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Per Diem Remote Behavioral Health Utilization Review Jobs

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

As of Aug 8, 2026, the average hourly pay for per diem 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 are the key skills and qualifications needed to thrive as a per diem remote behavioral health utilization review specialist?

To thrive as a Per Diem Remote Behavioral Health Utilization Review Specialist, you need a clinical background in behavioral health (such as an RN, LCSW, or LPC license) and a strong understanding of medical necessity criteria and insurance guidelines. Familiarity with utilization management software, electronic health records, and knowledge of standards like InterQual or Milliman Care Guidelines is typically required. Excellent analytical thinking, written communication, and organizational skills help you stand out in this position. These capabilities ensure effective case reviews, appropriate care authorization, and regulatory compliance in a remote, fast-paced environment.

What are some common challenges faced by per diem remote behavioral health utilization review professionals, and how can they be managed effectively?

Per Diem Remote Behavioral Health Utilization Review professionals often face challenges such as managing a fluctuating workload, staying up-to-date with changing insurance policies, and maintaining clear communication with providers and care teams remotely. To manage these challenges, it’s helpful to establish a structured daily routine, participate in ongoing training sessions, and utilize secure communication platforms to facilitate timely information exchange. Additionally, consistently reviewing updates from accrediting and regulatory organizations can help ensure accurate and compliant decision-making.

What is a per diem remote behavioral health utilization review specialist?

A Per Diem Remote Behavioral Health Utilization Review specialist is a licensed mental health professional who works on an as-needed basis to assess the medical necessity, appropriateness, and efficiency of behavioral health services provided to patients. They review clinical documentation remotely, apply established criteria to determine coverage, and communicate with providers and insurance companies to support proper care management. This role typically requires strong analytical skills, knowledge of behavioral health conditions, and familiarity with insurance guidelines.
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Per Diem Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Per Diem 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.

Utilization Review Nurse

Bracane Co

Plano, TX • Remote

Full-time

Re-posted 24 days ago

Job description

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties***

JOB DESCRIPTION:

RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan.

JOB RESPONSIBILITIES:

  • This position is responsible for performing initial, concurrent review activities; discharge care coordination for determining efficiency, effectiveness, and quality of medical/surgical services, and serving as liaison between providers and medical and network management divisions.
  • Collects clinical and non-clinical data.
  • Verifies eligibility.
  • Determines benefit levels in accordance to contract guidelines.
  • Provides information regarding utilization management requirements and operational procedures to members, providers, and facilities.

JOB QUALIFICATIONS (Required):

  • Registered Nurse (RN) with a valid, current, unrestricted license in the state of operations.
  • 3 years of clinical experience in a Physician's office, Hospital/Surgical setting, or Health Care Insurance Company.
  • Knowledge of medical terminology and procedures.
  • Verbal and written communication skills.

JOB QUALIFICATIONS (Preferred):

  • MCG or InterQual experience
  • Utilization management experience

LOCATION: REMOTE in Texas ( Richardson area ? Dallas/Collin Counties).

POSITION: 6-month assignment

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