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Full Time Remote Utilization Review Jobs (NOW HIRING)

The Recovery Village

Utilization Review Specialist

$50K/yr

We are looking for a Remote Utilization Review Specialist Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse ...

Dane Street, LLC

Utilization Review Physician

Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 ...

Village Care

Utilization Review Nurse

Manhattan, NY · Remote

$95K - $105K/yr

VillageCare is looking for a self-motivated and passionate RN as Utilization Review Nurse for a Full-Time position. This is an exciting and dynamic position from the comfort of your own home as you ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Medica

Utilization Review III

$70.20K - $120.40K/yr

The Utilization Review III position is responsible for the review, investigation, and resolution of ... This position is a Remote role. To be eligible for consideration, candidates must have a primary ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105.34K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105.34K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...

ERC Pathlight

Utilization Review Manager

Denver, CO · On-site +1

$93K - $117K/yr

Remote : Mondays and Fridays * On-site in our Denver Office: Tuesdays, Wednesdays, and Thursdays The compensation range for this position is based upon candidate experience and market expectations.

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

As of May 30, 2026, the average hourly pay for full time remote 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 Full Time Remote Utilization Review vs Part Time Remote Utilization Review?

AspectFull Time Remote Utilization ReviewPart Time Remote Utilization Review
Work HoursTypically 40 hours/weekFewer hours, often less than 20/week
CertificationsRequired certifications like AAHAM or URAC often neededSame certifications as full-time, but may vary by employer
Work EnvironmentRemote, full-time employmentRemote, part-time engagement
Job ResponsibilitiesComplete utilization reviews, documentation, complianceSimilar responsibilities but on a reduced schedule

Full Time Remote Utilization Review involves working 40 hours weekly with comprehensive responsibilities, while Part Time Remote Utilization Review offers flexible, reduced hours with similar duties. Both roles require relevant certifications and are performed remotely, but differ mainly in hours and workload.

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Full Time Remote Utilization Review jobs near you
Utilization Review Specialist

Utilization Review Specialist

The Recovery Village

Remote

$50K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

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

Job description

We are looking for a Remote Utilization Review Specialist
Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns. With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care.
Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men, women and adolescents live healthy, happy lives without the burden of substance abuse or mental illness.
The Utilization Review Specialist (UR Specialist) is responsible for contacting external case managers/managed care organizations for pre-authorization and concurrent reviews throughout the duration of patient's treatment stay, and assists the treatment team in understanding the different requirements that various insurance companies have for admission, continued stay and discharge planning.
Core Job Duties:
  • Completes pre-authorizations/concurrent reviews/internal UR reviews
  • Consults with various members of the multidisciplinary treatment team concerning required information to complete concurrent reviews
  • Schedules peer to peer reviews and coordinates urgent/expedited appeals
  • Staffs individual cases with MDs as needed
  • Follows all standard ARS Utilization Review Department policies and procedures
  • Utilizes the UR Census Report on a daily basis
  • Makes all initial calls within 24 hours, and follow up calls every 24 hours
  • Data entry, records management and assisting with the appeals process
  • Completing detailed daily documentation
  • Works with Finance Department regarding client service authorizations
  • Communicating frequently with the treatment team
  • Other duties as assigned

Requirements
  • Bachelor's degree in a health or behavioral health related field required, Graduate degree in a health or behavioral health related field preferred, OR
  • High School diploma or equivalent and a State license (e.g., Registered Nurse, Licensed Practical Nurse, LCSW, LMHC) preferred
  • Minimum of three years' experience working in a psychiatric or chemical dependency setting
  • Minimum of three years' Utilization Review experience preferred
  • State licensure preferred (Registered Nurse, Licensed Practical Nurse, Licensed Clinical Social Worker, Licensed Mental Health Counselor)

Position Competencies:
  • Proficiency in establishing and maintaining positive and effective communication with managed care companies.
  • Ability to aligns medical and counseling staff to ensure services are provided at the appropriate level of care in a timely manner consistent with the patient's condition and in compliance with governmental and accrediting agencies.
  • Concurrent Reviews
  • Utilization Review
  • Census Report
  • ASAM criteria Ability to be resourceful and proactive in dealing with issues that may arise.
  • Demonstrate the ability to organize, multitask, prioritize and work under pressure.
  • Effective time management

Advanced Recovery Systems, a national integrated behavior healthcare management company dedicated to the treatment of addiction, substance abuse, eating disorders and mental health issues. We invite you to learn more about us at our website!
The Company complies with state and federal nondiscrimination laws and policies that prohibit discrimination based on age, color, disability, national origin, race, religion, or sex. It is unlawful to retaliate against individuals or groups based on the basis of their participation in a complaint of discrimination or on the basis of their opposition to discriminatory practices/EEO
We are proud to be a drug-free workplace.
Benefits
What we offer:
  • Starting pay $50,000/yr, based on experience.
  • Paid Time Off: Up to 2 weeks of paid time off per year plus sick pay & holiday pay
  • Benefits begin on the 1st day of the month following date of hire.
  • Matching HSA - up to $1500/yr contribution from the company to your HSA
  • 401(k), medical, dental, vision, and free Telehealth access
  • Employee Referral Bonus - you can earn up to $4000

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