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Remote Insurance Utilization Review Jobs in Hartford, CT

This role can have a Hybrid or Remote work schedule. Candidates who live near one of our office ... Review and thoughtfully evaluate portfoliolevel architectural choices, evaluation approaches ...

Every application submitted through Workday is reviewed by a real person, not an AI. We value your ... Provide remote and occasional on-site Level 2 technical support to ADNET clients through telephone ...

Every application submitted through Workday is reviewed by a real person, not an AI. We value your ... Provide remote and occasional on-site Level 2 technical support to ADNET clients through telephone ...

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... Insurance or other industry designations. Principal Duties & Responsibilities • Manages the daily ...

Mgr, Claims Operations

Windsor, CT · Remote

$90K - $120K/yr

If the role is remote, there may be occasions that you are requested to come to the office based on ... Insurance or other industry designations. Principal Duties & Responsibilities Manages the daily ...

Showing results 21-40

Remote Insurance Utilization Review information

See Hartford, CT salary details

$21

$42

$69

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 Hartford, CT is $42.65, according to ZipRecruiter salary data. Most workers in this role earn between $33.70 and $48.99 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 job categories do people searching Remote Insurance Utilization Review jobs in Hartford, CT look for?

The top searched job categories for Remote Insurance Utilization Review jobs in Hartford, CT are:

What cities near Hartford, CT are hiring for Remote Insurance Utilization Review jobs?

Cities near Hartford, CT with the most Remote Insurance Utilization Review job openings:

Remote Licensed Independent Clinical Social Worker (LICSW) - Full-Time Position

OzCare Mental and Behavioral Center

Springfield, MA • Remote

$80K - $104K/yr

Full-time

Medical, Dental, Vision

Posted 4 days ago


Job description

Position Overview

OzCare Mental and Behavioral Center is actively seeking a passionate and skilled Licensed Independent Clinical Social Worker (LICSW) for a full-time, remote position. This role presents an incredible opportunity for a dedicated professional to make a meaningful impact in the lives of individuals and families while working from the comfort and flexibility of their home.

About the Organization

OzCare Mental and Behavioral Center is committed to providing comprehensive mental health services to the community in Springfield, Massachusetts. Our mission is to foster emotional and psychological well-being through compassionate and evidence-based care. We pride ourselves on a collaborative network of mental health professionals dedicated to enhancing patient experiences and outcomes.

Work Environment

This position is entirely remote, allowing for flexibility in work hours and the eradication of daily commutes. You will operate within a supportive virtual environment, using advanced telehealth platforms to provide care. Our organization values work-life balance, and we encourage our team members to create schedules that facilitate both personal fulfillment and professional productivity.

Key Responsibilities
  • Conduct thorough clinical assessments via telehealth to evaluate patient needs and develop customized treatment plans based on evidence-based practices and solution-focused techniques.
  • Implement therapeutic interventions, including cognitive-behavioral therapy (CBT) and dialectical behavior therapy (DBT), tailoring approaches to meet the diverse needs of clients in a remote format.
  • Maintain precise clinical documentation and ensure compliance with ethical and professional standards by utilizing secure electronic health record (EHR) systems.
  • Engage in collaborative care by communicating with psychiatrists, psychologists, and other practitioners through virtual consultations and meetings.
  • Convene regular case discussions and peer reviews through video conferencing to enhance collective treatment outcomes.
  • Offer educational support to patients and their families regarding mental health topics, treatment alternatives, and available community resources using digital communication tools.
  • Continuously update your knowledge on mental health developments by participating in online webinars and virtual conferences, integrating new insights into your clinical practice.
Patient Population / Client Focus

You will work with a diverse array of patients, including children, adolescents, and adults facing various mental health challenges. By utilizing innovative technology and an empathetic approach, you will ensure that each client receives personalized care that promotes recovery and resilience.

Qualifications
  • A Master's degree in Social Work from an accredited institution.
  • A current license to practice as a Licensed Independent Clinical Social Worker (LICSW) in Massachusetts.
  • A minimum of two years of clinical experience, particularly in psychotherapy.
  • Proficiency in solution-focused therapeutic techniques suited for remote delivery.
  • Exceptional communication and interpersonal skills to foster effective relationships with clients through virtual platforms.
  • Strong analytical and critical thinking skills to address challenges arising in a remote work setting.
  • Ability to work both independently and in collaboration with a virtual team.
Preferred Experience
  • Prior experience with telehealth practices or remote psychotherapy is advantageous.
  • Familiarity with various evidence-based practices and their application in a remote format.
  • Experience in working with diverse populations, particularly in educational settings or schools.
Compensation and Benefits
  • Competitive annual salary ranging from $80,000 to $104,000, commensurate with experience.
  • Comprehensive medical, dental, and vision insurance to enhance your personal well-being.
  • Life and disability insurance coverage, providing security for you and your loved ones.
  • Malpractice insurance, which supports your professional practice in a remote context.
  • Access to an employee assistance program for additional mental health resources and support.
  • Professional liability insurance, ensuring your peace of mind in providing virtual therapy.
  • Unlimited referrals, offering a strong patient base to effectively manage your caseload.
  • Streamlined administrative frameworks to reduce paperwork, allowing you to spend more time focused on patient care.
Career Growth Opportunities

At OzCare, we prioritize the growth and development of our team members. We offer regular training and continuing education opportunities, pathways for professional advancement, and a supportive environment that encourages personal and professional growth in the mental health sector.

Why Join Our Team

By joining OzCare Mental and Behavioral Center, you will be part of a dedicated team that values compassion, expertise, and collaborative care. This is not just a job; it's a chance to significantly enhance the lives of individuals and families within your community. Your work will directly contribute to improving mental health outcomes and building a resilient society.

Application Information

If you are ready to embark on a fulfilling and impactful career in the field of mental health, we encourage you to apply today. Don't miss the opportunity to be part of a dynamic team dedicated to making a difference in the lives of others. Submit your application, and start your journey with us at OzCare Mental and Behavioral Center!