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Work From Home Utilization Management Technician Jobs

CVS Health

Utilization Management Nurse Consultant

$32.01 - $68.55/hr

Registered Nurse (RN) - Utilization Management Remote | Utilization Management | Work from Home Are you an experienced RN looking to leverage your clinical expertise in a non-bedside role? Join our ...

Dignity Health Management Services

$57.37 - $85.33/hr

As a remote employee, we will provide you with the equipment needed to work from home, including a ... Previous inpatient Utilization Management (UM) experience strongly preferred * Experience with MCG ...

CommonSpirit Health

Utilization Management RN

$57.37 - $85.33/hr

Utilization Management RN Inspired by faith. Driven by innovation. Powered by humankindness ... As a remote employee, we will provide you with the equipment needed to work from home, including a ...

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Sagility

RN Utilization Management Reviewer

Concord, NC · Remote

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

The Nurse Utilization Management Reviewer has a key role in ensuring the client meets CMS ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

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How much do work from home utilization management technician jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for work from home utilization management technician in the United States is $24.76, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $25.24 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a work from home utilization management technician, and why are they important?

To thrive as a Work From Home Utilization Management Technician, you need a solid understanding of medical terminology, healthcare processes, and typically a high school diploma or equivalent with experience in healthcare administration. Familiarity with utilization management software, electronic health records (EHRs), and insurance verification systems is usually required. Strong organizational skills, attention to detail, and effective written communication are crucial soft skills for this remote role. These skills and qualities enable accurate case processing, ensure compliance with healthcare regulations, and support efficient coordination between providers, payers, and patients.

What is a work from home utilization management technician?

A Work From Home Utilization Management Technician is a healthcare professional who reviews medical records and insurance claims remotely to ensure that patients receive appropriate care while maximizing the efficient use of healthcare resources. They work with nurses, physicians, and insurance companies to verify the medical necessity of procedures, treatments, and hospital stays. These technicians often use clinical guidelines and organizational policies to make determinations, document findings, and communicate with healthcare providers—all from a home office setting. This role requires strong attention to detail, knowledge of medical terminology, and the ability to work independently with confidential information.

How does a work from home utilization management technician typically collaborate with clinical and administrative teams while working remotely?

As a Work From Home Utilization Management Technician, collaboration with clinical staff, insurance coordinators, and administrative teams is primarily achieved through secure digital platforms such as email, chat, and virtual meetings. Most organizations use dedicated case management systems to share patient information, track authorizations, and communicate updates. Regular check-ins and team meetings ensure everyone stays aligned on priorities and any changes in policies. Despite being remote, you'll need strong communication skills and a proactive approach to maintain seamless workflow and support high-quality patient care.
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Work From Home Utilization Management Technician jobs near you
Infographic showing various Work From Home Utilization Management Technician job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, and 4% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $51,508 per year, or $24.8 per hour.

Utilization Management Supervisor

Franciscan Health

Remote

Full-time

Re-posted 13 days ago

Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 268 frontline employees who took The Breakroom Quiz

452nd of 887 rated healthcare providers

Job description

Work From Home
Work From Home Work From Home, Indiana 46544
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
WHO WE ARE
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
  • Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
  • Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
  • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
  • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
  • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
  • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

QUALIFICATIONS
  • Bachelor's Degree in Nursing required
  • Active Indiana Registered Nurse (RN) license required
  • 5 years of Nursing/Patient Care required
  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:
Up to 20%
JOB RANGE:
Supervisor Utilization Management: $67,683.20 - $105,768.00
INCENTIVE:
Not Applicable
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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