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Remote Speech Therapy Utilization Review Jobs in Rialto, CA

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

The Utilization Review Nurse gathers demographic and clinical information on prospective ... This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ...

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Remote Speech Therapy Utilization Review information

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$20

$46

$69

How much do remote speech therapy utilization review jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for remote speech therapy utilization review in Rialto, CA is $46.93, according to ZipRecruiter salary data. Most workers in this role earn between $38.32 and $52.31 per hour, depending on experience, location, and employer.

What is remote speech therapy utilization review?

Remote Speech Therapy Utilization Review is a process where licensed speech-language pathologists evaluate the medical necessity, appropriateness, and efficiency of speech therapy services, typically for insurance or healthcare organizations, all done remotely. These professionals review patient records, treatment plans, and outcomes to ensure that therapy provided meets established guidelines and standards. The goal is to optimize patient care while managing costs and ensuring compliance with policies. This role does not involve direct patient therapy, but rather focuses on reviewing and authorizing therapy requests and documentation. Remote positions allow professionals to work from home while still contributing their expertise to the healthcare system.

How does a remote speech therapy utilization review professional typically collaborate with clinicians and insurance providers?

Professionals in Remote Speech Therapy Utilization Review regularly communicate with speech therapists, case managers, and insurance representatives to ensure that therapy services meet evidence-based guidelines and payer requirements. This collaboration often involves reviewing clinical documentation, discussing case specifics with providers, and clarifying coverage criteria with insurers. Effective teamwork and clear communication are crucial for resolving discrepancies and supporting the approval of necessary therapy services. Remote team meetings, secure messaging platforms, and documentation systems are commonly used to facilitate these interactions.

What are the key skills and qualifications needed to thrive as a remote speech therapy utilization review specialist, and why are they important?

To thrive as a Remote Speech Therapy Utilization Review specialist, you need a background in speech-language pathology (often requiring an SLP license), knowledge of clinical best practices, and experience with insurance or utilization review processes. Familiarity with electronic medical records (EMRs), utilization management software, and relevant coding systems like ICD-10 or CPT is typically required. Strong analytical skills, attention to detail, and effective written communication are essential soft skills for evaluating clinical documentation and justifying care decisions. These competencies ensure accurate, evidence-based determinations that balance patient care needs with payer requirements in a remote setting.

What is the difference between Remote Speech Therapy Utilization Review vs Remote Speech Therapist?

AspectRemote Speech Therapy Utilization ReviewRemote Speech Therapist
CredentialsSpeech-language pathology license, certification in utilization reviewSpeech-language pathology license, clinical certification
Work EnvironmentReviewing cases remotely, administrative settingProviding therapy sessions remotely, clinical setting
Employer & IndustryHealthcare organizations, insurance companiesHospitals, clinics, schools, telehealth platforms
Primary FocusAssessing medical necessity, approving servicesDiagnosing, treating speech and language disorders

Remote Speech Therapy Utilization Review focuses on evaluating the necessity of speech therapy services, while Remote Speech Therapists provide direct therapy to clients. Both roles require speech-language pathology credentials but differ in daily tasks and work environment.

What are popular job titles related to Remote Speech Therapy Utilization Review jobs in Rialto, CA?

For Remote Speech Therapy Utilization Review jobs in Rialto, CA, the most frequently searched job titles are:

What cities near Rialto, CA are hiring for Remote Speech Therapy Utilization Review jobs?

Cities near Rialto, CA with the most Remote Speech Therapy Utilization Review job openings:

Remote Speech Therapy Utilization Review jobs near you

Utilization Review Technician III

Prime Healthcare Management Inc

Ontario, CA • On-site, Remote

$24.65 - $30.03/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago

Prime Healthcare rating

6.5

Company rating: 6.5 out of 10

Based on 287 frontline employees who took The Breakroom Quiz

612th of 898 rated healthcare providers

Job description

Overview

Prime Healthcare is an award-winning health system headquartered in Ontario, California. Prime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. It is one of the nation's leading health systems with over 60,000 employees and physicians. Twenty-one of the Prime Healthcare hospitals are members of the Prime Healthcare Foundation, a 501(c)(3) not-for-profit public charity. Prime Healthcare is actively seeking new members to join our corporate team! 

Responsibilities

The Utilization review tech essentially works to coordinate the utilization review and appeals process as part of the denial management initiatives. This position will also serve as a liaison and own the coordination with other UR techs in the team while being responsible for coordinating phone calls, data entry, mailing/faxing appeals and tracking data from various insurance providers and health plans regarding authorization, expedited reviews and appeals. Document and track all communication attempts with insurance providers and health plans and scan all related correspondence to the respective EMR/ tracking tool. Utilization review tech will follow up on all denials while working closely with the Corporate/Facility Utilization review teams, Business Office and Case Managers. The Utilization review tech will also serve as the primary contact and coordinate the work to maintain integrity of tracking government review audits (RAC, MAC, CERT, ADR, Pre/Post Probes, QIO/Medicaid) and other payer audits as assigned. UR tech III will also function as an SME to support the UR tech team and remote counter parts with the specific processes as applicable. The Utilization review tech will further support the department needs for Release of Information through faxing and mailing, discharge coordination or other duties as assigned.

Qualifications
  • Bachelor's degree or four years of relevant experience required.
  • Microsoft office proficiency.
  • Good communication skills

    • Preferred qualifications:

  • Completion of a medical terminology course; preferred.
  • Knowledge of HIPAA regulations preferred.
    • Pay Transparency

    Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $24.65 to $30.03. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

    Employment StatusFull TimeShiftDaysEqual Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

     Privacy Notice

    Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf

    Employment Type: FULL_TIME

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