Utilization Manager, Registered Nurse
Job Description
About the Role
Join COPE Health Solutions as a Utilization Manager, Registered Nurse in United States.
Key Responsibilities
- Examines standards and criteria to ensure medical necessity and appropriateness of admissions, treatment, level of care and lengths of stay.
- Performs prior authorization and concurrent reviews to ensure extended treatment is medically necessary and being conducted in the right setting.
- Reviews requests for outpatient and inpatient admission; approves services or consults with medical directors when case does not meet medical necessity criteria.
Requirements
- wide trends that affect member eligibility and the need for issuance of Determination Notices Improves clinical and cost
- effective outcomes such as reduction of hospital admissions and emergency department visits through on
Benefits & Compensation
- Salary: $80K - $110K
Work Schedule
- Full-Time position.
- Remote position - work from anywhere.
- Day shift only - no nights.
This position offers day shifts only. Work with COPE Health Solutions in United States.
Key Skills
Position Insights
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Utilization Manager, Registered Nurse at COPE Health Solutions a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 10% of all Utilization Management registered nurse listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements, no night shifts, remote work flexibility.
Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.
Utilization Management — Registered Nurse Career Context
This Utilization Management position at COPE Health Solutions is open to registered nurse candidates.
Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.
Remote registered nurse positions in Utilization Management have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.
Compensation Analysis
COPE Health Solutions lists compensation for this registered nurse position at $80k to $110k annually.
Location & Logistics
This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.
Why This Position Stands Out
- No on-call requirements — clinicians are completely off-duty after hours
- No weekend shifts — preserving personal and family time
- No night shifts — a daytime-only schedule
- Fully remote — work from anywhere with an active license
- Transparent compensation ($80k–$110k)
Skills, Responsibilities & Benefits
Key skills and qualifications: Utilization Management, Clinical Review, Medical Necessity, Prior Authorization, Concurrent Review, Care Coordination, Discharge Planning, Regulatory Compliance. Candidates with experience in these areas may be especially well-suited for this Utilization Management role.
Core responsibilities: The Utilization Manager assesses member needs to identify high-quality, cost-effective healthcare solutions, managing requests for medical services and rendering clinical determinations based on policies and regulations. This role involves coordinating with various stakeholders to ensure care is app...
Benefits package: Health Insurance, Dental Insurance, Vision Insurance, Paid Parental Leave, Wellness Stipend. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.
About WeekdayDoc
WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Utilization Management registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.
Benefits & Perks
Work-Life Balance Score
Protective Factors (4)
Remote work (RR 0.57; 14-23% ↓ burnout)
No on-call (β=6.95; p<0.001 for ↓ exhaustion)
No weekends (57% ↓ work-life conflict)
No nights (Independent predictor ↓ burnout)
Interpretation: Position demonstrates all major evidence-based lifestyle protective factors.
Job Details
Employment Type
Full-time
Posted
1mo ago
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