2

Remote Utilization Review Manager Jobs in Manteca, CA

next page

Showing results 1-20

Remote Utilization Review Manager information

See Manteca, CA salary details

$41.1K

$95.8K

$176.4K

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

As of Sep 4, 2026, the average yearly pay for remote utilization review manager in Manteca, CA is $95,836.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,700.00 and $115,300.00 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 Manteca, CA?

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

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

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

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

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

Senior Licensed Clinical Social Worker (LCSW) - Remote | Hospice Services

Child and Adult Empower Mental Clinic Services

Modesto, CA โ€ข Remote

Full-time

Medical, Retirement, PTO

Posted 17 days ago


Job description

Position Overview

We are seeking a dedicated and experienced Senior Licensed Clinical Social Worker (LCSW) to join our remote team at Child and Adult Empower Mental Clinic Services, focusing on providing exceptional mental health care within a hospice center environment. This full-time position offers an opportunity to work closely with clients navigating complex emotional and psychosocial challenges, with a competitive salary ranging from USD 120,000 to 130,000 annually, based on caseload and experience.

About the Organization

Child and Adult Empower Mental Clinic Services is committed to empowering individuals through compassionate mental health support. Our clinic specializes in providing holistic care to a diverse patient population, emphasizing accessibility and community integration. We pride ourselves on fostering an inclusive environment that values the unique experiences and needs of each individual, ensuring our services reflect the cultural richness of the Modesto, California community.

Work Environment

This position allows for complete remote work, enabling flexibility while maintaining a strong connection to our patients and team members. As a fully remote team operating within a hospice center framework, you will work collaboratively with interdisciplinary teams to ensure that our patients receive comprehensive, empathetic care that addresses their emotional and psychological needs during critical times.

Key Responsibilities
  • Conduct timely wellness checks to assess the mental health and emotional wellbeing of clients, ensuring they feel supported and understood.
  • Maintain strict adherence to all facility and licensing standards, guaranteeing quality of care and compliance with regulatory requirements.
  • Provide peer support and clinical assistance to fellow team members, stepping in to cover during absences and facilitating cohesive team operations.
  • Engage proactively with the Utilization Review and Business Departments to manage service authorizations and payment processes effectively.
  • Guide clients in accessing community resources, helping them navigate available services for additional support with their mental health journey.
  • Document all interactions and services provided accurately and expediently, ensuring continuity of care and compliance with organizational protocols.
Patient Population / Client Focus

Your primary role will be to serve a diverse demographic, focusing on both children and adults facing end-of-life issues and their families. By providing therapeutic support tailored to client needs and their unique circumstances, you will play a crucial role in enhancing their quality of life during this challenging time. Skills in multi-lingual communication and cultural competency will be vital in effectively serving our diverse client base.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution.
  • Active California LCSW licensure is a must.
  • Proficient verbal and written communication abilities, crucial for effective client interaction and documentation.
  • Strong boundary-setting skills, modeling appropriate interactions with clients and families.
  • Demonstrated ability to meet deadlines consistently, ensuring timely documentation submission and adherence to care plans.
Preferred Experience
  • Prior experience in hospice care or working with terminally ill patients is strongly preferred.
  • Experience in a remote work setting that requires self-management and effective communication.
  • Familiarity with electronic health record (EHR) systems and telehealth platforms is advantageous.
Compensation and Benefits
  • Attractive salary range of USD 120,000 to 130,000 annually based on caseload and experience.
  • Comprehensive benefits package, including health insurance, retirement plans, and paid time off.
  • Ongoing professional development opportunities, including funding for continuing education and certification programs.
  • A supportive and collaborative team environment that values your contributions and fosters your growth.
Career Growth Opportunities

At Child and Adult Empower Mental Clinic Services, we believe in cultivating talent and supporting career progression. Opportunities for advancement include leadership positions, specialized clinical training, and involvement in initiatives that enhance service delivery and community engagement. We encourage our team members to pursue their professional interests and aspirations actively.

Why Join Our Team

If you're driven by a passion for providing compassionate, high-quality mental health support to those in needโ€”especially in a hospice contextโ€”we want to hear from you! Our work environment promotes self-care, teamwork, and a culture of respect and inclusion.

Application Information

Interested candidates are encouraged to submit their resume and a cover letter detailing their relevant experience and passion for this work to our hiring team at Child and Adult Empower Mental Clinic Services. We look forward to discovering how you can contribute to our mission and make a meaningful impact in the lives of our clients.