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Full Time Remote Behavioral Health Utilization Review Jobs

Prime Healthcare

Utilization Review Coordinator

Ontario, CA · On-site +1

$30 - $40.50/hr

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime ... Additionally, this position entails working closely with the Corporate/Facility/Remote UR/CM teams ...

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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 ... A comprehensive benefits package is available for full-time regular employees and includes Medical ...

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 ... Days (United States of America) Time Type: Full time Address : 222 Medical Circle City, State

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How much do full time remote behavioral health utilization review jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for full time 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.
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Full Time Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Full Time Remote Behavioral Health Utilization Review job openings in the United States as of June 2026, with employment types broken down into 92% Full Time, 3% Part Time, and 5% 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.
Utilization Review Coordinator

Utilization Review Coordinator

Prime Healthcare

Ontario, CA • On-site, Remote

$30 - $40.50/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Prime Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 269 frontline employees who took The Breakroom Quiz

663rd of 870 rated healthcare providers

Job description

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation’s leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team!


The Utilization Review Coordinator (URC) essentially functions as a Subject Matter Expert (SME) with regards to coordinating the UR and appeals process as part of the denial management initiatives for all payors. This position will function along with the Medical Review Coordinators (MRCs) responsible for clinical processes and the UR techs responsible for all clerical processes within the front-end UR and denial management processes. The URC is responsible for ensuring the accounts will be processed in a timely and accurate manner for both authorization follow-up and appeals, thereby contributing to appropriate data tracking maneuvers. The URC will also participate in creating and implementing appropriate training material and agenda for new employees. This position will develop metrics and provide an analytical approach to help interpret and implement solutions inferred from trends observed from the available data. Additionally, this position entails working closely with the Corporate/Facility/Remote UR/CM teams, Business Office, Case Managers, Physicians and Administration. The URC will serve as the representative of the UR team with respect to all clerical functions including but not limited to the authorization follow up, documentation, and denial management for Traditional Medicare/ Medicaid as well as Managed care/ commercial payors. With an understanding of the scope of services for the department, the URC will assist the department leadership in accomplishing the set goals for the UR team. Other duties as assigned.


Required Qualifications:

  1. Bachelor’s degree in Healthcare related field (including Health Information Management and Pharmacy)
  2. Microsoft Office proficiency.
  3. Strong communication skills.

Preferred Qualifications:

  1. Completion of a medical terminology course.
  2. Knowledge of HIPAA regulations.
  3. Excellent written and verbal communication skills. Excellent critical thinking skills.
  4. Excellent interpersonal skills to build effective partnering relationships with physicians, nurse staff, coding staff and hospital management staff.
  5. Ability to work independently in a time-oriented environment.
  6. Computer data entry with 10-key preferred, with accurate typing speed of 35 wpm preferred.

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $30.00 to $40.50. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.


Full Time
Days

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 

Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

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