.8K - $132.5K
5% of jobs
$132.5K - $144.1K
2% of jobs
$144.1K - $155.8K
0% of jobs
$155.8K - $167.5K
0% of jobs
$39K
$91K
$167.5K
How much do remote utilization review manager jobs pay per year?
As of Jul 11, 2026, the average yearly pay for remote utilization review manager in the United States is $91,011.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $109,500.00 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?
| Aspect | Remote Utilization Review Manager | Remote Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license, certifications like URAC or AAPC, and management experience | Licensed Registered Nurse (RN) with utilization review certification often preferred |
| Work Environment | Oversees review teams, manages processes, and ensures compliance remotely | Performs case reviews, assesses medical necessity, and documents findings remotely |
| Employer & Industry Usage | Health 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, and why are they important?
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.
More about Remote Utilization Review Manager jobs
What cities are hiring for Remote Utilization Review Manager jobs? Cities with the most Remote Utilization Review Manager job openings:
What are the most commonly searched types of Remote Utilization Review jobs? The most popular types of Remote Utilization Review jobs are:
What states have the most Remote Utilization Review Manager jobs? States with the most job openings for Remote Utilization Review Manager jobs include:
What job categories do people searching Remote Utilization Review Manager jobs look for? The top searched job categories for Remote Utilization Review Manager jobs are:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 13 days ago
Job description
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.
This is a fully remote or office/home hybrid position.
Your Responsibilities:
#UtilizationReviewSpecialist | #UtilizationManagementSpecialist | #URSpecialist | #RevenueCycleSpecialist | #InsuranceSpecialist | #URSpecialist | #RevenueCycleUtilizationReviewSpecialist | #ABAUtilizationReviewSpecialist | #ABAUtilizationManagementSpecialist | #ABAURSpecialist | #BehavioralHealthBillingSpecialist
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.
This is a fully remote or office/home hybrid position.
Your Responsibilities:
- Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines.
- Obtain initial and continuing authorization for treatment services.
- Manage authorization denials including referral for peer review.
- Document and record all necessary information.
- Monitor and track new and ongoing authorization cases.
- Collaborate and communicate with clinical staff to ensure necessary information is obtained and timely reviews are performed.
- Assist external clients in understanding payer requirements for authorizations.
- Participate in team meetings.
- Maintain confidentiality of patient information and adhere to HIPAA regulations.
- Flexible work environment
- Competitive Salary
- A close-knit team of talented and skilled individuals.
- Growth opportunities
- Benefits – Medical, Dental, Vision
- Flexible Paid Time Off
- 401K with Company match
- Supplemental Benefits
- 3-5 years of related ABA and/or Behavioral Health experience.
- Bachelor’s or master’s degree preferred.
- Superior written and oral communication skills
- Attention to detail to ensure necessary information is captured and properly documented.
- Ability to work independently and within a team.
- Ability to multi-task, prioritize and meet expected deadlines.
- Solid understanding of insurance benefits and coverages.
- Strong computer skills (Word, Excel, billing software).
- Understanding of mental and behavioral health treatment services.
#UtilizationReviewSpecialist | #UtilizationManagementSpecialist | #URSpecialist | #RevenueCycleSpecialist | #InsuranceSpecialist | #URSpecialist | #RevenueCycleUtilizationReviewSpecialist | #ABAUtilizationReviewSpecialist | #ABAUtilizationManagementSpecialist | #ABAURSpecialist | #BehavioralHealthBillingSpecialist
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About Spectrum Billing Solutions
Sourced by ZipRecruiter
Industry
Finance and insurance
Company size
51 - 200 Employees
Headquarters location
Niles, IL, US
Year founded
2016