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Remote Utilization Management Jobs in Vermont (NOW HIRING)

This is a remote position requiring the teammate to support both ESKD and CKD patients throughout CA, OR and Washington as needed. * The teammate must be based in Northern California, Salem/Portland ...

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Remote Utilization Management information

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are popular job titles related to Remote Utilization Management jobs in Vermont?

For Remote Utilization Management jobs in Vermont, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Vermont look for?

The top searched job categories for Remote Utilization Management jobs in Vermont are:

What cities in Vermont are hiring for Remote Utilization Management jobs?

Cities in Vermont with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Vermont as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution.

Remote Mental Health Counselor (Licensed) - Outpatient Services

InStride Health Associates

South Burlington, VT • Remote

$90K - $110K/yr

Full-time

Medical, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Position Overview

InStride Health Associates is seeking a dedicated and passionate Remote Licensed Clinical Mental Health Counselor (LMHC) to provide telehealth services within our outpatient practice. This full-time role allows you to work from the comfort of your home while making a significant impact on the mental health and well-being of clients across Vermont. As an LMHC, you will engage directly with clients, offering them the support and guidance they need through various programs tailored to their unique needs.

About the Organization

At InStride Health Associates, we pride ourselves on our commitment to enhancing the mental health of our community. Our organization is comprised of a collaborative group of mental health professionals dedicated to providing evidence-based treatment in a compassionate and empathetic manner. Operating remotely from our outpatient office in South Burlington, Vermont, we focus on delivering personalized mental health care that responds to the evolving needs of our clients.

Work Environment

This remote position offers the flexibility and convenience of working from anywhere while being part of a supportive team of counselors and licensed practitioners. You will be involved in virtual sessions, utilizing telehealth platforms to effectively engage with clients. Our digital infrastructure ensures seamless communication, collaboration, and access to necessary patient information, fostering a dynamic and efficient remote working environment.

Key Responsibilities
  • Conduct thorough evaluations of clients seeking mental health services, assessing their treatment needs for both mental health and substance abuse issues.
  • Perform prior authorization reviews and concurrent evaluations, ensuring that clinical services are in line with established regulatory guidelines and are medically appropriate.
  • Analyze client behavioral health data to enhance the quality of care and assist in the appropriate utilization of our mental health services.
  • Provide education and resources to clients and their families regarding the process of behavioral health utilization, empowering them to make informed decisions about their care.
  • Collaborate with other healthcare providers to discuss treatment plans, levels of care, and integrate a multidisciplinary approach to patient service.
  • Engage in case presentations during staffing and integrated rounds, contributing to an ongoing dialogue about best practices in patient care.
  • Adhere strictly to organizational policies and continue to improve operational standards within our counseling practices.
  • Be proactive in performing other duties as assigned, contributing to a deep understanding of the operational landscape of behavioral health.
Patient Population / Client Focus

Your primary focus will be diverse individuals seeking mental health support, including those dealing with anxiety, depression, PTSD, and substance use disorders. With a strong commitment to inclusivity, you will work with clients from various backgrounds, tailoring therapeutic approaches to meet their unique cultural and personal circumstances. Each day, you will help clients navigate challenges, enhance coping mechanisms, and build resilience through customized treatment plans.

Qualifications
  • A Master’s degree in psychology, counseling, social work, or a related field is required.
  • A valid and current state license to practice independently in Vermont, ensuring compliance with local regulations and standards.
  • A minimum of 2 years of formal post-graduate experience in a mental health clinical setting is essential, providing a foundation for effective therapy and care management.
Preferred Experience
  • Experience in telehealth practices is preferred, showcasing your adaptability to virtual platforms and techniques.
  • Prior experience working in an outpatient or community mental health environment is advantageous, enabling you to understand the unique challenges and rewards of this setting.
  • Familiarity with electronic health record (EHR) systems and documentation processes that streamline patient management is viewed favorably.
Compensation and Benefits

We offer a competitive annual salary ranging from $90,000 to $110,000, commensurate with your skills, qualifications, and experience. In addition to a rewarding compensation package, we provide comprehensive benefits, including health insurance, paid time off, and opportunities for professional development and continuing education, fostering your growth as a mental health professional.

Career Growth Opportunities

At InStride Health Associates, we believe in the potential of our employees. As you grow within our organization, you will have access to various training programs, workshops, and mentorship opportunities that will expand your skills and career horizons. There may be pathways for specialization and leadership roles as our practice continues to evolve.

Why Join Our Team

Joining InStride Health Associates means becoming part of a mission-driven team dedicated to making a difference in clients’ lives. You will experience a collaborative atmosphere that values your input, encourages innovation, and emphasizes the importance of mental health in our society. If you are passionate about helping others and want to work in an environment that supports your wellbeing and career aspirations, we invite you to apply!

Application Information

If you are ready to take the next step in your career as a Remote Licensed Clinical Mental Health Counselor with InStride Health Associates, we encourage you to submit your resume and a cover letter detailing your qualifications and interest in the position. We look forward to learning about how you can contribute to our team and our mission!