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Humana Utilization Review Remote Jobs (NOW HIRING)

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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How much do humana utilization review remote jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for humana 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 Humana Utilization Review Remote vs Humana Utilization Review Nurse?

AspectHumana Utilization Review RemoteHumana Utilization Review Nurse
CredentialsTypically requires a nursing license (RN) and relevant certificationsRequires an RN license and clinical experience
Work EnvironmentRemote, home-based settingRemote, home-based setting
Employer & IndustryHumana, health insurance industryHumana, health insurance industry
Job FocusReviewing medical necessity and coverage for insurance claimsAssessing patient care plans and medical necessity

Both roles involve remote work within the health insurance industry and require nursing credentials. The main difference is that the Humana Utilization Review Nurse typically involves direct clinical assessment and patient care review, whereas the Humana Utilization Review Remote may focus more on administrative review of claims and coverage decisions.

Infographic showing various Humana Utilization Review Remote job openings in the United States as of May 2026, with employment types broken down into 3% As Needed, 71% Full Time, 13% Part Time, and 13% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
Physician Reviewer - Orthopedic Surgery (Utilization Review)

Physician Reviewer - Orthopedic Surgery (Utilization Review)

Dane Street, LLC

New York, NY • Remote

Contractor

Posted 24 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 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
  • 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.