... 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 - Remote
Franklin, TN · On-site +1
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ...
Utilization Review Nurse - Remote
Franklin, TN · On-site +1
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ...
Utilization Review Nurse
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... management experience preferred Work Shift Details: Days, Primarily remote; onsite orientation ...
Utilization Review Nurse
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... management experience preferred Work Shift Details: Days, Primarily remote; onsite orientation ...
Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
Utilization Review Nurse Join our team at Cobalt Benefits Group and start an exciting new career in ... 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 ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ...
In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by ... The Utilization Review Nurse is to assess the medical necessity and quality of healthcare services ...
... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer and ...
... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer and ...
... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer and ...
... Remote - Any State Medical License ABOUT MRIoA Founded in 1983, Medical Review Institute of America ... utilization management and clinical medical review solutions. We're a leader in Peer 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 Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... management experience preferred Work Shift Details: Days, Primarily remote; onsite orientation ...
Utilization Review Nurse
New Lenox, IL · On-site +1
$34.73 - $45.15/hr
BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... management experience preferred Work Shift Details: Days, Primarily remote; onsite orientation ...
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 Specialist
WA · Remote
$55K - $65K/yr
The Utilization Review Coordinator is responsible for communicating substance abuse and mental health clinical information to managed care/insurance companies and payer services to obtain ...
Utilization Review Specialist
WA · Remote
$55K - $65K/yr
The Utilization Review Coordinator is responsible for communicating substance abuse and mental health clinical information to managed care/insurance companies and payer services to obtain ...
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 ...
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
Remote Registered Nurse In this remote role, the RN will manage utilization reviews, ensuring patient care meets medical necessity standards. Responsibilities include assessing patient cases ...
Utilization Review Specialist
Nashville, TN · Remote
$62K - $70K/yr
Participate in denial management, appeals, and peer-to-peer review processes Requirements * Active ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...
Quick apply
Utilization Review Specialist
Nashville, TN · Remote
$62K - $70K/yr
Participate in denial management, appeals, and peer-to-peer review processes Requirements * Active ... REMOTE Please note that this role is not available to candidates in Alaska, Maine, Washington DC ...
... 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 ...
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
... Review, the Utilization Management Nurse (UMN) ensures patients are assigned to the most ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
Case Manager, RN- Utilization Review
Tampa, FL · On-site +1
... Review, the Utilization Management Nurse (UMN) ensures patients are assigned to the most ... a remote or hybrid work environment. * Licensed as a Registered Nurse in the state of Florida
... 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 Review Clinician - Behavioral Health
$27.02 - $48.55/hr
Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support our ... Behavioral health and/or utilization management experience is preferred, along with strong ...
Utilization Review Clinician - Behavioral Health
$27.02 - $48.55/hr
Centene is seeking a remote Utilization Review Clinician - Behavioral Health to support our ... Behavioral health and/or utilization management experience is preferred, along with strong ...
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 Sep 9, 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 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?
| 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.
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 are popular job titles related to Remote Utilization Review Manager jobs?
For Remote Utilization Review Manager jobs, the most frequently searched job titles are:
Remote - Radiologist Utilization Review - (contract)
Remote
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Job description
Description
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
Flexible Independent Contractor (1099)
Require a DC or Maryland State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization Reviews. This is a flexible remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPAA Regulations, patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
- Must have a Medical Degree MD or DO
- Must have a current state medical license in DC or Maryland
- Current Board Certification in Radiology
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.