2

Remote Optum Utilization Review Jobs in Rochester, NY

While this is a remote position, candidates must reside in or be willing to relocate to one of the ... Engage in the Utilization Review process for assigned cases every month * Respond to clinical ...

Workforce Planner

Farmington, NY · On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and ...

New

Workforce Planner

Farmington, NY · On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and ...

New

Workforce Planner

Farmington, NY · On-site +1

$62K/yr

Partner with operations to maximize the utilization of UKG Dimensions and VR, adhering to best ... Review and update weekly volume forecasts for key KPIs, aligning with productivity standards, and ...

New

Remote Optum Utilization Review information

See Rochester, NY salary details

$21

$41

$68

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

As of Aug 20, 2026, the average hourly pay for remote optum utilization review in Rochester, NY is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is a Remote Optum Utilization Review?

A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.

What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?

To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.

How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?

As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.

What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Optum Utilization ReviewRemote UnitedHealthcare Utilization Review
CredentialsLicenses in relevant states, certifications like CCM or CRC often preferredLicenses in relevant states, certifications like CCM or CRC often preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & IndustryOptum, healthcare services and utilization managementUnitedHealthcare, health insurance and utilization review

Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.

What are the most commonly searched types of Optum Utilization Review jobs in Rochester, NY?

The most popular types of Optum Utilization Review jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Optum Utilization Review jobs?

Cities near Rochester, NY with the most Remote Optum Utilization Review job openings:

Infographic showing various Remote Optum Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 10% Hybrid, and 90% Remote job distribution, with an average salary of $86,774 per year, or $41.7 per hour.

Full-Time Licensed Mental Health Counselor - Remote Position

Optum Envision Mental and Behavioral Center

North Greece, NY • Remote

$115K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

Optum Envision Mental and Behavioral Center is seeking a dedicated and experienced Licensed Mental Health Counselor to join our compassionate team. This full-time role is offered in a remote work setting, allowing you to provide essential mental health services from your own space while remaining connected with colleagues and patients alike. The salary range for this position is between $115,000 and $130,000 per year, reflecting our commitment to attracting high-caliber talent.

About the Organization

Optum Envision Mental and Behavioral Center is a prominent outpatient facility located in North Greece, New York. We have built a reputation for integrating mental health care with primary medical services, focusing on a holistic approach to patient well-being. Our aim is to create a supportive environment where individuals facing mental health challenges can access the resources they need to thrive, particularly those contending with co-occurring medical issues.

Work Environment

This role is primarily remote, offering flexibility while maintaining a high standard of care. You will work within an outpatient office framework, collaborating virtually with a team of dedicated healthcare professionals. As part of a multidisciplinary team, you will have the opportunity to engage in regular team meetings, case conferences, and collaborative care planning sessions aimed at optimizing patient outcomes.

Key Responsibilities
  • Conduct comprehensive mental health assessments that consider the interplay between psychiatric and medical conditions, ensuring a well-rounded understanding of each patient’s needs.
  • Design and implement integrated treatment plans that address both mental health and physical health aspects, utilizing evidence-based methodologies tailored to individual circumstances.
  • Facilitate individual and group therapy sessions that empower patients to confront their challenges, utilizing therapeutic techniques that promote psychological growth.
  • Work collaboratively with physicians, nurses, and other medical staff members to coordinate seamless patient care and ensure appropriate treatment strategies are followed.
  • Provide crisis intervention services, offering immediate support and guidance during mental health emergencies.
  • Educate patients about the relationship between mental and physical health, equipping them with the skills necessary for managing their overall well-being.
  • Maintain comprehensive records in compliance with legal and ethical standards, utilizing electronic health record (EHR) systems effectively to document patient progress.
  • Engage actively in ongoing professional development and case review processes to enhance clinical skills and maintain current knowledge of best practices.
Patient Population / Client Focus

Your primary focus will be on individuals with complex mental health needs, particularly those facing co-occurring medical conditions such as autoimmune disorders, chronic pain syndromes, and substance use disorders. Our patients often require an integrative approach that acknowledges the interconnectedness of mental and physical health. Your role will be pivotal in guiding them through their unique challenges, fostering resilience, and facilitating recovery.

Qualifications
  • Candidate must hold a Master’s or Doctoral degree in Social Work, Marriage and Family Therapy, Mental Health Counseling, or Psychology from an accredited institution.
  • Possess a current and valid license as an LMHC, LCSW, LCSW-R, Licensed Psychoanalyst, Psychologist, or LMFT in the state of New York.
  • Demonstrated experience in dealing with the mental health needs of individuals experiencing co-occurring medical conditions.
  • Excellent interpersonal and communication skills are essential to build rapport with patients and collaborate with multidisciplinary teams.
  • A commitment to maintaining ethical standards and patient confidentiality in all interactions.
  • Familiarity with EHR systems and various therapeutic interventions is preferred.
Preferred Experience
  • Experience in integrated care settings, particularly with a focus on individuals with chronic and complex health issues.
  • Skills in crisis intervention and management, with a proven track record of effective patient support during emergencies.
  • Active involvement in team-based care and interdisciplinary planning would be advantageous.
Compensation and Benefits

In addition to a competitive salary ranging between $115,000 and $130,000 annually, we offer a comprehensive benefits package that includes:

  • Health insurance including medical, dental, and vision coverage.
  • A retirement savings plan with employer-matching contributions to help you plan for your financial future.
  • Generous paid time off (PTO) and holiday pay to ensure a healthy work-life balance.
  • Professional liability insurance coverage for your peace of mind.
  • Investment in your continued education and professional development opportunities.
Career Growth Opportunities

We are committed to fostering career development within our organization. As a Licensed Mental Health Counselor at Optum Envision, you will have access to various pathways for professional growth, including specialized training in integrated care practices, leadership development programs, and opportunities to take on expanded roles within the organization.

Why Join Our Team

If you are passionate about enhancing the mental health and overall well-being of patients with complex requirements, we invite you to join our collaborative and supportive team at Optum Envision. Together, we can make a positive impact on the lives of individuals navigating mental health and chronic health challenges.

Application Information

If you are interested in contributing to our mission and helping patients achieve their wellness goals, please submit your resume and a cover letter detailing your qualifications and enthusiasm for this role. We look forward to welcoming a new member to our dedicated team!