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Remote Optum Utilization Review Jobs in Temecula, CA

Remote Optum Utilization Review information

See Temecula, CA salary details

$21

$42

$68

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

As of Sep 5, 2026, the average hourly pay for remote optum utilization review in Temecula, CA is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 cities near Temecula, CA are hiring for Remote Optum Utilization Review jobs?

Cities near Temecula, CA with the most Remote Optum Utilization Review job openings:

Infographic showing various Remote Optum Utilization Review job openings in Temecula, CA 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 $87,375 per year, or $42 per hour.

Clinical Social Worker - Remote Position in Mental Health Services

Child and Adult Empower Mental Clinic Services

Escondido, CA • Remote

Full-time

Medical, Retirement

Posted 18 days ago


Job description

Position Overview

We are actively seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team at Child and Adult Empower Mental Clinic Services. This is a full-time remote position that offers the opportunity to provide vital mental health support to a diverse clientele from the comfort of your own home. The successful candidate will play a crucial role in transforming lives by delivering comprehensive mental health therapy and connecting clients with essential community resources.

About the Organization

Child and Adult Empower Mental Clinic Services is a dynamic community health clinic located in Escondido, California. Our mission is to empower individuals and families by providing high-quality mental health services tailored to their unique needs. We believe in fostering a supportive environment that promotes personal growth and well-being. Our interdisciplinary team collaborates to deliver the best outcomes for our clients, ensuring they receive holistic care backed by evidence-based practices.

Work Environment

As a remote employee, you will enjoy the flexibility of performing your duties from home while being an integral part of a collaborative virtual team. Our clinic utilizes advanced telehealth technologies to ensure that you can effectively deliver services while maintaining connectivity with clients and colleagues. You will also have access to ongoing training and resources to enhance your skills and ensure effective treatment delivery.

Key Responsibilities
  • Conduct thorough intake assessments to understand the unique needs of each client.
  • Provide therapeutic interventions to individuals, couples, families, and children, utilizing evidence-based practices to facilitate mental wellness.
  • Connect clients with relevant local resources and services to assist with various needs such as housing, employment, and community engagement.
  • Perform case management duties, including developing and monitoring treatment plans that align with clients' goals.
  • Maintain clear and timely documentation of client interactions and progress, adhering to all regulatory standards and clinic protocols.
  • Engage in regular communication with clients to monitor progress and adjust treatment plans as necessary.
  • Collaborate with other mental health professionals within the clinic to provide comprehensive support to clients.
  • Assist with utilization review processes and communicate effectively with the Business Department regarding authorizations and payments.
  • Act as a mentor and provide clinical support to team members in the absence of senior staff.
Patient Population / Client Focus

This position entails working with a wide range of clients across different age groups, including children, adolescents, adults, and families. The diverse needs of our client population require flexibility, a strong understanding of various mental health challenges, and a commitment to culturally competent care. You will engage with clients facing issues such as anxiety, depression, trauma, and relationship difficulties, empowering them on their path to recovery.

Qualifications
  • A Master’s degree in Social Work from an accredited institution.
  • An active California license as a Clinical Social Worker (LCSW) is mandatory.
  • Demonstrated proficiency in providing therapeutic services through effective written and verbal communication.
  • Strong understanding of professional boundaries and ethical considerations in client interactions.
  • Ability to work independently while collaborating effectively with a remote team.
  • Proficient in using electronic health record (EHR) systems and telehealth platforms.
Preferred Experience
  • Previous experience in a community health clinic or similar setting is preferred.
  • Familiarity with case management principles and practices.
  • Experience with specific populations such as children or underserved communities is a plus.
  • Prior involvement in community outreach or resource coordination.
Compensation and Benefits

The position offers a competitive salary range of USD 120,000 to 130,000 annually, commensurate with experience and caseload. In addition to a competitive salary, we provide a comprehensive benefits package that includes health insurance, retirement plans, and opportunities for professional development and continuing education. Our focus on employee wellness ensures a balanced work-life environment that contributes to overall job satisfaction.

Career Growth Opportunities

At Child and Adult Empower Mental Clinic Services, we are committed to fostering an environment of growth and development for our employees. You will have access to continuing education programs and professional workshops aimed at enhancing your clinical skills and knowledge. Additionally, we encourage our team members to pursue leadership opportunities within the organization, supporting your aspirations for career advancement.

Why Join Our Team

If you are passionate about making a difference in the lives of individuals and families through high-quality mental health care, we want to hear from you. Join our team of compassionate professionals dedicated to empowering our community through innovative and personalized mental health solutions. Experience the fulfillment that comes from being a pivotal part of a dynamic and supportive organization.

Application Information

If you are an experienced LCSW eager to contribute to meaningful mental health work, please submit your application, including a current resume and a cover letter outlining your relevant experience and passion for this field. We look forward to welcoming a new member to our caring team at Child and Adult Empower Mental Clinic Services!