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Remote Psychiatric Utilization Review Jobs (NOW HIRING)

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · On-site +1

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE Ability to travel on-site to 3031 NE STEPHENS ST., ROSEBURG OR, 97457, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At ...

Umpqua Health

Utilization Review Nurse

Roseburg, OR · Remote

$85K - $105K/yr

UTILIZATION REVIEW NURSE REMOTE, ability to travel to 3031 NE STEPHENS ST. ROSEBURG, OR 97470, as needed for business operations. EMPLOYMENT TYPE: Full-Time, Exempt About Umpqua Health At Umpqua ...

VIVA USA INC

Utilization Review Nurse

Nashville, TN · On-site +1

$37.22 - $42.22/hr

... all Utilization Management activities to include review of inpatient and outpatient medical ... Remote Contract to Hire VIVA is an equal opportunity employer. All qualified applicants have an ...

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · Remote

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

Ascension

Registered Nurse Utilization Review

Austin, TX · Remote

$84K - $118K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Review admissions and service requests within assigned unit for prospective, concurrent and ...

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Remote Psychiatric Utilization Review information

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

As of Jun 9, 2026, the average hourly pay for remote psychiatric utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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.
More about Remote Psychiatric Utilization Review jobs
What cities are hiring for Remote Psychiatric Utilization Review jobs? Cities with the most Remote Psychiatric Utilization Review job openings:
What are the most commonly searched types of Psychiatric Utilization Review jobs? The most popular types of Psychiatric Utilization Review jobs are:
What states have the most Remote Psychiatric Utilization Review jobs? States with the most job openings for Remote Psychiatric Utilization Review jobs include:
What job categories do people searching Remote Psychiatric Utilization Review jobs look for? The top searched job categories for Remote Psychiatric Utilization Review jobs are:
Remote Psychiatric Utilization Review jobs near you
Infographic showing various Remote Psychiatric Utilization Review job openings in the United States as of June 2026, with employment types broken down into 2% As Needed, 86% Full Time, 9% Part Time, and 3% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Utilization Review Coordinator (Remote)

Your Behavioral Health

Torrance, CA • Remote

$21 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 14 days ago

Job description

About Us:

Your Behavioral Health is dedicated to providing exceptional, evidence-based mental health and addiction treatment through Clear Behavioral Health and Neuro Wellness Spa. Our UR team plays a vital role in ensuring clients receive timely and medically necessary care.

Position Overview:

We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care including Detox, Residential, PHP, IOP as well as Transcranial Magnetic Stimulation (TMS) services. The UR Coordinator will collaborate closely with clinical teams and payors to advocate for clients, secure appropriate insurance authorizations, and support a smooth treatment experience.

Key Responsibilities:

Insurance Authorizations:

  • Obtain initial and concurrent authorizations for Detox, Residential, PHP, and IOP programs
  • Obtain TMS service authorizations for Neuro Wellness Spa
  • Conduct clinical reviews and advocate with commercial health plans to support medically necessary care
  • Track authorization timelines and follow up promptly on outstanding requests

Documentation & Systems:

  • Maintain accurate, real-time records of authorization activity
  • Gather and review clinical documentation to support authorization requests
  • Document all communications with payors clearly and thoroughly

Collaboration & Communication:

  • Communicate regularly with insurance representatives, clinical teams, and leadership about authorization status and updates
  • Work collaboratively with the UR team to improve processes and enhance coordination of care

Denials & Appeals Support:

  • Assist with denial management, support appeal efforts with case summaries and clinical data
  • Help identify trends in authorization delays or denials and provide input to leadership

Other Duties:

  • Perform other responsibilities as assigned to support team goals and company needs

Qualifications:

  • 12 years of utilization review experience, preferably in behavioral health or mental health settings
  • Experience obtaining Detox, Residential, PHP, and IOP authorizations with commercial payors
  • Familiarity with TMS treatment and authorization processes(preferred)
  • Experience with commercial health plans and payor authorization protocols
  • Proficiency with EMR systems, Microsoft Word, and Excel
  • Strong written and verbal communication skills
  • Ability to multitask, prioritize, and work efficiently in a fast-paced environment
  • Professional, collaborative, and passionate about patient advocacy

Schedule:

M-F(hybrid schedule).

Pay:

$21-$26 per hour depending on experience.

Benefits:

  • Medical, dental, and vision insurance
  • Life and disability coverage
  • Retirement plan
  • Paid sick, time off, and holidays
  • Employee Assistance Program
  • Professional development opportunities
  • Other company - sponsored wellness or support programs