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Remote Occupational Therapy Utilization Review Jobs in California

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Remote Occupational Therapy Utilization Review information

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$23

$44

$66

How much do remote occupational therapy utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote occupational therapy utilization review in California is $44.78, according to ZipRecruiter salary data. Most workers in this role earn between $38.17 and $50.29 per hour, depending on experience, location, and employer.

What is a remote occupational therapy utilization review?

A Remote Occupational Therapy Utilization Review job involves evaluating occupational therapy treatment plans and medical records to ensure they meet insurance guidelines and medical necessity. Professionals in this role work remotely to review documentation, provide recommendations, and collaborate with healthcare providers and insurance companies. Their main goal is to ensure appropriate care while preventing unnecessary costs. Strong analytical skills and knowledge of occupational therapy practices and insurance regulations are essential for this role.

What does a remote occupational therapy utilization review do?

Professionals in Remote Occupational Therapy Utilization Review primarily review clinical documentation to determine the medical necessity and appropriateness of occupational therapy services. Typical daily tasks include analyzing therapy notes, applying payer criteria to case reviews, communicating with providers for clarifications, and documenting decisions within electronic systems. You may also participate in team meetings, provide feedback to therapy staff, and stay updated on changing regulations or insurance policies. This role requires a balance of independent work and frequent collaboration with other utilization reviewers, case managers, and healthcare providers to ensure the highest quality of care and compliance.

What are the key skills and qualifications needed to thrive in remote occupational therapy utilization review?

To thrive as a Remote Occupational Therapy Utilization Review professional, you need a background in occupational therapy, solid clinical assessment skills, and familiarity with medical necessity criteria such as Medicare or insurance guidelines. Experience using electronic medical record (EMR) systems, utilization review software, and knowledge of relevant certifications like OTR/L or CHT are typically required. Attention to detail, critical thinking, and strong written communication skills are highly valued in this role. These abilities are crucial to making accurate determinations, maintaining compliance, and effectively collaborating with healthcare teams and insurers from a remote setting.

What are the most commonly searched types of Occupational Therapy Utilization Review jobs in California?

The most popular types of Occupational Therapy Utilization Review jobs in California are:

What are popular job titles related to Remote Occupational Therapy Utilization Review jobs in California?

For Remote Occupational Therapy Utilization Review jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Occupational Therapy Utilization Review jobs in California look for?

The top searched job categories for Remote Occupational Therapy Utilization Review jobs in California are:

What cities in California are hiring for Remote Occupational Therapy Utilization Review jobs?

Cities in California with the most Remote Occupational Therapy Utilization Review job openings:

Remote Occupational Therapy Utilization Review jobs near you
Infographic showing various Remote Occupational Therapy Utilization Review job openings in California as of August 2026, with employment types broken down into 58% Full Time, and 42% Contract. Highlights an 100% Remote job distribution, with an average salary of $93,139 per year, or $44.8 per hour.

RN - Utilization Review

3B Healthcare, Inc.

Torrance, CA • Remote

Full-time

This job post has expired 3 days ago. Applications are no longer accepted.

Job description

Registered Nurse – Utilization Review (Remote)This is a fully remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS).Minimum of 3 years acute medical Care Management/Utilization Review experience in a hospital setting (experience in health plans or medical groups is not applicable).InterQual experience is mandatory; candidates without this will not be considered. Proficient in Epic, with recent use within the last 6–12 months. Experience working with HMOs, IPAs, and similar managed care organizations. Strong knowledge of Medicare regulations and associated utilization management processes, including: Condition Code 44 (CC44)Advance Beneficiary Notices (ABNs)Hospital-Issued Notices of Noncoverage (HINNs)Medicare Coverage Status Notices (MCSNs)

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