Neururer had a minor playing career in the lower leagues before moving into coaching at TuS Haltern and SG Weitmar. He moved into the higher leagues as assistant manager of Horst Hrubesch at 2. Bundesliga club Rot-Weiss Essen in the 1986–87 season, and eventually had a two-month spell in sole command in late 1987.
Neururer then gained an outright managerial position at this level with Alemannia Aachen in January 1988. After landing the club a 6th place finish and a strong following season, he was approached by Schalke 04, who were enduring a difficult season after relegation. Neururer left the club on 10 April 1989.
Neururer was chosen as manager of FC Schalke 04 on 11 April 1989. Neururer took the Ruhr club to 5th place in 1989–90 and started the following season brightly as well, with the club being second after the opening three months. However, this was not enough to satisfy the club president who fired him nonetheless in November 1990. In June 2007, Neururer created controversy when he claimed that doping had been rife in German football in the 1990s. He specifically referred to his time as manager of FC Schalke 04 in 1989–90 in this accusation, although this was refuted by the club itself.
Neururer did not have to wait too long for another opportunity as Bundesliga side Hertha BSC came calling after they had fired Pal Csernai. Neururer immediately took over in March 1991. The club were sat bottom the table at this point and Neururer was unable to stop the rot, as the team failed to win a single game in his 14 in charge and were duly relegated.
Unsurprisingly, Neururer left Hertha BSC at this point in May 1991.
Neururer joined 1. FC Saarbrucken on 1 July 1991. At 1. FC Saarbrucken, Neururer enjoyed his greatest success yet as the team won the league and were promoted to the top flight. Their time in the Bundesliga was not to prove lengthy though, as they finished bottom in their first season back at this level, which also spelled the end for Neururer. Neururer left the club on 30 June 1993.
Neururer's next post was at second flight Hannover 96. Neururer took over on 7 November 1994. The club was at the bottom of the table. Neururer stabilised the team in his six months there and maintained their league status. Neururer left the club on 30 May 1995.
He had to wait until the following year for another management role, when Bundesliga side 1. FC Koln moved for him after firing Stephan Engels when they sunk into the relegation zone. Neururer again managed to retain a club's league status as they finished 12th. He managed a 10th place finish the following season, but after a disappointing start to the 1997–98 season, he was fired in September 1997.
Neururer was manager from 22 April 1999 to the end of the season.
Neururer joined Kickers Offenbach in October 1999. The club were bottom of the 2. Bundesliga at the time, and Neururer was unable to reverse their fortunes and they slipped to the Regionalliga Sud. He began the following season still with the club but after failing to win either of their opening two games, the club acted swiftly and he was dismissed on 6 August 2000.
He returned to second flight LR Ahlen in October 2000. His first season brought a 7th place finish, but an indifferent start to the 2001–02 season saw him leaving the club for fellow 2. Bundesliga outfit VfL Bochum.
VfL Bochum hired Neururer on 3 December 2001. VfL Bochum was another period of success for the coach as they were promoted in his first season and he retained their Bundesliga position for two seasons. Neururer left the club on 30 June 2005.
In November 2005 he was given another shot at the top level, as Hannover 96 took him on for a second spell after sacking Ewald Lienen. He guided to team to a comfortable 12th place finish at the end of the 2005–06 season but a disastrous start to the 2006–07 season – conceding 11 goals in 3 defeats. Neururer resigned on 30 August 2006.
MSV Duisburg hired Neururer on 16 November 2008. The club sacked Neururer on 30 October 2009.
On 8 April 2013, Neuruer returned as manager to the VfL Bochum. The club sacked Neururer on 9 December 2014.As of 9 December 2014.