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Remote Utilization Review Jobs in Detroit, MI (NOW HIRING)

Hitachi Careers

Aftermarket Account Manager

MI · Remote

This is a full-time salary position that is remote . What We Offer: * Competitive wages, medical ... pipeline reviews * Monitor contract performance, renewal schedules, and customer utilization of ...

Belle, LLC

Senior Product Engineer

Detroit, MI · Remote

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

Belle, LLC

Senior Product Engineer

Detroit, MI · Remote

As these issues arise, a team of remote nurses coordinate care with other healthcare providers ... Mentor engineers through code review, pairing, and design discussion * Identify high-leverage ...

Cisco

Account Executive - Splunk (Remote)

Ann Arbor, MI · On-site +1

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

fng

Software Developer

Warren, MI · On-site +1

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

fng

Software Developer

Warren, MI · On-site +1

This is a remote position. Responsibilities * Design, develop, test, and deploy full-stack features ... Participate in technical design discussions, code reviews, testing, documentation, and deployment ...

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Showing results 21-40

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Detroit, MI

Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote utilization review in Detroit, MI is $41.86, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What are the most commonly searched types of Utilization Review jobs in Detroit, MI?

The most popular types of Utilization Review jobs in Detroit, MI are:

What are popular job titles related to Remote Utilization Review jobs in Detroit, MI?

For Remote Utilization Review jobs in Detroit, MI, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Detroit, MI look for?

The top searched job categories for Remote Utilization Review jobs in Detroit, MI are:

What cities near Detroit, MI are hiring for Remote Utilization Review jobs?

Cities near Detroit, MI with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Detroit, MI as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,064 per year, or $41.9 per hour.

Remote Registered Nurse (Remote Patient Monitoring & Chronic Care Management)

3:15

Detroit, MI • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job TitleWe believe everyone should have confidence in navigating their healthcare. We are looking for a qualified Registered Nurse (RN) to serve our patient population in the navigation, prevention and management of their health through continuous care programs like Remote Patient Monitoring and Chronic Care Management. Our team works fervently to anticipate the needs of our patients and connect on a personal level. We exist to coach people to their best health!ResponsibilitiesWelcome patients into continuous care program(s) and review benefits and services includedEducate patients on the frequency and use of their assigned in-home monitoring devicesCreate a personalized, comprehensive care plan with the patient via phone or video visitsIdentify and address any barriers to patient successProvide specific education and coaching on patients' chronic conditionsConnect with the patient frequently to review readings and a monthly update of their plan of careServe as the patient's first contact for all non-emergent needs (example - medication refills, scheduling, appointment reminders, etc.)Anticipate patients' needs and bridge any gaps in careAssist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.).Review and evaluate in-home device readings in real time, during normal business hoursFollow established protocols for identifying, communicating and documenting device trends and any associated symptoms in the patient's medical recordEscalate concerning readings and/or symptoms to the provider following a communication protocol established by the providerEstablish a meaningful rapport that builds trust, open communication, and motivation to make a positive change in the patient's healthCollaborate with virtual team members and in-office staff to ensure patient's needs are being met

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