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Remote Psychiatric Utilization Review Jobs in Riverside, CA

PSC Biotech

Global Software Sales Manager

Pomona, CA · Remote

$140K - $160K/yr

This is a remote position. PSC Software, a division of PSC Biotech, is a leading provider of ... Conduct regular one-on-one coaching sessions, performance reviews, and career development ...

Cotality

Software Development Engineer (Java)

Irvine, CA · On-site +1

$55.50 - $76.25/hr

We are seeking a talented and driven hybrid-remote Professional Software Engineer to join our ... Participate in Code Reviews: Actively conduct and participate in thorough peer code reviews to ...

HMC Architects

BIM Manager

Ontario, CA · On-site +1

This position is eligible for hybrid (office/remote) working arrangement and flexible working hours ... Perform regular model audits and lead quality control reviews in collaboration with project teams

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All JobsPsychiatric Utilization Review JobsRemote Psychiatric Utilization Review JobsRemote Psychiatric Utilization Review Jobs in Riverside, CA

Remote Psychiatric Utilization Review information

See Riverside, CA salary details

$22

$44

$71

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

As of Jul 14, 2026, the average hourly pay for remote psychiatric utilization review in Riverside, CA is $44.11, according to ZipRecruiter salary data. Most workers in this role earn between $34.86 and $50.67 per hour, depending on experience, location, and employer.

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 a Remote Psychiatric Utilization Review position?

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 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 the key skills and qualifications needed to thrive as a Remote Psychiatric Utilization Review specialist, and why are they important?

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 popular job titles related to Remote Psychiatric Utilization Review jobs in Riverside, CA? For Remote Psychiatric Utilization Review jobs in Riverside, CA, the most frequently searched job titles are:
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What cities near Riverside, CA are hiring for Remote Psychiatric Utilization Review jobs? Cities near Riverside, CA with the most Remote Psychiatric Utilization Review job openings:
Remote Psychiatric Utilization Review jobs near you
Infographic showing various Remote Psychiatric Utilization Review job openings in Riverside, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 20% In-person, and 80% Remote job distribution, with an average salary of $91,752 per year, or $44.1 per hour.
Clinical Account Representative

Clinical Account Representative

Gateway Recruiting

Riverside, CA • Remote

Full-time

PTO

Posted 7 days ago

Job description

Job Summary:

The Clinical Account Representative (CAR) supports the company's growth by driving utilization, supporting key accounts, and delivering education and technical support. This is a sales-forward role focused on account development, workflow optimization, and expanding access to therapy. The CAR operates at the intersection of clinical expertise, relationship management, and commercial execution, ensuring that the company is successfully integrated into heart failure care pathways and delivers measurable patient and economic value.

Job Responsibilities:

1. Sales & Customer Engagement

  • Serve as the primary point of contact for high-volume, established accounts, ensuring seamless onboarding and patient monitoring workflows.
  • Achieve assigned sales and utilization targets within defined accounts.
  • Execute actionable quarterly business plans with clear activity goals and growth drivers.
  • Conduct routine account check-ins to review program performance, identify barriers, and uncover new opportunities.
  • Deliver product demonstrations and participate in educational meetings to drive adoption and expand utilization.
  • Provide competitive insights, including customer feedback and market intelligence.
  • Provide coverage for Territory Managers during PTO, meetings, and peak demand periods.

2. Account Management

  • Maintain CRM documentation for key accounts, including activity notes, opportunities, and follow-ups.
  • Build and sustain strong relationships with physicians, APPs, clinics, and administrators.
  • Conduct quarterly account reviews in collaboration with Territory Manager to support program health, patient volume trends, and operational needs.
  • Support the execution of workflow optimizations to improve patient identification, onboarding, and monitoring processes.

3. Technical & Clinical Support

  • Provide technical troubleshooting for remote monitoring issues and workflow challenges, escalating as needed.
  • Offer procedural case support occasionally for broader territory, focusing on priority accounts.
  • Support training and education for new clinical staff, clinics, and administrators.
  • Participate in product in-services and support clinical data collection as needed.
  • Continue developing strong product competency.

4. Compliance & Collaboration

  • Adhere to all FDA, regulatory, and company quality requirements.
  • Maintain accurate documentation of sales activities, account plans, expenses, and clinical interactions.
  • Collaborate effectively with Territory Managers, Marketing, Professional Education, Clinical Specialists, and sales leadership.
  • Maintain professional, compliant, and positive communication with all hospital and internal stakeholders.

Education and Experience:

Required:

  • Bachelor's degree (Business, Life Sciences, Engineering, or related).
  • Experience: 2-4 years in medical device or healthcare (inside or field).
  • Demonstrates consultative selling skills, including uncovering needs, asking strategic questions, and positioning solutions that drive utilization growth.
  • Track record of ≥100% to goal in the most recent performance year.
  • Account-facing experience with clinicians and administrators (e.g.,clinics, service line leaders).
  • Proficiency with CRM (Salesforce preferred), Excel/analytics, and PowerPoint.
  • Comfortable delivering clinical/technical presentations to audiences of 10–50 stakeholders.

Preferred:

  • Knowledge of reimbursement landscape and payment pathways (highly preferred).
  • Experience at top MedTech organizations (highly preferred).
  • 1-2 years of commercial experience.
  • Experience in Cardiology/HF/EP/Structural Heart or remote monitoring.
  • Prior involvement in value analysis or committee-based selling.
  • Familiarity with Cath lab/OR workflows; basic procedural support experience.