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Remote Insurance Utilization Review Jobs in Connecticut

Aflac Incorporated

Behav Health Clinician Rev

Windsor, CT · Remote

$75K - $90K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... Utilization review experience and/or experience using specific behavioral health criteria or ...

Aflac, Incorporated

Behav Health Clinician Rev

Windsor, CT · Remote

$75K - $90K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... Utilization review experience and/or experience using specific behavioral health criteria or ...

Orion Placement

Insurance Coverage Attorney

Rocky Hill, CT · On-site +1

$100K - $198K/yr

... a remote role. Candidates may be located anywhere in Connecticut; however, residence near Rocky ... Review complex insurance contracts and evaluate coverage, regulatory, and litigation-related legal ...

Gateway Recruiting

Territory Manager

New Haven, CT · Remote

... sustained utilization. * Strong understanding of payor and insurance reimbursement landscape ... Remote monitoring workflow development, Utilization ramp and adoption metrics * Strong executive ...

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.

Beacon Talent

Remote Psychiatrist

Stamford, CT · Remote

$150 - $200/hr

... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...

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All JobsInsurance Utilization Review JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Connecticut

Remote Insurance Utilization Review information

What is a remote insurance utilization review?

Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.

What skills and qualifications are needed for a remote insurance utilization review specialist?

To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.

How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?

Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.

What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed across insurance sectors to process and validate claims

Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.

What are popular job titles related to Remote Insurance Utilization Review jobs in Connecticut?

For Remote Insurance Utilization Review jobs in Connecticut, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Utilization Review jobs in Connecticut look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Connecticut are:

What cities in Connecticut are hiring for Remote Insurance Utilization Review jobs?

Cities in Connecticut with the most Remote Insurance Utilization Review job openings:

Remote Insurance Utilization Review jobs near you
Infographic showing various Remote Insurance Utilization Review job openings in Connecticut as of August 2026, with employment types broken down into 94% Full Time, and 6% Contract. Highlights an 100% Remote job distribution.

Utilization Review Therapist: Billing and Patient Accts- License Eligible Masters Required- Remote!

Windsor, CT • On-site, Remote

Community Health Resources
Offices of Mental Health Practitioners • 501 - 1,000 employees
Learn more about Community Health Resourcesexternal

$57K - $86K/yr

Full-time

Medical, Retirement, PTO

Re-posted 16 days ago

Job description

Recognized as a Top Workplace for 13 consecutive years! Your career can mean different things in different workplaces. Apply with CHR now to see what it's like to work somewhere your voice is heard, your wellness is a priority, and your success matters.
JOB TITLE: Utilization Review Therapist
EMPLOYMENT TYPE: Full-time, 40 hours/wk
SCHEDULED HOURS: Monday-Friday 8:00AM-4:30PM
PROGRAM/LOCATION: Billing & Patient Accounts, Windsor, CT/ Must be a resident of CT, MA, or RI only
PC#: 3146
DUTIES & RESPONSIBILITIES: Utilization Review Therapist
  • Oversees and manages all authorization activities related to IOP and Residential programs.
  • Ensures that all admissions and continued stays meet medical necessity
  • Works with service director to ensure that IOP and Residential documentation and programming meet all relevant regulatory and funder expectations.

QUALIFICATIONS:
Education: Master's degree in behavioral health field
Experience: Experience in providing behavioral health treatment
Licensure/Certification/Registration: Eligible for licensure in behavioral health field
Training: Behavioral health interventions, understanding of documentation and medical necessity expectations, working with insurers
Why Join CHR?
Be part of an exciting, supportive, and dynamic workplace where your growth and well-being are our top priorities!
  • Comprehensive benefits packages include health insurance, ample paid time off (including your birthday!), employer contributions to your 403b Retirement Plan, and competitive insurance premiums with added discounts on pet, home and auto!
  • Tuition reimbursement and professional development programs, including exclusive tuition discounts for CHR employees at several local colleges/universities
  • Career development opportunities! FREE robust training curriculum, featuring our Clinical Training Series for interactive learning, practical skill enhancement, and professional growth! Clinical supervision and/or mentoring offered at several programs
  • Wellness program: Annual wellness stipend, FREE premium subscription to the Calm app, 6 FREE confidential counseling sessions through our Employee Assistance Program
  • Employee appreciation and involvement, including contests, lunch & learns (meet with our CEO!), employee appreciation events, employee-led resource groups open to all, and more!

And so much more! (Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility)
COMPENSATION*:
$57,506.80/yr minimum- $86,023.39/yr maximum*
*Actual rates within this range are determined at the time of offer and are based on relevant experience, as well as adherence to our internal equity policy. (Please note, for part-time positions this range would be pro-rated based on hours worked)
CHR is an equal opportunity employer, and we encourage all to apply.
Take the first step to a meaningful career and apply to CHR today!
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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