ZipRecruiter

Log In

2

Remote Behavioral Health Utilization Review Jobs in Rincon, GA

InvoiceCloud

Enterprise Account Director - Tax

Savannah, GA · Remote

$120K - $130K/yr

This role is remote and requires travel within the assigned territory. Success Profile: This role ... These competencies reflect the mindsets and behaviors that define success in this role. Below is ...

Scribe-X

Remote Medical Scribe

Savannah, GA · Remote

$14 - $17/hr

  • Medical

  • PTO

Medical scribes will work side-by-side a healthcare provider to document patient encounters in real ... Review completed charts with the provider between patients or at the completion of shift * Update ...

SGA Dental Partners

Senior Financial Analyst

Richmond Hill, GA · On-site +1

$85K - $105K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviewing and analyzing financial statements and reports. * Tracking KPIs and preparing financial ... Paid Holidays and Paid Time Off (PTO) * 401(k) Retirement Plan Health and Vision Insurance

ABB

Group Account Manager

Bloomingdale, GA · Remote

$163K - $261K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote {#LI-Remote} Your role and responsibilities: * Drives strategic account planning, sales ... Health Advocate support resources for mental/behavioral health, general health navigation and ...

ABB

Protection and Control Engineer

Bloomingdale, GA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

While this is a full remote position, there is preference for candidates located in the Northern ... Health Advocate support resources for mental/behavioral health, general health navigation and ...

Raymond

Civil Engineer

Savannah, GA · On-site +1

Conyers, GA / Charleston, SC / Raleigh, NC / Savannah, GA / Remote (Hybrid options available) About ... Participate in QA/QC reviews to ensure compliance with applicable codes, standards, and client ...

Raymond

Senior Structural Engineer

Savannah, GA · On-site +1

$93K - $127K/yr

Savannah, GA / Remote (Hybrid options available) About Raymond: We are a progressive, forward ... Oversee preparation and technical review of calculations, drawings, specifications, and reports.

previous page

Showing results 41-60

All JobsBehavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review Jobs in Rincon, GA

Remote Behavioral Health Utilization Review information

See Rincon, GA salary details

$19

$38

$62

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

As of Aug 16, 2026, the average hourly pay for remote behavioral health utilization review in Rincon, GA is $38.44, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.13 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 job categories do people searching Remote Behavioral Health Utilization Review jobs in Rincon, GA look for?

The top searched job categories for Remote Behavioral Health Utilization Review jobs in Rincon, GA are:

What cities near Rincon, GA are hiring for Remote Behavioral Health Utilization Review jobs?

Cities near Rincon, GA 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 Rincon, GA as of June 2026, with employment types broken down into 46% Full Time, 52% Part Time, and 2% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,957 per year, or $38.4 per hour.

Clinical Coding Specialist

St. Joseph's/Candler

Savannah, GA • Remote

$20.20/hr

Full-time

Re-posted 2 days ago

St. Joseph's/Candler Health System rating

7.0

Company rating: 7.0 out of 10

Based on 20 frontline employees who took The Breakroom Quiz

Job description

  • Position Summary
    • This position is responsible for final coding of outpatient account types. Clinical Coding Specialist must be able to assign ICD-10-CM and CPT codes to outpatient encounters including emergency department visits, clinic visits, oncology treatment visits, recurring outpatient therapy and infusion center visits, diagnostic exams and testing, and laboratory reference accounts. Attention to detail is required for accurate capture of data elements, knowledge of coding and regulatory guidelines, and billing rules, commitment to ethical and compliant coding practices.
  • Education
    • Associates of Health Information Administration - Preferred
  • Experience
    • 1 Year outpatient coding experience - Preferred (applies to certified applicants)
    • 5-7 Years of comparable experience - Required (applies to non-certified applicants)
  • License & Certification
    • Certification by American Health Information Management Association (AHIMA) CCA, RHIT, RHIA, CCS; or certification by the American Academy of Professional Coders (AAPC) CPC or COC - Preferred
  • Core Job Functions
    • Accurately reviews medical records and assigns diagnosis and procedure codes utilizing the computerized encoding software system; resolves all national correct coding and outpatient code edits; and appends appropriate modifiers to CPT and HCPCS codes. Abstracts required information as needed. Validates admission and discharge data; reviews account for any aberrant charges.
    • Follows the standards of professionalism set forth by AHIMA and AAPC. Ethically and accurately assigns diagnosis codes in compliance with the ICD-10-CM Official Coding Guidelines, Coding Clinic, and  CPT procedure codes in accordance with the CPT guidelines and CPT Assistant guidance.  
    • Reviews record for missing documentation that prevents final coding and places the account on hold. Monitors accounts on hold.
    • Maintains certification and engages in continuing education activities. Stays up-to-date on regulations including national and local policies. Shares knowledge with the rest of the team.
    • Able to work independently and maintain quality and productivity standards in a remote, HIPAA compliant home environment to ensure goals are met. Identifies and escalates any obstacles to fulfilling job responsibilities. Takes initiative to resolve technical issues and maintains strong communication with coding management.

What St. Joseph's/Candler Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply