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Entry Level Remote Behavioral Health Utilization Review Jobs

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$84K - $118K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Assess and coordinate discharge planning needs with healthcare team members. * May prepare ...

CommonSpirit Health

Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · Remote

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · Remote

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

UK St Claire

Utilization Review Nurse

Morehead, KY · On-site +1

UKSC is a nurturing workplace for all healthcare professionals. We invite you to explore our ... Supports utilization review processes by planning, analyzing data, and setting goals to ensure ...

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Entry Level Remote Behavioral Health Utilization Review information

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How much do entry level remote behavioral health utilization review jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for entry level remote behavioral health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Entry Level Remote Behavioral Health Utilization Review vs Entry Level Remote Mental Health Case Manager?

AspectEntry Level Remote Behavioral Health Utilization ReviewEntry Level Remote Mental Health Case Manager
CredentialsTypically requires a license in behavioral health or related field, such as LCSW or LMFTOften requires a social work or counseling license, such as LCSW or LPC
Work EnvironmentRemote, primarily reviewing patient cases and insurance authorizationsRemote, providing direct support and coordinating care for clients
Employer & Industry UsageInsurance companies, healthcare organizations, utilization review firmsHealthcare providers, mental health clinics, community agencies

While both roles are remote and involve mental health, the Behavioral Health Utilization Review focuses on assessing patient records for insurance purposes, whereas the Mental Health Case Manager provides direct client support and care coordination. Understanding these differences helps job seekers target the right position based on their credentials and career goals.

What cities are hiring for Entry Level Remote Behavioral Health Utilization Review jobs? Cities with the most Entry Level Remote Behavioral Health Utilization Review job openings:
What are the most commonly searched types of Remote Behavioral Health Utilization Review jobs? The most popular types of Remote Behavioral Health Utilization Review jobs are:
What states have the most Entry Level Remote Behavioral Health Utilization Review jobs? States with the most job openings for Entry Level Remote Behavioral Health Utilization Review jobs include:
Entry Level Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Entry Level Remote Behavioral Health Utilization Review job openings in the United States as of May 2026, with employment types broken down into 1% Locum Tenens, 91% Full Time, 4% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Registered Nurse - Utilization Review - RNUR26-06087

NavitasPartners

Oakland, CA • Remote

$40/hr

Other

Posted 12 days ago

Job description

Job Title: Registered Nurse - Utilization Review

Location: Santa Rosa, CA 

Shift Details: Day Shift | 5x8 Hours | 08:00 AM - 04:30 PM
Contract Duration: 13 Weeks
Orientation: 40 Hours (Non-Billable)

Required Qualifications
  • Active Registered Nurse (RN) License required
  • Minimum 1-2 years acute care nursing experience preferred
  • Experience in Utilization Review, Case Management, or similar role preferred
  • Strong understanding of medical necessity, payer guidelines, and clinical documentation
  • Knowledge of insurance authorization processes preferred
  • Strong analytical, communication, and decision-making skills
  • Ability to work independently in a remote environment
  • Proficiency with EMR systems preferred (Epic experience a plus)
Job Responsibilities
  • Perform utilization review of inpatient and outpatient cases
  • Evaluate medical necessity based on clinical guidelines and payer policies
  • Review patient records and documentation for appropriate level of care
  • Collaborate with physicians, case managers, and insurance providers
  • Process prior authorizations and continued stay reviews
  • Document all review decisions accurately in EMR systems
  • Identify cases requiring further clinical escalation
  • Ensure compliance with regulatory, hospital, and insurance standards
  • Support discharge planning and care coordination as needed
  • Maintain productivity and quality standards in a remote setting

For more details contact at sthakur@navitashealth.com 

About Navitas Healthcare, LLC certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

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