... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Orthopedic (NonSpine) Peer Reviewers
New York, NY · Remote
$19.25 - $24/hr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Orthopedic (NonSpine) Peer Reviewers
New York, NY · Remote
$19.25 - $24/hr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Otolaryngologist (Neurotology) Peer Reviewers
New York, NY · Remote
$345K - $382K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Otolaryngologist (Neurotology) Peer Reviewers
New York, NY · Remote
$345K - $382K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Otolaryngologist Peer Reviewers
New York, NY · Remote
$345K - $382K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Otolaryngologist Peer Reviewers
New York, NY · Remote
$345K - $382K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Radiologist Peer Reviewers
New York, NY · Remote
$350K - $437K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Radiologist Peer Reviewers
New York, NY · Remote
$350K - $437K/yr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Neurology (Pain Medicine) Peer Reviewers
New York, NY · Remote
$19.25 - $24/hr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
*REMOTE* Neurology (Pain Medicine) Peer Reviewers
New York, NY · Remote
$19.25 - $24/hr
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
Physician Reviewer
Manhattan, NY · On-site +1
This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...
Physician Reviewer
Manhattan, NY · On-site +1
This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
Physician Reviewer
Manhattan, NY · Remote
This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...
Quick apply
Physician Reviewer
Manhattan, NY · Remote
This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced, data-driven environment. In this role, you will ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
... utilization review practices * Document all review information as instructed * Communicate report results to the appropriate supervisor * Access electronic health information, as assigned/granted Do ...
Supervisor Utilization Review Remote information
See Edison, NJ salary details
$40.4K - $52.5K
9% of jobs
$61.4K is the 25th percentile. Wages below this are outliers.
$52.5K - $64.6K
22% of jobs
$64.6K - $76.7K
11% of jobs
The median wage is $84.1K / yr.
$76.7K - $88.7K
14% of jobs
$88.7K - $100.8K
12% of jobs
$108.4K is the 75th percentile. Wages above this are outliers.
$100.8K - $112.9K
13% of jobs
$112.9K - $125K
13% of jobs
$125K - $137.1K
5% of jobs
$137.1K - $149.2K
2% of jobs
$149.2K - $161.3K
0% of jobs
$161.3K - $173.4K
0% of jobs
$40.4K
$94.2K
$173.4K
How much do supervisor utilization review remote jobs pay per year?
As of Aug 18, 2026, the average yearly pay for supervisor utilization review remote in Edison, NJ is $94,220.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,600.00 and $113,400.00 per year, depending on experience, location, and employer.
What does a supervisor utilization review remote do?
A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.
What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?
To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.
What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?
Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.
What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?
| Aspect | Supervisor Utilization Review Remote | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, possibly supervisor certification | RN license, certification in utilization review often preferred |
| Work Environment | Remote, supervisory role overseeing review teams | Remote or onsite, performing case assessments |
| Employer & Industry | Health insurance companies, managed care organizations | Hospitals, insurance companies, healthcare providers |
The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.
What are popular job titles related to Supervisor Utilization Review Remote jobs in Edison, NJ?
For Supervisor Utilization Review Remote jobs in Edison, NJ, the most frequently searched job titles are:
What job categories do people searching Supervisor Utilization Review Remote jobs in Edison, NJ look for?
The top searched job categories for Supervisor Utilization Review Remote jobs in Edison, NJ are:
What cities near Edison, NJ are hiring for Supervisor Utilization Review Remote jobs?
Cities near Edison, NJ with the most Supervisor Utilization Review Remote job openings:
Other
Re-posted 28 days ago
Job description
Provider Resources, LLC (PRI) is seeking board-certified clinicians to join our panel for an important mission of ensuring quality healthcare for our Nation’s Veterans.
As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.
What Should I Expect?
As a VA medical reviewer, you will conduct thorough, objective case reviews to assess the quality and appropriateness of care provided to Veterans. This is a remote, flexible position that allows you to contribute your clinical expertise while maintaining your current practice.
What Should I Expect?
- Performs comprehensive medical record peer reviews for determination of appropriate clinical outcomes in accordance with all State and Federal mandated regulations
- Make clinical judgments based on clinical experience and evidence-based medical research as a Subject Matter Expert (SME) in your clinical area of expertise
- Maintain compliance with all regulation changes as they impact medical and utilization review practices
- Document all review information as instructed
- Communicate report results to the appropriate supervisor
- Access electronic health information, as assigned/granted
- Must hold a current medical license
- Must be board certified within their clinical specialty (as appropriate)
- Currently works a minimum of 20 hours per month within their area of clinical specialty
- Must have a minimum of 5 years full-time experience in direct care
- Must be actively seeing patients within the last 3 years
About Provider Resources
Sourced by ZipRecruiter
Industry
Government relations and lobbying services
Company size
51 - 200 Employees
Headquarters location
Erie, PA, US
Year founded
2003