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Entry Level Utilization Review Remote Jobs (NOW HIRING)

Centene

Utilization Review Clinician - Behavioral Health

OR · Remote

$27.02 - $48.55/hr

Position is remote. Hours are Monday-Friday 8:00 am-5:00 pm PST. Occasional weekends and a regular ... Knowledge of mental health and substance abuse utilization review process preferred. Experience ...

Sagility LLC

RN Utilization Management Reviewer

$35 - $40/hr

Conducts timely clinical decision review for services requiring prior authorization in a variety of ... May require weekends This is a fully remote work at home role. You must have a secure, private wok ...

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Entry Level Utilization Review Remote information

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

As of Jul 17, 2026, the average hourly pay for entry level utilization review remote 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 Utilization Review Remote vs Entry Level Medical Coder Remote?

AspectEntry Level Utilization Review RemoteEntry Level Medical Coder Remote
Required CertificationsUtilization Review Certification, possibly a healthcare or insurance-related licenseCertified Coding Associate (CCA) or Certified Professional Coder (CPC)
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare facilities, or coding companies
Industry UsageHealthcare insurance, utilization managementMedical billing, coding, healthcare documentation
Common Search/ComparisonYesYes

Entry Level Utilization Review Remote and Entry Level Medical Coder Remote both operate in healthcare but focus on different tasks. Utilization reviewers assess medical necessity for services, requiring certifications in utilization review. Medical coders translate medical records into codes, requiring coding certifications. Both roles are remote and essential in healthcare administration, but they serve distinct functions within the industry.

More about Entry Level Utilization Review Remote jobs
What cities are hiring for Entry Level Utilization Review Remote jobs? Cities with the most Entry Level Utilization Review Remote job openings:
What states have the most Entry Level Utilization Review Remote jobs? States with the most job openings for Entry Level Utilization Review Remote jobs include:
What job categories do people searching Entry Level Utilization Review Remote jobs look for? The top searched job categories for Entry Level Utilization Review Remote jobs are:
Entry Level Utilization Review Remote jobs near you
Infographic showing various Entry Level Utilization Review Remote job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 86% Full Time, 12% Part Time, and 1% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

Physician Reviewer - Orthopedic Spine Surgery (Utilization Review)

Dane Street, LLC

New York, NY • On-site, Remote

Contractor

Re-posted 8 days ago

Job description

Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Spine Surgeons with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities:
  • Review medical records to determine the medical necessity of services
  • Utilize state-specific workers' compensation guidelines and nationally recognized criteria
  • Submit clear, concise, and well-supported determinations
  • Complete reviews within required timeframes (typically 1-5 business days)
  • Participate in peer-to-peer calls as needed (coordinated by Dane Street)
  • Complete addenda when new information is provided

Role Highlights:
  • Independent contractor (1099) status
  • Average case takes 15 minutes or less
  • Flat rate per case - consistent, supplemental income
  • Fully remote - work from anywhere
  • You control volume and availability
  • No direct patient interaction or treatment
  • Chronological, pre-organized medical records provided
  • User-friendly portal and streamlined case management
  • Full onboarding and ongoing support included

Requirements:
  • Board Certification in Orthopedic Surgery (Spine focus preferred)
  • Active, unrestricted New York medical license
  • Workers' Compensation Board Certification (New York)
  • Active clinical practice

About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.

Apply