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Remote Psychiatric Utilization Review Jobs in Raleigh, NC

While this position allows remote work, the individual must reside within the state of North ... Minimum three (3) years of experience supporting policy interpretation, utilization review ...

Psychologist Reviewer

Durham, NC ยท On-site +1

$87K - $157K/yr

Centene is Hiring - Remote Psychologist Reviewers (ABA) Centene is seeking Remote Psychologist ... Interact with network practitioners to provide education on best practice models and utilization ...

Remote based in the US Hours: Approximately 5h per week Role: Clinical Specialist Start: immediate ... This role requires strong clinical judgment, experience with psychiatric populations, and the ...

Remote based in the US Hours: Approximately 5h per week Role: Clinical Specialist Start: immediate ... This role requires strong clinical judgment, experience with psychiatric populations, and the ...

Freelance Independent Rater

Raleigh, NC ยท Remote

$62K - $156K/yr

... reviewing, or overseeing the following assessments: MINI and MADRS Ideal Background ... Master's degree in Psychology, Psychiatry or a related field * min of 2-3 years of clinical ...

Freelance Independent Rater

Durham, NC ยท Remote

$62K - $156K/yr

... reviewing, or overseeing the following assessments: MINI and MADRS Ideal Background ... Master's degree in Psychology, Psychiatry or a related field * min of 2-3 years of clinical ...

Freelance Independent Rater

Durham, NC ยท Remote

$62K - $156K/yr

... reviewing, or overseeing the following assessments: MINI and MADRS Ideal Background ... Master's degree in Psychology, Psychiatry or a related field * min of 2-3 years of clinical ...

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Remote Psychiatric Utilization Review information

See Raleigh, NC salary details

$20

$41

$67

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

As of Aug 25, 2026, the average hourly pay for remote psychiatric utilization review in Raleigh, NC is $41.10, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $47.21 per hour, depending on experience, location, and employer.

What is a remote psychiatric utilization review?

A Remote Psychiatric Utilization Review position involves evaluating mental health treatment plans and services to ensure they are medically necessary and meet insurance or regulatory guidelines. Professionals in this role typically review clinical documentation, assess the appropriateness of care, and make recommendations regarding the coverage of psychiatric services, all while working remotely. They collaborate with healthcare providers, insurance companies, and sometimes patients, to facilitate quality care and manage costs. Strong knowledge of mental health diagnoses, treatment protocols, and insurance policies is essential for success in this position.

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

To thrive as a Remote Psychiatric Utilization Review specialist, you need a clinical background in nursing, social work, or mental health counseling, typically with relevant licensure (such as RN, LCSW, or LPC) and experience in psychiatric care. Familiarity with utilization review platforms, electronic health records (EHRs), and managed care systems is essential, along with certifications like CCM (Certified Case Manager) being advantageous. Strong analytical thinking, attention to detail, and effective verbal and written communication skills are crucial for evaluating cases and coordinating with providers. These competencies ensure accurate assessments, compliance with regulations, and optimal patient outcomes while managing costs in a remote work environment.

What are some common challenges faced by professionals in remote psychiatric utilization review roles, and how can they be addressed?

Professionals in Remote Psychiatric Utilization Review often encounter challenges such as interpreting clinical documentation remotely, ensuring timely case reviews, and maintaining effective communication with providers and insurance companies. Staying organized and developing strong time-management skills are key to managing caseloads efficiently. Regularly participating in team meetings and leveraging secure digital communication tools can help bridge the gap between remote team members and facilitate collaboration. Continuous education on evolving mental health regulations and payer guidelines is also essential to remain effective in the role.

What is the difference between Remote Psychiatric Utilization Review vs Remote Mental Health Case Manager?

AspectRemote Psychiatric Utilization ReviewRemote Mental Health Case Manager
CredentialsLicensed Psychiatrist, Psychologist, or Certified Utilization Review ProfessionalLicensed Clinical Social Worker, Mental Health Counselor, or Case Management Certification
Work EnvironmentReviewing medical records, insurance documentation, and making utilization decisions remotelyCoordinating care, assessing client needs, and providing support remotely
Employer & Industry UsageInsurance companies, health plans, and utilization review organizationsHealthcare providers, community agencies, and insurance companies

Remote Psychiatric Utilization Review focuses on evaluating medical necessity for psychiatric services, often within insurance and healthcare organizations. In contrast, Remote Mental Health Case Managers actively coordinate and support patient care. Both roles require mental health credentials but differ in daily tasks and focus areas.

What are popular job titles related to Remote Psychiatric Utilization Review jobs in Raleigh, NC?

For Remote Psychiatric Utilization Review jobs in Raleigh, NC, the most frequently searched job titles are:

What job categories do people searching Remote Psychiatric Utilization Review jobs in Raleigh, NC look for?

The top searched job categories for Remote Psychiatric Utilization Review jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Psychiatric Utilization Review jobs?

Cities near Raleigh, NC with the most Remote Psychiatric Utilization Review job openings:

Infographic showing various Remote Psychiatric Utilization Review job openings in Raleigh, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,491 per year, or $41.1 per hour.

Psychiatric Nurse Practitioner (PMHNP) - Telehealth

Apex, NC โ€ข Remote

Brightside Health
Offices of Mental Health Practitionersย โ€ขย 51 - 200 employees

$84 - $115/hr

Contractor

Re-posted 1 hour ago


Job description

Psychiatric Nurse Practitioner (PMHNP) - Flexible Telehealth

Brightside is dedicated to offering transformative mental health care to individuals regardless of their background, location, or circumstances. Our primary goal is to improve access to high-quality and impactful mental health care that is supported by scientific research and delivered with humanity. This is why we are revolutionizing the traditional approach by leveraging precision treatment that is rooted in evidence and tailored to each person's unique needs, ensuring that they receive the most effective treatment from the very beginning.

Apply to be a Psychiatric Nurse Practitioner at Brightside Health, where we integrate a consumer-centric approach with evidence-based methodologies, cutting-edge artificial intelligence, and a dedicated team of providers and therapists to deliver customized treatment for each Brightside member. As we redefine mental healthcare for the telemedicine era, we're driven to establish ourselves as the leading provider of psychiatric care across the nation. Be part of our mission to transform the landscape of mental health treatment.

Our Psychiatric Nurse Practitioners Enjoy:

  • Flexible & Remote Telemedicine: Evidence-based approach to psychiatric care via telemedicine, including asynchronous case review, video consultation, and e-prescribing, lowers the barriers to accessing high-quality and affordable care.

  • Supportive and Collaborative Environment: To ensure the success of our patients and members, we have established dedicated teams for both member and provider support. Additionally, we facilitate collaboration between our providers and clinical leadership through 1:1 consultations, as well as encourage interaction among colleagues through internal communication forums.

  • Measurement-Based Care: Our technology measures symptoms, adherence, and side effects weekly through the active treatment phase and automatically triggers treatment reviews if patients are not improving. We are redefining the provider-patient relationship, supporting encounter-based care with remote and proactive oversight enabled by technology.

  • Machine Learning-Powered Clinical Decision Support: Contrary to conventional practice, data can help match patients to medications for better outcomes. Using machine learning and real-time data from patient monitoring, we are building a highly effective clinical decision support tool for prescribing.

Who Were Hiring:

Were seeking forward-thinking and experienced Psychiatric Nurse Practitioners who understand the magnitude of the need and want to be part of the solution. Working with Brightside means the ability to practice with clinical autonomy alongside Psychiatrist support while creating a flexible work schedule. Our providers use the latest tools, including a custom-built practice management EMR, and clinical decision support, all truly designed to be easy to use.

Benefits:

  • 100% remote, telehealth position

  • 1099 contract agreement

  • Autonomy to create your own schedule

  • No on-call or after-hours work

  • Collaborating psychiatrists covered for all psychiatric nurse practitioners (nationwide)

  • Malpractice insurance covered

  • Ongoing collaboration and camaraderie with other Brightside providers

  • State-of-the-art tools and customizable EMR, integrated with artificial intelligence to prompt check-ins, follow-ups, and much more with your patients

Responsibilities:

  • Maintain all appropriate licensure to prescribe and dispense medications under applicable state and federal laws

  • Have excellent grammar, attention to detail, and proficient at writing medical information at a patient level

  • Must be technology savvy and excited about how technology can improve medical care

  • Be pleasant, responsive, and willing to collaborate with our team

  • Provide direct patient care via telemedicine (remote); including synchronous video consultations and asynchronous messaging

  • Consistently responsive to clinical leadership team and highly reliable to our members

  • Evaluate patient records, make prescribing decisions, and provide medication-related counseling as needed in a timely manner

  • Successful completion of charting within 48 hours of session

  • Support a 72-hour messaging response window for patients

Requirements:

  • Active and clear APRN license

  • Licensed Nurse Practitioner - Certified in Psychiatric & Mental Health (PMHNP Required)

  • At least 2 years of autonomous experience practicing as a PMHNP, post-graduate

  • Previous experience working in an outpatient setting

  • Telehealth experience and a high comfort level of working with technology

  • Must be licensed in 4+ states (the more the merrier)

  • 8+ hours of availability per week

  • Experience working with adolescents is strongly preferred

  • Opted in to Medicare/Medicaid

We know that diversity makes for the best problem-solving and creative thinking, and are committed to equity and inclusion. We are dedicated to adding new perspectives to the team and encourage everyone to apply if your experience is close to what we are looking for. Were an Equal Opportunity Employer and do not discriminate against candidates or patients on the basis of race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.