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Remote Physician Advisor Utilization Review Jobs in Rochester, NY

Athena

LCSW Clinical Supervisor - Remote

Rochester, NY · Remote

$60 - $65/hr

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 ...

Crash Champions

Collision Estimator

West Henrietta, NY · Remote

$54K - $73K/yr

Join a dynamic team of Collision Estimator "Service Advisor" professionals and experience an ... Review and write estimates * Source, order, and track parts in collaboration with manager * Conduct ...

Rochester Regional Health

Coder - Inpatient

Rochester, NY · On-site +1

$21.50 - $26/hr

SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ... Riedman- Remote SCHEDULE: Day shift ATTRIBUTES * Abides by the Standards of Ethical Coding as set ...

Webbing

Customer Success Manager

York, NY · On-site +1

The CSM serves as the trusted advisor throughout the customer lifecycle-from deployment and ... Lead Executive Business Reviews (EBRs) and strategic planning sessions. * Track commitments and ...

Webbing

CSM Team Lead

York, NY · On-site +1

The Team Lead acts as both a strategic advisor to customers and a leader to the regional CSM team ... Fully remote role * Medical benefits

University of Kentucky

Oncologist

Pavilion, NY · On-site +1

$188.75/hr

The Physician serves as a clinical leader, modeling professional excellence, upholding the core ... Actively participate in the maintenance of quality improvement initiatives, peer review processes ...

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Remote Physician Advisor Utilization Review information

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

As of Aug 17, 2026, the average hourly pay for remote physician advisor utilization review in Rochester, NY is $24.34, according to ZipRecruiter salary data. Most workers in this role earn between $19.90 and $26.59 per hour, depending on experience, location, and employer.

What is a remote physician advisor utilization review?

A Remote Physician Advisor Utilization Review is a licensed physician who works remotely to review medical cases and determine if the healthcare services provided are medically necessary and meet insurance or regulatory requirements. They collaborate with clinical and administrative staff, analyze patient records, and provide recommendations on care levels, admissions, and compliance. This role helps healthcare organizations ensure appropriate resource utilization, reduce denials, and maintain quality patient care while working offsite.

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

To thrive as a Remote Physician Advisor Utilization Review, you need a medical degree (MD/DO), active physician licensure, and deep knowledge of clinical guidelines and utilization management. Familiarity with medical necessity criteria (such as InterQual or MCG), electronic health record (EHR) systems, and URAC/NCQA standards is typically required. Excellent communication, analytical thinking, and the ability to work independently are vital soft skills in this position. These competencies ensure accurate medical necessity determinations, regulatory compliance, and effective collaboration with healthcare teams while working remotely.

What are some of the common challenges faced by remote physician advisors in utilization review, and how can they be addressed?

Remote Physician Advisors in Utilization Review often encounter challenges such as interpreting complex clinical documentation, navigating varying payer requirements, and maintaining effective communication with on-site care teams. To address these, it's important to stay updated on payer guidelines, use secure collaboration tools to connect with hospital staff, and participate in ongoing training to enhance clinical review skills. Building strong working relationships with case managers and consistently documenting your recommendations can also help overcome these hurdles and ensure efficient, high-quality reviews.

What is the difference between Remote Physician Advisor Utilization Review vs Remote Medical Director?

AspectRemote Physician Advisor Utilization ReviewRemote Medical Director
Primary RoleReview and approve medical necessity and utilization of healthcare servicesOversee clinical operations, policy development, and provider performance
CredentialsMedical degree, medical license, often board-certified in a specialtyMedical degree, medical license, often with leadership experience
Work EnvironmentRemote, insurance companies, healthcare organizationsRemote or onsite, healthcare organizations, hospitals, insurance companies
Industry UsageCommonly used in utilization management and insurance sectorsUsed in healthcare administration and leadership roles

While both roles require medical credentials and involve healthcare oversight, the Remote Physician Advisor Utilization Review focuses on evaluating medical necessity and utilization, whereas the Remote Medical Director oversees broader clinical operations and policy development. The former is more specialized in utilization review tasks, while the latter involves leadership responsibilities within healthcare organizations.

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

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

What are popular job titles related to Remote Physician Advisor Utilization Review jobs in Rochester, NY?

For Remote Physician Advisor Utilization Review jobs in Rochester, NY, the most frequently searched job titles are:

What job categories do people searching Remote Physician Advisor Utilization Review jobs in Rochester, NY look for?

The top searched job categories for Remote Physician Advisor Utilization Review jobs in Rochester, NY are:

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

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

Remote Physician Advisor Utilization Review jobs near you
Infographic showing various Remote Physician Advisor Utilization Review job openings in Rochester, NY as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $50,635 per year, or $24.3 per hour.

LCSW Clinical Supervisor - Remote

Athena

Rochester, NY • Remote

$60 - $65/hr

Part-time

Re-posted 4 days ago

Job description

While this is a remote position, candidates must reside in or be willing to relocate to one of the following states prior to their start date:

Colorado, Connecticut, District of Columbia (Washington, D.C.), Florida, Massachusetts, Maryland, North Carolina, New Hampshire, New Jersey, New York, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington

Athena Mental Health is a New York State mental health-approved provider of community mental health services for children, adults, and families with behavioral and emotional challenges.  We specialize in individual and group psychotherapy for clients with a focus on trauma-informed care. We are dedicated to improving the quality and accessibility of mental health care for all, especially individuals from underserved communities.
 
Here at Athena, we pride ourselves on hiring a diverse group of mental health clinicians and staff who are passionate and dedicated to improving our clients’ overall emotional well-being. We provide both in-person and telehealth services for our clients and offer a competitive fee-for-service compensation plan and amazing benefits to our staff. 
 
Are You a Good Fit For Us?
We are currently seeking professional and compassionate Clinical Supervisors to join our growing team. Flexible hours are provided with the need of one weekend day and some evenings. In-person and telehealth sessions are conducted by our clinicians.
Responsibilities
  • Provide weekly clinical supervision to therapists as assigned, and document supervision sessions in a timely manner
  • Complete and maintain NYS licensure paperwork for supervisees as applicable
  • Assist with the development and facilitation of clinical training for staff in partnership with the leadership team
  • Work with the Clinical Director to cover administrative tasks as needed, including performance management of assigned therapists when necessary
  • Perform ongoing review of high-risk cases and provide clinical solutions as appropriate
  • Engage in the Utilization Review process for assigned cases every month
  • Respond to clinical crises and other clinical issues brought forward by supervisees
  • Help develop and improve clinical policies and procedures on an ongoing basis to support overall success of the program
  • Maintain a reduced caseload of therapy clients; complete all required clinical documentation promptly, including comprehensive assessments, treatment plans, and progress notes
Qualifications
  • NYS Independently Licensed Mental Health Provider (PhD, LCSW, LCSW-R, etc.)
  • Leadership experience in a mental health clinic setting
  • Bilingual in English and Spanish is preferred, but not required 
  • Previous experience using computerized appointment scheduling systems and/or electronic Medical Record Systems
  • Knowledgeable in NYS OMH Outpatient Clinic regulations
  • Knowledgeable in HIPAA Regulations
This is a fee-for-service role where you are compensated at a base rate per supervisory session.
Working Conditions
This position will be located at either the Manhattan office at 33 West 60th Street, New York, NY 10023, Suite 600, the Bronx office at 2825 Third Avenue, Suite 402, Bronx, NY 10455, 1299 Portland Ave, Suite 1, Rochester, NY 14621, or remotely. This is a professional work environment where a computer, desk, chair, and office supplies will be essential.
 
Physical Requirements
The physical demands described here are representative of those that must be met by an employee in order to successfully perform the essential functions of the role above. While performing the duties of this job, the employee is regularly required to hear and speak on the phone or through virtual telehealth sessions conducted on a computer throughout the day, stand and sit for an extended period of time and be able to write and answer emails in addition to carrying objects no greater than 25 pounds, when needed.
 
Direct Reports
This position has direct reports.
 
Athena is an Equal Opportunity Employer.
 
Note: We comply with the Americans with Disabilities Act and consider reasonable accommodation measures that may be necessary for qualified applicants/employees to perform essential job functions. 

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.