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Remote Behavioral Health Utilization Review Jobs in Springfield, MA

Quest Global

Aftermarket Field Rep- Remote

Windsor, CT · Remote

$29 - $31/hr

... tech, healthcare, medical devices, rail and semiconductor industries. We are looking for humble ... Review data discrepancies and gaps across multiple systems. Escalate to appropriate channels. What ...

Accounting Fly

Remote Tax Manager

Stafford, CT · Remote

$150K - $170K/yr

Review financials to identify missed planning opportunities and advise on entity structuring and ... Retirement & Health: 401(k) with company match and health insurance with a company contribution.

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All JobsBehavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review JobsRemote Behavioral Health Utilization Review Jobs in Springfield, MA

Remote Behavioral Health Utilization Review information

See Springfield, MA salary details

$21

$42

$68

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

As of Jul 15, 2026, the average hourly pay for remote behavioral health utilization review in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 per hour, depending on experience, location, and employer.

What is a Remote Behavioral Health Utilization Review job?

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 the Remote Behavioral Health Utilization Review position, 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 popular job titles related to Remote Behavioral Health Utilization Review jobs in Springfield, MA? For Remote Behavioral Health Utilization Review jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Remote Behavioral Health Utilization Review jobs in Springfield, MA look for? The top searched job categories for Remote Behavioral Health Utilization Review jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Remote Behavioral Health Utilization Review jobs? Cities near Springfield, MA 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 Springfield, MA as of July 2026, with employment types broken down into 3% As Needed, 82% Full Time, 6% Part Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Licensed Psychiatric Mental Health Nurse Practitioner

Optimum Care Counseling & Wellness

Glastonbury, CT • Remote

$100K - $170K/yr

Part-time

Medical, Retirement, PTO

Re-posted 13 days ago

Job description

Benefits:
  • 401(k) matching
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule
  • Health insurance
  • Paid time off

Come join Optimum Care Counseling and Wellness Solutions

We are seeking licensed Psychiatric Mental Health Nurse Practitioners (PMHNPs) residing in the United States who are passionate about delivering high-quality, patient-centered behavioral healthcare to diverse populations across the United States.
At Optimum Care Counseling and Wellness Solutions, our mission is to empower clients to use their individual strengths to gain insight into their challenges and feel more in control of their lives. As part of our expanding team, you will provide comprehensive psychiatric care while collaborating with an interdisciplinary team of psychiatrists, therapists, and psychologists.
This is a fully remote position, offering both telehealth and in-person opportunities based on patient and program needs. We offer flexible scheduling:
  • Monday–Friday: 7:00 AM – 9:00 PM
  • Saturday: 7:00 AM – 4:00 PM
We are seeking providers available for a minimum of 10–20 hours per week.
The Nurse Practitioner will provide psychiatric evaluations, diagnosis, medication management, and follow-up care to children, adolescents, adults, and older adults. Our practice utilizes a robust Electronic Health Records (EHR) system with an integrated telehealth platform to ensure efficient and secure service delivery.

Practice Support & Resources

  • New patient scheduling
  • Credentialing support
  • Advertising and marketing
  • Copay collection
  • Prior authorizations
  • Patient relations support
  • Established referral base
  • Electronic EHR system
  • Secure phone system (to maintain professional boundaries)
  • Online fax system
  • Paid training
  • Collaborative, team-based work environment

Responsibilities

  • Conduct comprehensive psychiatric evaluations
  • Diagnose and treat mental health conditions
  • Prescribe and manage psychiatric medications
  • Develop and implement individualized treatment plans
  • Collaborate with psychiatrists, therapists, and other healthcare providers
  • Maintain accurate and timely clinical documentation
  • Complete required EHR training modules

Required Qualifications

  • Master’s or Doctoral degree in Nursing 
  • Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
  • Active Connectict CRNP license with prescriptive authority
  • Active Connecticut DEA registration 
  • Strong clinical assessment and diagnostic skills
  • Excellent written and verbal communication skills
  • Ability to build rapport with patients across the lifespan

This is a remote position.