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Remote Hca Utilization Review Jobs (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$78K - $110K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l PRN Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on candidate ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$84K - $118K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Reviewed admissions and service requests for medical necessity, reimbursement compliance, and ...

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Remote Hca Utilization Review information

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$42

$68

How much do remote hca utilization review jobs pay per hour?

As of Jul 22, 2026, the average hourly pay for remote hca 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 Remote Hca Utilization Review vs Remote Hca Case Manager?

AspectRemote Hca Utilization ReviewRemote Hca Case Manager
CredentialsTypically requires healthcare-related certifications, such as RN or licensed healthcare professionalOften requires RN, social work, or case management certifications
Work EnvironmentPrimarily reviewing medical necessity and insurance coverage remotelyManaging patient cases, coordinating care, and discharge planning remotely
Employer & Industry UsageUsed by health insurance companies, healthcare providers, and utilization review organizationsEmployed by hospitals, insurance companies, and healthcare organizations

Remote Hca Utilization Review focuses on assessing medical necessity and insurance coverage, while Remote Hca Case Managers handle patient care coordination and discharge planning. Both roles require healthcare credentials and are integral to healthcare management, but they differ in daily responsibilities and focus areas.

More about Remote Hca Utilization Review jobs
What cities are hiring for Remote Hca Utilization Review jobs? Cities with the most Remote Hca Utilization Review job openings:
What are the most commonly searched types of Hca Utilization Review jobs? The most popular types of Hca Utilization Review jobs are:
What states have the most Remote Hca Utilization Review jobs? States with the most job openings for Remote Hca Utilization Review jobs include:
What job categories do people searching Remote Hca Utilization Review jobs look for? The top searched job categories for Remote Hca Utilization Review jobs are:
Remote Hca Utilization Review jobs near you
Infographic showing various Remote Hca Utilization Review job openings in the United States as of July 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.
ABA Utilization Review (UR) Specialist

ABA Utilization Review (UR) Specialist

Spectrum Billing Solutions

Skokie, IL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 24 days ago

Job description

​
Spectrum Billing Solutions offers industry-leading revenue cycle management services for healthcare providers. Our team has deep industry knowledge, technology, and experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner.
We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical information and obtain initial and continuing authorizations for ABA and related services. The ideal candidate is passionate, motivated, detail-oriented and interested in working in a cohesive and rewarding environment.
This is a fully remote or office/home hybrid position.
Your Responsibilities:
  • Review patient admission and clinical information to ensure medical necessity and compliance of utilization review guidelines.
  • Obtain initial and continuing authorization for treatment services.
  • Manage authorization denials including referral for peer review.
  • Document and record all necessary information.
  • Monitor and track new and ongoing authorization cases.
  • Collaborate and communicate with clinical staff to ensure necessary information is obtained and timely reviews are performed.
  • Assist external clients in understanding payer requirements for authorizations.
  • Participate in team meetings.
  • Maintain confidentiality of patient information and adhere to HIPAA regulations.
What we offer you:
  • Flexible work environment 
  • Competitive Salary
  • A close-knit team of talented and skilled individuals.
  • Growth opportunities 
  • Benefits – Medical, Dental, Vision
  • Flexible Paid Time Off
  • 401K with Company match
  • Supplemental Benefits
Qualifications:
  • 3-5 years of related ABA and/or Behavioral Health experience.
  • Bachelor’s or master’s degree preferred.
  • Superior written and oral communication skills
  • Attention to detail to ensure necessary information is captured and properly documented.
  • Ability to work independently and within a team.
  • Ability to multi-task, prioritize and meet expected deadlines.
  • Solid understanding of insurance benefits and coverages.
  • Strong computer skills (Word, Excel, billing software).
  • Understanding of mental and behavioral health treatment services.
Utilization Review Specialist | Utilization Management Specialist | UR Specialist | Revenue Cycle Specialist | Insurance Specialist | UR Specialist | Revenue Cycle Utilization Review Specialist | ABA Utilization Review Specialist | ABA Utilization Management Specialist | ABA UR Specialist | Behavioral Health Billing Specialist 
​#UtilizationReviewSpecialist | #UtilizationManagementSpecialist | #URSpecialist | #RevenueCycleSpecialist | #InsuranceSpecialist | #URSpecialist | #RevenueCycleUtilizationReviewSpecialist | #ABAUtilizationReviewSpecialist | #ABAUtilizationManagementSpecialist | #ABAURSpecialist | #BehavioralHealthBillingSpecialist 
 

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