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 ...
Formulary Management Pharmacist
Columbus, OH · On-site
$54.50 - $65.50/hr
Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly Shape ... Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ...
Formulary Management Pharmacist
Columbus, OH · On-site
$54.50 - $65.50/hr
Formulary Management Pharmacist - Influence Therapy Access at Scale | Hybrid/Remote Friendly Shape ... Provide clinical support for utilization management, prior-authorization criteria, and step-therapy ...
Director, Trade Client Relations
Delaware, OH · On-site +1
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
Director, Trade Client Relations
Delaware, OH · On-site +1
$155K - $175K/yr
... and utilization management strategies * Client Relations - Serve as Trade's primary point of ... Work is generally performed in a remote setting. #LI-Remote $155,000.00 - $175,000.00 This is the ...
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 ...
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 ...
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 ...
Nurse Case Manager
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review ... Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy ...
New
Nurse Case Manager
Columbus, OH · On-site
$55K - $110K/yr
One year of experience in nurse case management, medical case management, utilization review ... Flexible Work Arrangements - Hybrid and remote depending on the role We believe that happy, healthy ...
New
Appeals Registered Nurse
Columbus, OH · On-site
... Utilization Management/Review, or Appeals preferred. * Basic Medicare knowledge and/or experience preferred. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to ...
New
Appeals Registered Nurse
Columbus, OH · On-site
... Utilization Management/Review, or Appeals preferred. * Basic Medicare knowledge and/or experience preferred. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to ...
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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
IHBT Program Manager
Logan, 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
Logan, 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 · 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
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 ...
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 ...
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 ...
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 ...
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 21, 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:
- Utilization Management Bcba Remote
- Remote Therapy Reviewer
- Remote Utilization Management Pharmacist
- Remote Utilization Management
- Full Time Remote Behavioral Health Utilization Review
- Remote Admissions Nurse
- Astiva Health
- Flex Schedule Remote Health Care Coach
- Utilization Management Nurse
- Manager Therapy Clinical Reviewer
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
Re-posted 15 hours ago
Nationwide Children's Hospital rating
6.9
Based on 131 frontline employees who took The Breakroom Quiz
550th of 1,061 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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Workplace
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