Assists with retrospective reviews and denial management to maintain appropriate and cost-effective ... right of any supervisor to assign, direct, and control the work of employees under their ...
Assists with retrospective reviews and denial management to maintain appropriate and cost-effective ... right of any supervisor to assign, direct, and control the work of employees under their ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Professional development and growth opportunities How you'll contribute Utilization Review ... SUPERVISORY RESPONSIBILITIES: Manage the work of others, including planning, assigning, scheduling ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
Canal Winchester, OH · On-site
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Supervises: May provide clinical supervision to other staff as assigned. Job Responsibilities ...
Case Manager/Social Worker - Substance Abuse Program Coordinator
Canal Winchester, OH · On-site
$20.75 - $27.25/hr
... utilization review, discharge planning, case management or medical social work experience. ... Supervises: May provide clinical supervision to other staff as assigned. Job Responsibilities ...
Kinship and Placement Supervisor
Columbus, OH · On-site
$65K - $69K/yr
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Kinship and Placement Supervisor
Columbus, OH · On-site
$65K - $69K/yr
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Job Title: Kinship and Placement Supervisor Reports To: Associate Director of Support Services ... Oversees system to track placement data, utilization management and placement outcomes. * Partners ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
New
... Hospital's Utilization Management Plan as well as other Department and/or Campus specific ... supervisors and ancillary support staff at locations as applicable. 1. Establishes and maintains ...
New
... case management, utilization management of inpatient admissions, and transitions of care to ... right of any supervisor to assign, direct, and control the work of employees under their ...
... case management, utilization management of inpatient admissions, and transitions of care to ... right of any supervisor to assign, direct, and control the work of employees under their ...
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
Providing leadership and oversight to utilization management, care coordination, and population ... Supervising medical and non-medical ODM personnel to include Assistant Medicaid Medical Directors ...
IHBT Program Manager
Columbus, OH · On-site
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Columbus, OH · On-site
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Mgr BH Clin Liaison/Ops
Dublin, OH · On-site
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Mgr BH Clin Liaison/Ops
Dublin, OH · On-site
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Mgr BH Clin Liaison/Ops
Dublin, OH · Remote
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
Mgr BH Clin Liaison/Ops
Dublin, OH · Remote
Work Arrangement: * This role is remote, and the associate must be located in Ohio (OH ... Collaborate with internal teams (Utilization Management (UM), Integrated Health Care Management ...
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Columbus, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Quick apply
IHBT Program Manager
Logan, OH · Remote
$73K - $93K/yr
Oversee documentation audits, utilization management, and billing integrity * Maintain adherence to contractual, regulatory, and licensing standards * Support IHBT Supervisors and leadership staff ...
Traveling Fixture Installer
Granville, OH · On-site +1
Ability to work independently, with a remote supervisor and the ability to keep in communication ... Effectively and accurately prepare, process, submit, and manage documentation related to assigned ...
Traveling Fixture Installer
Granville, OH · On-site +1
Ability to work independently, with a remote supervisor and the ability to keep in communication ... Effectively and accurately prepare, process, submit, and manage documentation related to assigned ...
2nd Shift Supervisor
Columbus, OH · On-site
Drive driver utilization and operational efficiency Driver Workforce Management * Directly oversee ... Collaborate with Driver Supervisor Lead to track and manage daily KPIs including attendance ...
2nd Shift Supervisor
Columbus, OH · On-site
Drive driver utilization and operational efficiency Driver Workforce Management * Directly oversee ... Collaborate with Driver Supervisor Lead to track and manage daily KPIs including attendance ...
Clinical Pharmacist - Sales
$114K - $136K/yr
... fully remote individual. What You'll Do: * Provide clinical and industry expertise to the Sales ... utilization management edits, pharmacy networks, clinical compendia for decision support, FDA ...
New
Clinical Pharmacist - Sales
$114K - $136K/yr
... fully remote individual. What You'll Do: * Provide clinical and industry expertise to the Sales ... utilization management edits, pharmacy networks, clinical compendia for decision support, FDA ...
New
Clinical Pharmacist - Sales
$114K - $136K/yr
... fully remote individual. What You'll Do: * Provide clinical and industry expertise to the Sales ... utilization management edits, pharmacy networks, clinical compendia for decision support, FDA ...
New
Clinical Pharmacist - Sales
$114K - $136K/yr
... fully remote individual. What You'll Do: * Provide clinical and industry expertise to the Sales ... utilization management edits, pharmacy networks, clinical compendia for decision support, FDA ...
New
Remote Supervisor Utilization Management 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 supervisor utilization management jobs pay per year?
As of Aug 1, 2026, the average yearly pay for remote supervisor utilization management 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 are popular job titles related to Remote Supervisor Utilization Management jobs? For Remote Supervisor Utilization Management jobs, the most frequently searched job titles are:
- Remote Utilization Management
- Remote Cvs Utilization Management Nurse
- Night Utilization Review Nurse
- Temporary Utilization Review Nurse
- Cvs Health Utilization Management Remote
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- Evening Optum Health Utilization Review
- No Experience Utilization Management Nurse
- Flexible Cvs Utilization Management Nurse
What job categories do people searching Remote Supervisor Utilization Management jobs look for? The top searched job categories for Remote Supervisor Utilization Management jobs are:
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What cities are hiring for Remote Supervisor Utilization Management jobs? Cities with the most Remote Supervisor Utilization Management job openings:
What states have the most Remote Supervisor Utilization Management jobs? States with the most job openings for Remote Supervisor Utilization Management jobs include:
What are the most commonly searched types of Supervisor Utilization Management jobs? The most popular types of Supervisor Utilization Management jobs are:
Full-time
Posted 10 days ago
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
547th of 1,054 rated hospitals
Job description
Overview:
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
Experience:
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
Schedule: Monday-Friday (8:00am-4:30pm)
Position is work from home after a 90 day in-office training period.
Job Description Summary:
Reviews behavioral health cases to determine medical necessity and appropriateness of care, ensuring compliance with established guidelines and policies. Performs pre-certifications, pre-authorizations, re-authorization, concurrent utilization reviews, retrospective reviews, and denial management. Interacts with staff and departments of the hospital to facilitate appropriate, cost-effective patient care.
Job Description:
Essential Functions:
- Conducts utilization reviews of behavioral health cases to determine medical necessity, appropriateness of care, and adherence to clinical guidelines.
- Communicates with healthcare teams and third-party payors to ensure the delivery of quality care and optimum payment.
- Assists with retrospective reviews and denial management to maintain appropriate and cost-effective patient care.
- Documents all case reviews and maintains accurate records of all clinical activities and coverage information.
- Provides education and support regarding utilization review and management activities and processes.
- Analyzes clinical data to identify trends and patterns that may impact patient care. Participates in quality improvement initiatives to enhance the overall delivery of behavioral health services.
- Facilitates reimbursement by communicating with payers, other staff, patients, and families concerning status of funding and required actions.
Education Requirement:
Bachelor's Degree in Social Work, Psychology, or related field, required.
Licensure Requirement:
(not specified)
Certifications:
(not specified)
Skills:
- Excellent written and verbal communication and interpersonal skills.
- Excellent customer service and organizational skills.
- Working knowledge of CMS and other review agency standards.
- Proficient with software applications including CM, payer web applications, MITS, and others.
Experience:
- Three years of behavioral health experience, required.
- One year of experience in pediatric care or services, required.
- Utilization review or utilization management experience, preferred.
Physical Requirements:
OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel
FREQUENTLY: Standing, Walking
CONTINUOUSLY: Audible speech, Color vision, Computer skills, Decision Making, Depth perception, Hand use: grasping, gripping, turning, Hearing acuity, Interpreting Data, Peripheral vision, Problem solving, Repetitive hand/arm use, Seeing - Far/near, Sitting
Additional Physical Requirements performed but not listed above:
(not specified)
"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"
What Nationwide Children's Hospital employees say
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Benefits
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Get the full story on Breakroom
About Nationwide Children's Hospital
Sourced by ZipRecruiter
Nationwide Children's Hospital, established in 1894, is a leading pediatric healthcare system based in Columbus, Ohio, United States. They serve as a primary pediatric network, providing wellness, preventive, diagnostic, treatment, and rehabilitative care for infants, children, adolescents, and adults with congenital disease. Being the third-largest pediatric hospital in the nation, Nationwide Children's Hospital prides itself on its relentless commitment to children and their families, driven by their core values of respect, integrity, determination, empathy, and solidarity. The institution's comprehensive mission is to enhance the health of children by providing high-quality, family-centered care, conducting groundbreaking research, advocating for pediatric health, and training top healthcare professionals.
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
Columbus, OH, US
Year founded
1892