Utilization Review Nurse-Remote-Contract
Dallas, TX ยท Remote
$40/hr
... setting or health care insurance company. * Knowledge of medical terminology and procedures ... Utilization management experience * MCG or InterQual experience
New
Quick apply
Dallas, TX ยท Remote
$40/hr
... setting or health care insurance company. * Knowledge of medical terminology and procedures ... Utilization management experience * MCG or InterQual experience
New
Quick apply
Dallas, TX ยท Remote
$40/hr
... setting or health care insurance company. * Knowledge of medical terminology and procedures ... Utilization management experience * MCG or InterQual experience
New
Rancho Cucamonga, CA ยท 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 ...
Quick apply
Rancho Cucamonga, CA ยท 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 ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
Folsom, CA ยท Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
Quick apply
Folsom, CA ยท Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
Rancho Cucamonga, CA ยท 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 ...
Rancho Cucamonga, CA ยท 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 ...
Fort Lauderdale, FL ยท Remote
$80K - $105K/yr
Setting: Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard ... Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side ...
Quick apply
Fort Lauderdale, FL ยท Remote
$80K - $105K/yr
Setting: Fully Remote - Utilization Review Schedule: Full-Time, Monday-Friday Hours: Standard ... Minimum 2 years of Utilization Review experience within a hospital or health system (provider-side ...
Folsom, CA ยท Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
Folsom, CA ยท Remote
$16.74 - $26.92/hr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Takes calls relating to ... health and disability management industries. CorVel was founded in 1987 and has been publicly ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This position requires both in-person/face-to-face assessments and remote telephonic assessments ... Talroo- Health, LCSW, LPC, NCBLCMHC, LMFT, NCBMFT, LSTAP, RN, Care Coordinator, Behavioral Health ...
This position requires both in-person/face-to-face assessments and remote telephonic assessments ... Talroo- Health, LCSW, LPC, NCBLCMHC, LMFT, NCBMFT, LSTAP, RN, Care Coordinator, Behavioral Health ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
Position Summary We are seeking a detail-oriented Remote Behavioral Health Charge Entry Specialist ... Review and verify insurance claims for accuracy and completeness before submission to optimize ...
Quick apply
Position Summary We are seeking a detail-oriented Remote Behavioral Health Charge Entry Specialist ... Review and verify insurance claims for accuracy and completeness before submission to optimize ...
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
Registered Nurse - Utilization Review About Company Bestica: We at Bestica believe our success is a direct result of hard work and outstanding employee dedication. Our environment is dynamic ...
New York, NY ยท On-site +1
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
New York, NY ยท On-site +1
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... healthcare system. Apply today to join our Physician Review Panel and start earning on your ...
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
| Aspect | Entry Level Remote Behavioral Health Utilization Review | Entry Level Remote Mental Health Case Manager |
|---|---|---|
| Credentials | Typically requires a license in behavioral health or related field, such as LCSW or LMFT | Often requires a social work or counseling license, such as LCSW or LPC |
| Work Environment | Remote, primarily reviewing patient cases and insurance authorizations | Remote, providing direct support and coordinating care for clients |
| Employer & Industry Usage | Insurance companies, healthcare organizations, utilization review firms | Healthcare 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.

$40/hr
Full-time
Posted 2 days ago
New
$40/hour - Contract for 6 months
Must reside in TX
Full time remote
Candidates must be based in TX.
RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.
pay rate is $40/hour
This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness and quality of medical/surgical services and serving as liaison between providers and medical and network management divisions. Collects clinical and non-clinical data. Verifies eligibility. Determines benefit levels in accordance to contract guidelines. Provides information regarding utilization management requirements and operational procedures to members, providers and facilities.
Registered Nurse (RN) with valid, current, unrestricted license in the state of operations.
* 3 years of clinical experience in a physician office, hospital/surgical setting or health care insurance company.
* Knowledge of medical terminology and procedures.
* Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
* Utilization management experience
* MCG or InterQual experience
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