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Remote Utilization Management Jobs in Gainesville, FL

Remote Utilization Management information

See Gainesville, FL salary details

$19

$38

$62

How much do remote utilization management jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for remote utilization management in Gainesville, FL is $38.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.29 and $43.99 per hour, depending on experience, location, and employer.

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 Gainesville, FL?

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

What job categories do people searching Remote Utilization Management jobs in Gainesville, FL look for?

The top searched job categories for Remote Utilization Management jobs in Gainesville, FL are:

What cities near Gainesville, FL are hiring for Remote Utilization Management jobs?

Cities near Gainesville, FL with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Gainesville, FL as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $79,680 per year, or $38.3 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Full-Time

Relationship Behavioral Health Services

Gainesville, FL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago


Job description

Position Overview

Relationship Behavioral Health Services is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our dynamic team in Gainesville, Florida. This full-time remote position offers a unique opportunity to contribute to the lives of individuals struggling with mental health and substance use disorders. The ideal candidate will bring a passion for transformative care and possess experience in co-occurring counseling, playing a crucial role in our commitment to effective treatment and recovery.

About the Organization

At Relationship Behavioral Health Services, we pride ourselves on being at the forefront of addiction treatment services. Our mission is focused on removing barriers to recovery while ensuring individuals, families, and communities receive the treatment they need to reclaim their lives. We reach over 25,000 patients across the nation daily, reflecting our deep commitment to high-quality, accessible healthcare. Our team of professionals believes in creating a more cohesive world where lives and communities can heal through comprehensive treatment methodologies.

Work Environment

This role is designed for a remote work setting, allowing for flexibility in managing your hours while still meeting the needs of our clients and the organization. You will work closely with the Clinical Director and Executive Director to foster a therapeutic environment geared towards long-term recovery. The remote nature of this position is complemented by strong communication and collaboration tools that connect you with a multidisciplinary team of professionals committed to treatment excellence.

Key Responsibilities

As an LCSW, you will be tasked with the following vital responsibilities:

  • Conduct comprehensive assessments to identify the counseling needs of clients.
  • Utilize DSM (Diagnostic and Statistical Manual) criteria to assess substance abuse diagnoses and create personalized treatment plans based on ASAM (American Society of Addiction Medicine) standards.
  • Prepare detailed substance abuse counseling components for client treatment plans, ensuring they are tailored to each individual’s circumstances.
  • Develop discharge and continuum of care plans that facilitate smooth transitions to subsequent levels of care.
  • Document all counseling sessions, educational services, assessments, and follow-ups accurately within the client's clinical record.
  • Maintain an organized caseload, including regular updates for case management and utilization review, as well as treatment planning and clinical charting.
  • Coordinate support services for clients and their families, ensuring that all provided services are recorded for future reference.
  • Establish strong communication lines with referral sources, including legal entities, educational institutions, and employers to support client recovery.
  • Engage in crisis intervention strategies employing a multidisciplinary approach tailored to the needs of assigned clients.
Patient Population / Client Focus

The population you will serve includes individuals facing various mental health challenges, particularly those with co-occurring disorders involving substance use. We understand that each client has a unique story, and your role is pivotal in identifying their specific needs and guiding them towards recovery through compassionate, evidence-based therapeutic practices.

Qualifications

The successful applicant must possess the following qualifications:

  • A Master’s degree in Social Work (MSW) from an accredited program and active LCSW licensure.
  • Demonstrated professionalism with excellent therapeutic boundaries and cultural competency.
  • Strong self-motivation, organizational skills, and the ability to work independently in a remote setting.
  • Exceptional interpersonal skills that allow for effective communication with clients, families, and team members.
Preferred Experience

Preferred candidates will have:

  • Experience working in addiction treatment or mental health counseling, particularly with co-occurring disorders.
  • Knowledge of the ASAM criteria and familiarity with mental health and substance use treatment practices.
  • Proficiency in clinical documentation and familiarity with electronic health record (EHR) systems.
Compensation and Benefits

We offer a competitive annual salary ranging from USD 70,000 to 105,000, commensurate with experience. Our comprehensive benefits package includes:

  • 18 days of Paid Time Off (PTO) to support work-life balance.
  • A 401(k) plan with a company match to encourage long-term financial planning.
  • Access to ongoing training and certification programs funded by the company.
  • Health benefits covering medical, dental, and vision care, as well as both short-term and long-term disability insurance.
  • The STAR LRP program, which offers loan repayment assistance for those engaged in Substance Use Disorder Treatment.
  • Discounted tuition rates and scholarship opportunities through Capella University.
Career Growth Opportunities

Joining our organization means becoming part of a culture that prioritizes professional development. We actively support our team members through company-sponsored training, continuing education, and opportunities to advance within the organization. You can expect to grow not only as a clinician but also as a leader in the field of behavioral health and addiction treatment.

Why Join Our Team

By becoming a part of Relationship Behavioral Health Services, you align yourself with a purpose-driven organization committed to making a real difference in the lives of others. Our team is made up of dedicated professionals who share a common goal: to provide exceptional care and support to those in need. If you are looking for a rewarding position where you can directly impact individuals and communities, we encourage you to apply.

Application Information

If you are interested in this opportunity, please submit your resume and a cover letter outlining your relevant experience and passion for behavioral health services. We look forward to reviewing your application and potentially welcoming you to our committed team.