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Remote Insurance Utilization Review Jobs in Dublin, GA

Remote Insurance Utilization Review information

See Dublin, GA salary details

$18

$36

$58

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

As of Aug 22, 2026, the average hourly pay for remote insurance utilization review in Dublin, GA is $36.06, according to ZipRecruiter salary data. Most workers in this role earn between $28.51 and $41.39 per hour, depending on experience, location, and employer.

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 Dublin, GA?

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

What job categories do people searching Remote Insurance Utilization Review jobs in Dublin, GA look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Dublin, GA are:

What cities near Dublin, GA are hiring for Remote Insurance Utilization Review jobs?

Cities near Dublin, GA with the most Remote Insurance Utilization Review job openings:

Remote Mental Health Therapist - Licensed Clinical Social Worker (LCSW)

Company Confidential

Dublin, GA • Remote

$80K - $104K/yr

Full-time

Medical, Dental, Vision

Posted 4 days ago


Job description

Position Overview

Gotham Enterprises Ltd is actively seeking a dedicated and fully licensed Clinical Social Worker (LCSW) for a rewarding full-time, remote position within our innovative mental health outpatient clinic. This role offers the unique opportunity to make a meaningful impact on the lives of individuals struggling with various mental health challenges while working in an environment that prioritizes employee well-being and professional development.

About the Organization

At Gotham Enterprises Ltd, our mission is to deliver exceptional mental health care to communities across the nation, ensuring accessibility regardless of geographic limitations. We are committed to fostering a supportive environment where both patients and employees can thrive. Our clinical team is composed of experienced mental health professionals united by a passion for helping others achieve their treatment goals through evidence-based practices and compassionate care.

Work Environment

This position is fully remote, enabling you to work from the comfort of your home in Dublin, Georgia, while collaborating with a diverse team of skilled professionals across the country. Our digital platforms facilitate seamless communication and teamwork, ensuring that you feel connected and supported, no matter where you are located. The remote setting allows for flexible hours, promoting a work-life balance that recognizes the importance of personal well-being.

Key Responsibilities

As a Licensed Clinical Social Worker at Gotham Enterprises Ltd, your role will encompass a variety of critical functions:

  • Conduct comprehensive clinical assessments to understand the unique needs of each patient you serve, followed by the development of tailored treatment plans utilizing established best practices.
  • Utilize a range of therapeutic interventions, including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), to effectively address clients' mental health concerns.
  • Maintain thorough and timely clinical documentation in alignment with HIPAA regulations and institutional standards, ensuring the highest level of compliance and patient confidentiality.
  • Collaborate closely with fellow mental health professionals, such as psychiatrists and psychologists, to coordinate care and optimize treatment approaches.
  • Engage in case consultations and peer review meetings regularly, fostering an environment of continuous feedback and improvement to elevate the quality of care provided.
  • Educate and empower patients and their families about mental health issues, available treatment options, and community resources to ensure holistic support.
  • Stay informed about the latest research and advancements in the mental health field, integrating new knowledge into your clinical practice for enhanced patient outcomes.
Patient Population / Client Focus

Your work will directly impact a diverse patient population, ranging from children to adults, each facing distinct mental health challenges. Whether addressing anxiety, depression, trauma, or other disorders, you will employ tailored methodologies to facilitate healing and growth. Your ability to connect with clients from various backgrounds will be pivotal in building trust and rapport, ultimately leading to positive treatment outcomes.

Qualifications
  • A Master’s degree in Social Work from an accredited institution.
  • A valid license to practice as a Licensed Clinical Social Worker (LCSW) in the state of Georgia.
  • At least 2 years of clinical experience, with a focus on delivering psychotherapy services.
  • Proficiency in employing solution-focused psychotherapy techniques and interventions.
  • Demonstrated excellence in communication and interpersonal skills, vital for effective patient engagement.
  • Strong analytical and critical thinking abilities to navigate complex patient scenarios.
  • The capability to collaborate effectively within an interdisciplinary team.
Preferred Experience

Experience working with specific populations, such as children or individuals with severe mental health disorders, is preferred but not mandatory. Familiarity with electronic health records (EHR) and telehealth platforms will enhance your ability to thrive in this remote setting.

Compensation and Benefits
  • Annual salary between $80,000 and $104,000, commensurate with experience and qualifications.
  • Comprehensive health benefits, including medical, dental, and vision insurance.
  • Life and disability insurance coverage, offering peace of mind for you and your family.
  • Malpractice insurance coverage to safeguard your professional practice.
  • Employee assistance program providing access to mental health support and counseling services.
  • Paid professional liability insurance, ensuring you are adequately protected in your practice.
  • Unlimited referrals to ensure a steady patient base, allowing you to focus on quality care.
  • Reduced administrative burden, allowing for more patient interaction and less paperwork.
  • Access to full caseloads to create a challenging and fulfilling work environment.
Career Growth Opportunities

At Gotham Enterprises Ltd, we value the professional development of our team members. You'll have access to ongoing training, workshops, and seminars to enhance your clinical skills and keep you updated on industry trends. Additionally, there are opportunities for leadership roles and specialization within the organization as you grow in your career.

Why Join Our Team

By becoming a part of Gotham Enterprises Ltd, you will join a community dedicated to impactful mental health care. We prioritize a collaborative culture that values each team member's contributions and fosters an environment of continuous learning and support. If you are passionate about making a difference in the mental health space and are seeking an engaging, supportive workplace, we invite you to apply for this rewarding opportunity.

Application Information

If you are interested in joining our dedicated team of mental health professionals, please submit your application, including a resume and a cover letter highlighting your qualifications and experience. We look forward to learning more about you and how you can contribute to our mission of delivering exceptional mental health care to communities in need.