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Remote Optum Health Utilization Review Jobs (NOW HIRING)

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

Meadows Behavioral Healthcare offer a range of specialized programs including residential ... As the Utilization Review Coordinator, you will develop and implement systems for authorizations ...

VIVA USA INC

Utilization Review Nurse

Nashville, TN · On-site +1

$37.22 - $42.22/hr

Registered Nurse responsible for collaborating with healthcare providers, members, and business ... Remote Contract to Hire VIVA is an equal opportunity employer. All qualified applicants have an ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$84K - $118K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Assess and coordinate discharge planning needs with healthcare team members. * May prepare ...

CommonSpirit Health

Job Summary and Responsibilities As our Utilization Review Nurse at the Utilization Management Hub, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in ...

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How much do remote optum health utilization review jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for remote optum health utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Remote Optum Health Utilization Review vs Remote UnitedHealth Group Utilization Review?

AspectRemote Optum Health Utilization ReviewRemote UnitedHealth Group Utilization Review
CertificationsTypically requires RN, LPN, or medical reviewer credentialsSimilar certifications, often RN or licensed healthcare professionals
Work EnvironmentRemote, healthcare insurance settingRemote, healthcare insurance setting
Employer & IndustryOptum, part of UnitedHealth Group, healthcare and insuranceUnitedHealth Group, healthcare and insurance
Job ResponsibilitiesReview medical necessity, authorizations, and claimsReview medical necessity, authorizations, and claims

Both roles involve remote medical review within the healthcare insurance industry, focusing on medical necessity and claims. The main difference lies in the specific employer, with Optum being a subsidiary of UnitedHealth Group. The certifications, work environment, and job responsibilities are very similar, making them comparable roles for healthcare professionals seeking remote utilization review positions.

What cities are hiring for Remote Optum Health Utilization Review jobs? Cities with the most Remote Optum Health Utilization Review job openings:
What are the most commonly searched types of Optum Health Utilization Review jobs? The most popular types of Optum Health Utilization Review jobs are:
What states have the most Remote Optum Health Utilization Review jobs? States with the most job openings for Remote Optum Health Utilization Review jobs include:
Remote Optum Health Utilization Review jobs near you
Utilization Review Coordinator

Utilization Review Coordinator

Meadows of Wickenburg Inc

Phoenix, AZ • On-site, Remote

Full-time

Posted 12 days ago

Job description

This is where you change your story...
At Meadows we understand that new directions to career advancing, and improvement can be scary, but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!
Who are we?
Meadows Behavioral Healthcare is a leader in the behavioral health industry. Meadows Behavioral Healthcare offer a range of specialized programs including residential, outpatient and virtual treatment. We provide care for drug and alcohol addiction, trauma, sexual addiction, behavioral health conditions, and co-occurring disorders. We offer state-of-the-art care including neurofeedback and other services. Our evidence-based approach is rooted in decades of clinical experience, with more than 45 years in the field. Our approach is different and success stories from our patients are the proof.
Who are you?
Are you compassionate, innovative and have a passion to make an impact? Are you looking to get your foot in the door with a company that will believe in your abilities and train you to advance? 80% of our current top-level executive staff are organic internal promotions from within.
We might be a perfect fit for you!
Position Summary:
As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You will conduct pre-certs, concurrent and extended reviews. You will ensure quality documentation of patient care.
Responsibilities:
  • Utilization Review:
    • Provide professional and thorough communication with external representatives to obtain authorization for admission and continued stay.
    • Monitor each step of the authorization process to proactively identify potential problems and optimize outcome.
    • Minimize the number of cases that need to be referred for psychiatric peer/peer review.
    • Interact with patient care staff to assure patient assessment and treatment plan is accurately and consistently reflected in facility documentation.
    • Prioritize multiple and various types of case activity, coordinate with UM team to ensure all deadlines are met with highest possible quality of delivery.
    • Maintain cumulative documentation regarding action taken during the UR process.
    • Conduct reviews to ensure that services and documentation conform to the facility protocols, and the requirements of third-party payer sources.
  • Clinical Team Member
    • Interact with patient care staff as noted above.
    • Attend treatment staffing and other scheduled meetings to obtain and present information on patient status, care and stay.
    • Communicate authorization status, issues or problems to appropriate staff/departments.
  • Payer Management
    • Obtain and maintain authorization for each patient. Problem-solve issues relating to stay or service.
    • Respond quickly and effectively to requires for information.
    • Nurture positive and professional relationships with external (third-party payers) sources.

Education and Experience:
  • Bachelor's degree required
  • 3-5 years of experience in utilization review in a behavioral health setting
  • Strong communication skills
  • Ability to work in a fast-paced environment

We are a Drug Free Company. All positions are designated as Safety Sensitive positions and in light of our company mission, the Company does not employ medical marijuana cardholders. Following an offer of employment, and prior to reporting to work, all applicants will be required to submit to and pass a substance abuse screen.
Meadows Behavioral Health is an equal opportunity employer committed to diversity and inclusion in the workplace. Qualified candidates will receive consideration without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status or any other factor protected by applicable federal, state or local laws. Meadows Behavioral Health provides reasonable accommodations to individuals with disabilities and if you need reasonable accommodation during any time of the employment process, please reach out.

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