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Utilization Management Non Clinical Jobs (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

Collects clinical and non-clinical data. * Verifies eligibility. * Determines benefit levels in accordance to contract guidelines. * Provides information regarding utilization management requirements ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

USD 24.70/H JOB OVERVIEW In this role, you'll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

USD 24.70/H JOB OVERVIEW In this role, you'll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

USD 24.70/H JOB OVERVIEW In this role, you'll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

USD 24.70/H JOB OVERVIEW In this role, you'll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

USD 24.70/H JOB OVERVIEW In this role, you'll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review ...

HealthOne Alliance

Utilization Management Nurse

Dalton, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... Assists non-clinical staff in performance of administrative reviews Performing comprehensive ...

HealthOne Alliance

Utilization Management Nurse

Dalton, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... • Assists non-clinical staff in performance of administrative reviews • Performing ...

HealthOne Alliance

Utilization Management Nurse

Dalton, GA · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

JOB PURPOSE The Utilization Management Nurse performs comprehensive clinical reviews of requested ... • Assists non-clinical staff in performance of administrative reviews • Performing ...

WVU Medicine

Clinical Utilization Management Pharmacist

$121K - $144K/yr

Reporting to the Manager of Clinical Pharmacy, the Clinical Utilization Management Pharmacist is ... Exempt/Non-Exempt: United States of America (Exempt) Company: PHH Peak Health Holdings Cost Center ...

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All JobsUtilization Management Non Clinical Jobs

Utilization Management Non Clinical information

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$39K

$89.5K

$163K

How much do utilization management non clinical jobs pay per year?

As of Aug 15, 2026, the average yearly pay for utilization management non clinical in the United States is $89,483.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $104,500.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Management Non Clinical vs Utilization Review Nurse?

AspectUtilization Management Non ClinicalUtilization Review Nurse
CredentialsCertifications like CCM, RN (optional), but primarily non-clinical certificationsRN license, certifications such as CCM or CUC
Work EnvironmentOffice-based, administrative setting, telecommuting optionsClinical settings, hospitals, or insurance companies, often with direct patient or provider interaction
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentUnderstanding non-clinical roles in utilization managementClinical review roles involving direct patient care assessment

Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

Is utilization management a hard job?

Utilization Management Non Clinical roles involve reviewing healthcare services to ensure appropriate use of resources, which can be challenging due to the need for attention to detail, understanding of medical policies, and decision-making under time constraints. The job requires strong analytical skills, knowledge of healthcare guidelines, and often involves working with electronic health records and insurance policies.
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Utilization Management Non Clinical jobs near you
Infographic showing various Utilization Management Non Clinical job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $89,483 per year, or $43 per hour.

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Re-posted yesterday

Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

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