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Remote Behavioral Health Utilization Review Jobs in Raleigh, NC

Red Oak Recovery Center

Clinical Director

Durham, NC · Remote

$90K - $100K/yr

... behavioral health services. This role involves supervising clinical staff, managing patient care ... Participate in utilization review meetings, representing patient needs in both clinical and ...

Kind Behavioral Health

Senior Accountant

Raleigh, NC · On-site +1

$71K - $90K/yr

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services, dedicated to ... Review key business process designs to improve expediency, efficiency, and quality while ensuring ...

Kind Behavioral Health

Senior Accountant

Raleigh, NC · Remote

$75K - $95K/yr

Kind Behavioral Health is a leading provider of Applied Behavior Analysis services, dedicated to ... Review key business process designs to improve expediency, efficiency, and quality while ensuring ...

ClinDCast LLC

EHR Epic Analyst

Cary, NC · Remote

Remote (Based in Raleigh, NC) Position Type: Contract We are seeking an experienced EHR Epic ... Behavioral Health apps . This role involves working closely with healthcare providers, IT teams ...

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All JobsBehavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review Jobs in Raleigh, NC

Remote Behavioral Health Utilization Review information

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$41

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

As of Aug 6, 2026, the average hourly pay for remote behavioral health utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What is a remote behavioral health utilization review?

A Remote Behavioral Health Utilization Review job involves evaluating behavioral health treatment plans and services to ensure they meet insurance guidelines, medical necessity, and regulatory requirements. Professionals in this role review clinical documentation, assess patient needs, and collaborate with healthcare providers to determine appropriate levels of care. They work remotely, often for insurance companies or healthcare organizations, to authorize or deny coverage based on established criteria. Strong clinical knowledge, attention to detail, and communication skills are essential for success in this role.

What are the key skills and qualifications needed to thrive in remote behavioral health utilization review, and why are they important?

To excel in Remote Behavioral Health Utilization Review, candidates generally need a clinical background such as a nursing or social work license, strong analytical skills, and experience with behavioral health diagnoses and treatment planning. Familiarity with utilization management software, electronic health records (EHRs), and insurance coding systems is often required, along with certifications like CCM (Certified Case Manager) or URAC accreditation being valued. Excellent communication, critical thinking, and organizational skills help professionals handle complex cases and collaborate effectively in a virtual team environment. These competencies ensure accurate review of mental health services, compliance with payer requirements, and optimal patient outcomes.

What are the typical daily responsibilities for someone working in remote behavioral health utilization review?

In a Remote Behavioral Health Utilization Review role, your daily tasks often include reviewing clinical documentation, assessing medical necessity for behavioral health services, and making authorization or denial recommendations according to established guidelines. You’ll frequently interact with providers, case managers, and insurance representatives to gather information and clarify care requests. Additionally, your day may involve documenting decisions, participating in case review meetings, and staying updated on evolving policies. Working remotely, you'll communicate primarily via secure electronic systems, phone, and video conferencing. This structure typically offers flexibility but also requires strong self-motivation and organization.

What are the most commonly searched types of Behavioral Health Utilization Review jobs in Raleigh, NC? The most popular types of Behavioral Health Utilization Review jobs in Raleigh, NC are:
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What job categories do people searching Remote Behavioral Health Utilization Review jobs in Raleigh, NC look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Behavioral Health Utilization Review jobs? Cities near Raleigh, NC with the most Remote Behavioral Health Utilization Review job openings:
Remote Behavioral Health Utilization Review jobs near you
Infographic showing various Remote Behavioral Health Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 91% Full Time, 4% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Remote Licensed Clinical Social Worker (LCSW)

Gotham Enterprises Ltd

Raleigh, NC • Remote

$115K - $120K/yr

Full-time

Medical, Retirement, PTO

Posted 9 days ago

Job description

Licensed Clinical Social Worker | North Carolina

Job Summary

As a Remote Licensed Clinical Social Worker, you will provide virtual therapy services for clients throughout North Carolina who need professional support for emotional, behavioral, and life-related challenges. The role includes completing clinical intakes, identifying treatment priorities, providing ongoing therapy, and helping clients make steady progress toward practical mental health goals.

This position calls for a clinician with sound judgment, strong documentation habits, and the ability to create a professional therapy experience through telehealth.

Role Overview

Location: North Carolina
Setting: Remote / Telehealth
Employment Type: Full-Time
Compensation: $115,000-$120,000 annually with full benefits
Schedule: Monday-Friday, 9:00 AM-5:00 PM

Responsibilities

  • Conduct scheduled therapy appointments through a secure video platform
  • Complete biopsychosocial assessments and gather relevant clinical information
  • Establish treatment goals based on client concerns and clinical presentation
  • Provide therapy for clients managing anxiety, depression, grief, trauma, adjustment issues, and interpersonal stress
  • Track client response to treatment and revise goals as needed
  • Prepare progress notes and clinical records within required timelines
  • Maintain ethical standards, privacy practices, and professional boundaries
  • Recognize when a client may need additional services or a higher level of care
  • Communicate clearly with clients and internal support teams when needed

Requirements

  • Master's degree in Social Work from an accredited program
  • Active and unrestricted LCSW license in North Carolina
  • Experience providing therapy or behavioral health services
  • Strong understanding of assessment, diagnosis, and treatment planning
  • Ability to manage a remote caseload with accuracy and professionalism
  • Comfortable using telehealth platforms and electronic health records
  • Reliable internet connection and a private workspace for virtual sessions

Benefits

  • Annual salary of $115,000-$120,000
  • 2 weeks PTO
  • Health Insurance
  • 401K Plan with 3% Company Match
  • Full-time employment
  • Remote work environment
  • Consistent weekday schedule

If your LCSW license is active in North Carolina and you are ready for a full-time telehealth role, send your resume for review by the hiring team.

Gotham Enterprises logo

About Gotham Enterprises

Sourced by ZipRecruiter

Gotham Enterprises, Ltd., headquartered in Queens/Fresh Meadows, NY, is a healthcare and mental‑health staffing and job placement platform that connects licensed professionals (psychiatrists, nurse practitioners, therapists, medical assistants, allied health) with in‑person, contract, per‑diem, and permanent assignments across New York State. Working through its job portal and regional offices, Gotham serves outpatient clinics, home‑care agencies, schools, and community health centers, offering roles including Licensed Mental Health Counselors (LMHC), Psychiatric–Mental Health Nurse Practitioners (PMHNP), PAs, and clinic support staff. The company is actively recruiting and retains a distributed workforce with both in‑office and remote recruiters; salaries for PMHNP roles average ~$160,000/year.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Montclair, NJ, US

Year founded

2016

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