ZipRecruiter

Log In

2

Remote Medical Utilization Review Physician Jobs in Springfield, IL

Springfield Clinic

Certified Coder

Springfield, IL · On-site +1

$22.50 - $30/hr

Responsible for reviewing and analyzing documentation present in the medical record for ... Communicates with hospitals/physicians to obtain additional documentation when needed to complete ...

next page

Showing results 1-20

All JobsMedical Utilization Review Physician JobsRemote Medical Utilization Review Physician JobsRemote Medical Utilization Review Physician Jobs in Springfield, IL

Remote Medical Utilization Review Physician information

See Springfield, IL salary details

$21

$41

$68

How much do remote medical utilization review physician jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote medical utilization review physician in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What does a remote medical utilization review physician do?

A Remote Medical Utilization Review Physician evaluates medical records and treatment plans to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Working remotely, they review clinical documentation, apply evidence-based guidelines, and make recommendations regarding approvals or denials of insurance claims. They also collaborate with healthcare providers, case managers, and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role is vital in maintaining high standards of patient care and compliance with regulations.

What are the key skills and qualifications needed to thrive as a remote medical utilization review physician?

To thrive as a Remote Medical Utilization Review Physician, you need a valid medical degree (MD or DO), active medical license, and thorough knowledge of clinical guidelines and insurance regulations. Familiarity with electronic medical record systems, utilization management software, and board certification in a relevant specialty are typically required. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help ensure objective and effective case reviews. These competencies are essential for accurately assessing medical necessity, ensuring compliance, and supporting quality patient care while managing healthcare costs.

What are some common challenges faced by remote medical utilization review physicians, and how can they be managed?

Remote Medical Utilization Review Physicians often encounter challenges such as navigating complex insurance policies, staying updated with evolving clinical guidelines, and communicating effectively with healthcare providers who may have differing opinions. Managing these challenges typically involves continuous education, leveraging decision-support tools, and developing strong written and verbal communication skills to explain decisions clearly. Additionally, working remotely requires efficient time management and the ability to maintain focus in a virtual environment, often supported by collaboration platforms and regular check-ins with the broader review team.

What is the difference between Remote Medical Utilization Review Physician vs Remote Medical Case Manager?

AspectRemote Medical Utilization Review PhysicianRemote Medical Case Manager
CredentialsMedical degree, medical license, certification in utilization reviewNursing or social work degree, case management certification
Work EnvironmentPerforming reviews, analyzing medical records remotelyCoordinating care, communicating with providers and patients remotely
Employer & IndustryInsurance companies, third-party administrators, healthcare organizationsInsurance companies, healthcare providers, case management firms

The Remote Medical Utilization Review Physician primarily evaluates medical necessity and approves or denies treatment requests, requiring medical licensure and certification. In contrast, the Remote Medical Case Manager focuses on coordinating patient care and facilitating communication between providers and patients, often with nursing or social work credentials. Both roles are remote, serve the healthcare and insurance industries, but differ in their core responsibilities and required qualifications.

What are popular job titles related to Remote Medical Utilization Review Physician jobs in Springfield, IL?

For Remote Medical Utilization Review Physician jobs in Springfield, IL, the most frequently searched job titles are:

What job categories do people searching Remote Medical Utilization Review Physician jobs in Springfield, IL look for?

The top searched job categories for Remote Medical Utilization Review Physician jobs in Springfield, IL are:

What cities near Springfield, IL are hiring for Remote Medical Utilization Review Physician jobs?

Cities near Springfield, IL with the most Remote Medical Utilization Review Physician job openings:

Remote Medical Utilization Review Physician jobs near you
Infographic showing various Remote Medical Utilization Review Physician job openings in Springfield, IL as of June 2026, with employment types broken down into 88% Full Time, 4% Part Time, and 8% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)

Hone Health Medical Roles

Springfield, IL • Remote

Full-time, Part-time

Re-posted 15 days ago

Job description

Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)

Work from any location, determine your own schedule, and earn extra income while helping women optimize their health and hormone levels with one of the fastest-growing health companies in the country. Seeking Obstetrics/Gynecology, Internal Medicine, or Family Medicine physicians, and all other physicians with deep knowledge and experience in prescribing for midlife women's healthcare. Please review and respond to the three applicant qualification questions we ask of our applicants at the bottom. We are specifically looking for physicians who specialize in men's health and have experience prescribing testosterone and other hormone-boosting pharmaceuticals. Our services also include men's hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well. We are currently looking for physicians nationwide and highly value physicians who are licensed in multiple states.

Who We Are:

We are a modern health company committed to giving our patients confidence as they age. Our goal is to help our patients break through highly stigmatized conditions using education and increasing access by making care more convenient and affordable. From initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women's health. We are currently seeking part-time and full-time telemedicine physicians who want to be part of the health revolution. You will have the opportunity to leverage emerging technologies and provide digital telemedicine consultations to patients in the states in which you are licensed from the comfort of your home. We provide a training program and a supportive environment to help you improve your video consultation skills, including comprehensive technical support.

Your Responsibilities:

  • Perform telemedicine consultations from our HIPAA-compliant video interface.
  • Provide outstanding service and care to women in midlife navigating perimenopause, menopause, and other common midlife health challenges.
  • Treat men who are looking to optimize their health and hormones, if this is a patient population you also have experience treating.
  • Review lab results with patient and provide treatment options.
  • Educate patients and create individualized treatment plans.
  • Titrate medications based on patient outcomes.
  • Prescribe medications if necessary based on your clinical diagnosis.
  • Provide feedback to us to continually improve the patient experience.

We are currently recruiting nationwide. Experience with telemedicine is a plus. Holding multiple state licenses is a plus.

Requirements:

  • Available at a minimum of 6-8 hours/week for consultations, ideally 8-12 hours or more.
  • You are an MD or DO who holds a valid license, ideally in multiple states.
  • Minimum of 2 years of experience in Obstetrics/Gynecology, Internal Medicine, Family Medicine, and/or Hormone Replacement Therapy is preferred. 
  • NCMP (NAMS-certified menopause practitioner) certification is preferred.
  • Possess an unrestricted DEA license and have prescribed Schedule III controlled substances.
  • Excellent communication skills with a focus on physician-patient interaction.
  • Comfortable with technology and video consultations, or the desire to learn.
  • You are not just a pill pusher, but you have a deep profound care for hormone optimization.
  • You are a self-starter who likes to be part of innovative mission-driven environments.
  • You're intellectually curious and are always striving to improve patient outcomes.
  • Available to start soon.

Apply