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Remote Utilization Review Manager Jobs in Lompoc, CA

Medical Writing Manager

Santa Maria, CA ยท Remote

$50 - $80/hr

Remote micro1 is engaging Medical Writers / Clinical Document Authors to participate in a customer ... Author and review realistic evaluation tasks based on Clinical Study Reports, DSURs, PSURs/PBRERs ...

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

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Remote Utilization Review Manager information

See Lompoc, CA salary details

$40.5K

$94.4K

$173.8K

How much do remote utilization review manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for remote utilization review manager in Lompoc, CA is $94,413.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,700.00 and $113,600.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Lompoc, CA?

For Remote Utilization Review Manager jobs in Lompoc, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Lompoc, CA look for?

The top searched job categories for Remote Utilization Review Manager jobs in Lompoc, CA are:

What cities near Lompoc, CA are hiring for Remote Utilization Review Manager jobs?

Cities near Lompoc, CA with the most Remote Utilization Review Manager job openings:

Senior Licensed Mental Health Counselor - Remote Position

Midwest Behavioral Clinic LLC

Santa Maria, CA โ€ข Remote

Full-time

Medical, Dental, Vision

Posted 3 days ago

New


Job description

Position Overview

Midwest Behavioral Clinic LLC is seeking a dedicated and experienced Licensed Mental Health Counselor to join our team in a flexible, full-time remote role. This opportunity is ideal for mental health professionals who are passionate about providing impactful therapeutic interventions and genuinely care for clients' mental health journeys. Offering a competitive salary range of USD 120,000 โ€“ 130,000 annually, this position emphasizes your expertise and allows for personalized work-life balance.

About the Organization

Midwest Behavioral Clinic LLC is a rapidly expanding mental health practice located in beautiful Santa Maria, California. Our mission is to provide exceptional counseling services to individuals facing diverse mental health challenges. Our team is composed of compassionate licensed therapists who uphold a commitment to delivering high-quality care through evidence-based practices. We prioritize a supportive environment that fosters professional growth and collaboration among team members.

Work Environment

This role embraces a fully remote work setting, which offers flexibility and adaptability to suit your personal needs. By leveraging teletherapy technologies, our counselors maintain meaningful connections with clients while also enjoying the benefits of a work-from-home lifestyle. We utilize advanced tools and platforms that facilitate smooth client interactions and streamlined session management.

Key Responsibilities
  • Conduct thorough assessments, including psychological evaluations, to determine clientsโ€™ needs and formulate effective treatment strategies tailored to their unique circumstances.
  • Design and implement individualized treatment plans that align with clientsโ€™ goals, helping them navigate their symptoms and foster positive change in their lives.
  • Facilitate individual therapy sessions with adult clients, applying evidence-based methodologies such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to guide therapeutic conversations.
  • Provide accessible teletherapy services, ensuring clients receive consistent support regardless of location or circumstance, thereby enhancing their journey towards recovery.
  • Offer crisis intervention as necessary, utilizing your expertise to respond to urgent mental health needs with compassion and efficiency.
  • Engage in continuous professional development, remaining up-to-date with the latest best practices, therapeutic techniques, and ethical standards within the mental health field.
Patient Population / Client Focus

As a mental health counselor at Midwest Behavioral Clinic, you will work with a diverse adult client population facing various mental health challenges, including anxiety disorders, depression, trauma, and relationship issues. Our commitment is to support every individualโ€™s unique journey, providing a safe and non-judgmental space for clients to explore their thoughts and feelings.

Qualifications
  • Possess a master's or doctoral degree in Social Work, Marriage and Family Therapy, Mental Health Counseling, or a related field from an accredited institution.
  • Hold an active state license as a Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), Licensed Marriage and Family Therapist (LMFT), or Doctor of Psychology (PsyD).
  • A minimum of 3 years of experience working in a mental health setting, demonstrating a robust understanding of therapeutic practices and frameworks.
  • Exhibit excellent communication and interpersonal skills to foster meaningful relationships with clients and colleagues alike.
  • Demonstrate an empathetic and non-judgmental attitude, enabling clients to feel valued and understood throughout their healing processes.
  • Possess strong organizational skills that facilitate effective case management and timely completion of administrative tasks.
Preferred Experience
  • Experience conducting assessments for various mental health diagnoses and developing effective treatment plans that cater to specific client needs.
  • Familiarity with teletherapy tools and platforms that enhance virtual counseling experiences.
  • Previous exposure to crisis intervention techniques and emergency mental health protocols.
Compensation and Benefits
  • Attractive salary range of USD 120,000 โ€“ 130,000 annually, commensurate with experience and client workload.
  • Comprehensive health insurance plans, inclusive of dental and vision coverage, to support your overall well-being.
  • Therapist insurance coverage to protect your professional practice against potential risks.
  • Access to unlimited referrals to expand your client base, enabling you to grow your practice effectively.
  • Streamlined administrative processes and minimal paperwork, allowing you to dedicate more time to providing high-quality care.
  • Utilization of a top-tier therapist dashboard designed for efficient client scheduling and session management.
  • Quick onboarding and ongoing training support to foster your success and adaptability within our practice.
Career Growth Opportunities

At Midwest Behavioral Clinic, we value your professional growth. You will have opportunities to participate in workshops, seminars, and additional training programs that promote advanced clinical skills and career advancement. Our organization encourages mentorship, offering pathways for leadership roles within our expanding team.

Why Join Our Team

Joining Midwest Behavioral Clinic means becoming part of a supportive and innovative community dedicated to enhancing the mental health landscape. You will have the chance to make a meaningful impact on the lives of diverse clients while working in a deeply fulfilling environment that values your contributions and nurtures your professional development. Together, we strive for excellence in mental health care.

Application Information

If you are ready to join a dynamic team committed to making a real difference in the lives of others, we invite you to apply by submitting your resume today. Take the next step in your counseling career with us!