This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
New York, NY · On-site +1
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
New York, NY · On-site +1
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Dane Street is a national leader in Utilization Review and Independent Medical Review services. We ...
Utilization Review RN
New York, NY · Remote
... disability insurance benefits, dental, vision, behavioral health benefit services, as well as ... Additional Info: *possible remote opportunity after training if candidate demonstrates ...
Utilization Review RN
New York, NY · Remote
... disability insurance benefits, dental, vision, behavioral health benefit services, as well as ... Additional Info: *possible remote opportunity after training if candidate demonstrates ...
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Physician Reviewer - Utilization Management
New York, NY · Remote
$219K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Quick apply
Physician Reviewer - Utilization Management
New York, NY · Remote
$219K/yr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Quick apply
Physician Reviewer (Part -Time) - Utilization Management
New York, NY · Remote
$140 - $145/hr
Oscar is the first health insurance company built around a full stack technology platform and a ... This is a remote position, open to candidates who reside in the United States. While your daily ...
Utilization Management Clinical Consultant (Tuesday - Saturday)
New York, NY · Remote
$26.01 - $56.14/hr
Review behavioral health services and treatment plans to determine medical necessity and ... Remote flexibility with a supportive team culture If you're passionate about behavioral health ...
Utilization Management Clinical Consultant (Tuesday - Saturday)
New York, NY · Remote
$26.01 - $56.14/hr
Review behavioral health services and treatment plans to determine medical necessity and ... Remote flexibility with a supportive team culture If you're passionate about behavioral health ...
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?
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used 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 the most commonly searched types of Insurance Utilization Review jobs in New York?
The most popular types of Insurance Utilization Review jobs in New York are:
What are popular job titles related to Remote Insurance Utilization Review jobs in New York?
For Remote Insurance Utilization Review jobs in New York, the most frequently searched job titles are:
- Appeals Nurse Remote
- Remote Content Reviewer
- Remote Utilization Review Social Worker
- Home Based Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Full Time Remote Utilization Review Nurse
- Remote Dental Clinical Reviewer
- Evening Utilization Review Nurse
- Night Shift Remote Utilization Review Nurse
- Remote Utilization Review Physical Therapist
What job categories do people searching Remote Insurance Utilization Review jobs in New York look for?
The top searched job categories for Remote Insurance Utilization Review jobs in New York are:
- Remote Weekend Utilization Review
- Overnight Remote Utilization Review
- Seasonal Remote Utilization Review
- Lpn Utilization Review
- Remote Physical Therapy Utilization Review
- Online Utilization Review
- Nurse Practitioner Utilization Review
- Remote Chiropractic Utilization Review
- Remote Rn Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
What cities in New York are hiring for Remote Insurance Utilization Review jobs?
Cities in New York with the most Remote Insurance Utilization Review job openings:
Physician Reviewer - Psychiatry (Utilization Review)
New York, NY • On-site, Remote
Dane Street, LLC
• Insurance Actuarial and Claim Adjusting Services • 51 - 200 employees51 - 200 employees
Contractor
Re-posted 29 days ago
Job description
Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities:
Role Highlights:
Requirements:
About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities:
- Review medical records to determine the medical necessity of services
- Utilize state-specific workers' compensation guidelines and nationally recognized criteria
- Submit clear, concise, and well-supported determinations
- Complete reviews within required timeframes (typically 1-5 business days)
- Participate in peer-to-peer calls as needed (coordinated by Dane Street)
- Complete addenda when new information is provided
Role Highlights:
- Independent contractor (1099) status
- Average case takes 15 minutes or less
- Flat rate per case - consistent, supplemental income
- Fully remote - work from anywhere
- You control volume and availability
- No direct patient interaction or treatment
- Chronological, pre-organized medical records provided
- User-friendly portal and streamlined case management
- Full onboarding and ongoing support included
Requirements:
- Board Certification in Psychiatry
- Active, unrestricted New York medical license
- Workers' Compensation Board Certification (New York)
- Active clinical practice
About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.
About Dane Street
Sourced by ZipRecruiter
Industry
Insurance actuarial and claim adjusting services
Company size
51 - 200 Employees
Headquarters location
Boston, MA, US