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Online Remote Behavioral Health Utilization Review Jobs

CommonSpirit Health

Utilization Review Nurse

You will collaborate with the healthcare team, patients, families, and both internal/external ... Experience in utilization review. * Demonstrated ability to work collaboratively with all members ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... Health Care Insurance Company. * Knowledge of medical terminology and procedures. * Verbal and ...

Franciscan Health

Utilization Review Coordinator

Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care ... Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial ...

Inficare Technologies

Behavioral Health Clinician

$63K - $87K/yr

Job Title - Behavioral Health Clinician Job Location - Remote but Must Reside in the state of ... Experience in Utilization Review (UR) and Utilization Management (UM) within behavioral health or ...

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Online Remote Behavioral Health Utilization Review information

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

As of Aug 8, 2026, the average hourly pay for online 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.

What is the difference between Online Remote Behavioral Health Utilization Review vs Online Remote Mental Health Case Manager?

AspectOnline Remote Behavioral Health Utilization ReviewOnline Remote Mental Health Case Manager
CredentialsLicenses in behavioral health, certifications in utilization reviewLicenses in mental health, case management certifications
Work EnvironmentRemote, reviewing patient records and treatment plansRemote, coordinating care and supporting patients
Employer & IndustryInsurance companies, healthcare organizationsHealthcare providers, community agencies
Primary FocusAssessing medical necessity and approving servicesSupporting patient care coordination and resource linkage

Online Remote Behavioral Health Utilization Review focuses on evaluating the necessity of behavioral health services for insurance approval, while Online Remote Mental Health Case Managers coordinate ongoing patient care and support. Both roles require behavioral health credentials and are performed remotely, but their core responsibilities differ in focus and daily tasks.

What cities are hiring for Online Remote Behavioral Health Utilization Review jobs? Cities with the most Online Remote Behavioral Health Utilization Review job openings:
What are the most commonly searched types of Remote Behavioral Health Utilization Review jobs? The most popular types of Remote Behavioral Health Utilization Review jobs are:
What states have the most Online Remote Behavioral Health Utilization Review jobs? States with the most job openings for Online Remote Behavioral Health Utilization Review jobs include:
Online Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Online Remote Behavioral Health Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% 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.

Manager, Utilization Review

Health Business Solutions LLC

Cooper City, FL • Remote

Full-time

Re-posted 2 days ago

Job description

The Manager, Utilization Review is responsible for overseeing the daily operations of the Utilization Review for one of our clients and leading a team of Utilization Review Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high-quality patient care standards. The Manager, Utilization Review will collaborate with various healthcare professionals to improve patient outcomes and streamline care processes.

Key Responsibilities:

1. Leadership and Team Management:

• Supervise and mentor a team of Utilization Review Nurses, providing guidance and support to ensure excellent performance.

• Foster a collaborative and cohesive work environment within the department.

• Conduct regular staff meetings, performance evaluations, and staff development activities.

2. Care Coordination and Oversight:

• Oversee the development and implementation of individualized care plans for patients.

• Collaborate with the healthcare team to ensure coordinated and efficient patient care across different healthcare settings.

• Monitor and assess the appropriateness of care plans and resource utilization.

3. Quality Improvement:

• Implement and monitor quality improvement initiatives to enhance patient outcomes and compliance with healthcare regulations.

• Analyze data and metrics to identify areas for improvement in care coordination processes.

4. Budget Management:

• Manage the department's budget and resource allocation efficiently while maintaining high-quality patient care.

• Collaborate with finance and administrative teams to optimize resource utilization.

5. Staff Development:

• Provide ongoing training and education to Utilization Review Nurses to keep them updated on best practices and regulatory changes.

• Encourage professional growth and development within the department.

6. Patient Advocacy:

• Serve as a patient advocate, ensuring that patients' needs and preferences are addressed throughout their healthcare journey.

• Participate in complex case reviews and offer guidance on challenging patient cases.

7. Documentation and Compliance:

• Ensure accurate and timely documentation of patient records, care plans, and progress notes in accordance with regulatory standards.

Qualifications:

• Current RN (Registered Nurse) license. Compact or Multi-State License strongly preferred.

• Bachelor's degree in Nursing (BSN) required Masters (MSN) preferred.

• Previous experience in case management or care coordination, with at least 2 years in a leadership role.

• Strong clinical assessment and critical thinking skills.

• Excellent communication and interpersonal skills.

• Knowledge of healthcare regulations, insurance processes, and quality improvement methodologies.

• Proficiency in electronic health records (EHR) and healthcare software.

• Dedication to patient-centered care and a commitment to ethical practice.

If you are an experienced and visionary nurse leader who is passionate about improving patient care and outcomes, we invite you to apply for the Utilization Review Nurse Manager position. Join our team and lead the way in optimizing patient care. Apply today!


Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.


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