2

Director Remote Utilization Review Jobs in Riverside, CA

Showing results 21-40

Director Remote Utilization Review information

See Riverside, CA salary details

$22

$44

$71

How much do director remote utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for director remote utilization review in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

What is a director of remote utilization review?

A Director of Remote Utilization Review is a healthcare leader responsible for overseeing teams that assess the necessity, appropriateness, and efficiency of medical services, typically from a remote or virtual environment. This role ensures compliance with regulatory guidelines, optimizes resource use, and helps manage healthcare costs while maintaining quality patient care. Directors collaborate with physicians, nurses, and insurance providers to review clinical cases and develop utilization review strategies. They also monitor performance metrics and implement process improvements for remote teams.

How does a director of remote utilization review typically collaborate with clinical and administrative teams to ensure effective patient care management?

A Director of Remote Utilization Review plays a pivotal role in bridging clinical staff, case managers, and administrative teams to optimize patient care and resource utilization. This is often achieved through regular virtual meetings, data sharing, and cross-departmental strategy sessions to review utilization trends and address barriers to care. The director ensures that remote teams adhere to regulatory standards and organizational goals, fostering open communication to streamline workflows and resolve complex cases efficiently. Successful collaboration enhances patient outcomes, reduces unnecessary costs, and maintains compliance, all while supporting a positive remote team environment.

What are the key skills and qualifications needed to thrive as a director of remote utilization review, and why are they important?

To thrive as a Director of Remote Utilization Review, you need in-depth knowledge of healthcare regulations, utilization management processes, and a relevant clinical background, typically supported by an RN or other clinical licensure and experience in case management. Familiarity with utilization review software, electronic health records (EHR), and certifications such as CCM or UM are often required. Leadership, analytical thinking, and strong communication skills are vital for guiding teams and collaborating with stakeholders. These skills ensure effective oversight of remote teams, regulatory compliance, and optimal patient care outcomes.

What is the difference between Director Remote Utilization Review vs Utilization Review Nurse?

AspectDirector Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, advanced degree, and management experienceRegistered Nurse (RN) license, relevant clinical experience
Work EnvironmentOversees teams remotely, strategic planning, policy developmentConducts patient reviews, collaborates with healthcare providers, often remote or onsite
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare facilities

The main difference is that the Director Remote Utilization Review focuses on managing teams and policies remotely, while the Utilization Review Nurse performs clinical reviews directly related to patient care. The director has a broader strategic role, whereas the nurse role is more clinical and operational.

What cities near Riverside, CA are hiring for Director Remote Utilization Review jobs?

Cities near Riverside, CA with the most Director Remote Utilization Review job openings:

Infographic showing various Director Remote Utilization Review job openings in Riverside, CA as of July 2026, with employment types broken down into 90% Full Time, and 10% Contract. Highlights an 100% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.

Remote Licensed Clinical Social Worker (LCSW) for School-Based Services

Support Wellness Healthcare Services, LLC

Irvine, CA โ€ข Remote

$120K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 4 days ago


Job description

Position Overview

Support Wellness Healthcare Services, LLC is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our dynamic team in providing remote school-based mental health services. This full-time position facilitates the growth and well-being of students through psychoeducational and process-oriented interventions. Our ideal candidate will possess strong clinical skills, a compassionate approach to therapy, and a commitment to enhancing student outcomes.

About the Organization

Support Wellness Healthcare Services, LLC is a leader in providing comprehensive mental health services tailored to the educational environment. Our mission is to empower students through integrated support systems that address emotional, social, and educational needs. With a focus on fostering resilience and coping mechanisms, our team collaborates closely with schools, families, and community organizations to create a nurturing atmosphere conducive to student growth.

Work Environment

This position is 100% remote, allowing you the flexibility to provide vital services from your home while maximizing your ability to connect with students and their families. You will be part of a collaborative team that includes educators, mental health professionals, and administrative staff, all dedicated to ensuring that students have the resources and support they need to thrive. The remote setting is equipped with state-of-the-art technology to facilitate secure communications and ensure continuity of care.

Key Responsibilities
  • Direct and facilitate psychoeducational and therapeutic groups aimed at addressing various mental health issues among students.
  • Conduct thorough clinical assessments to evaluate student needs and develop individualized treatment plans based on evidence-based practices.
  • Engage in crisis management during therapy sessions, employing de-escalation techniques to ensure safety and stability for all participants.
  • Collaborate with the Utilization Review and Business Departments regarding authorization and payment procedures for services rendered.
  • Initiate and coordinate discharge planning from the first day of service, ensuring students and families understand treatment progress and available resources.
  • Maintain consistent communication with referral sources and outpatient providers throughout the treatment process to promote continuity of care.
  • Facilitate patient transitions to higher levels of care when necessary, assuring a seamless process for all parties involved.
  • Participate actively in clinical outreach initiatives to enhance community awareness and understanding of the services offered.
  • Support and coach school staff in their interactions with students and families to foster a collaborative approach to mental health care.
  • Complete all required documentation, including initial assessments, treatment plans, and clinical progress notes, in a timely and organized manner.
Patient Population / Client Focus

This role primarily focuses on students within the school system who may be facing emotional, behavioral, or psychological challenges. Our clients come from diverse backgrounds and present a variety of issues ranging from anxiety and depression to behavioral disorders. As an LCSW, you will play a critical role in supporting these young individuals in navigating their challenges and achieving academic and personal success.

Qualifications
  • Master's degree in Social Work, Counseling, Psychology, or a related mental health discipline is mandatory.
  • Must hold a current, independent license to practice as a Licensed Clinical Social Worker (LCSW).
  • Effective written and verbal communication skills to interact with clients, families, and team members.
  • Proficiency in using Office 365 and Electronic Health Record (EHR) systems to manage documentation and client information accurately.
  • Ability to establish and model appropriate boundaries with clients to maintain a professional therapeutic relationship.
  • Familiarity with culturally sensitive practices and a commitment to meeting the needs of a diverse student population.
Preferred Experience
  • Prior experience working in a school setting or with children and adolescents in a mental health capacity.
  • Experience in developing and implementing SMART treatment plans and conducting comprehensive clinical assessments.
  • Skilled in crisis intervention and management techniques.
  • Demonstrated ability to collaborate with multidisciplinary teams to achieve holistic care for clients.
Compensation and Benefits
  • Competitive salary ranging from $120,000 to $130,000 per year for full-time employees.
  • Comprehensive benefits package including health, dental, vision, and retirement plans.
  • Access to an Employee Assistance Program (EAP) providing mental health support and resources for staff.
  • Ongoing professional development opportunities to enhance your skills and advance your career as a mental health professional.
Career Growth Opportunities

At Support Wellness Healthcare Services, we believe in fostering the professional development of our team members. You will have the opportunity to participate in various training programs, workshops, and continued education initiatives that will enhance your expertise and keep you informed about the latest advancements in clinical practice and mental health care. Additionally, career advancement opportunities within our organization may be available as we expand our programs and services.

Why Join Our Team

Joining Support Wellness Healthcare Services means becoming part of a passionate and dedicated team committed to improving the lives of students and their families. We value collaboration, innovation, and a client-centered approach to mental health care. If you are looking for a fulfilling opportunity that allows you to make a meaningful impact in the lives of young people, we invite you to apply and discover the rewarding experience of being a Licensed Clinical Social Worker with us.

Application Information

If you are interested in this position and meet the qualifications outlined above, we encourage you to apply now. Take the next step in your career by contributing to a supportive environment that champions mental health and well-being for students. We look forward to reviewing your application and potentially welcoming you to our team!