2

Remote Utilization Review Manager Jobs in Oneida, NY

Cyber Test Engineer

Rome, NY ยท On-site +1

$55K - $126K/yr

Remote Work: No Job Number: R0241786 Location: Rome,NY,US Share job via: Share Cyber Test Engineer ... Work with systems that are assessed based on NIST 800-53 Risk Management Framework security ...

CX Engineer

Utica, NY ยท On-site +1

This person will be focused on measuring and managing the department to service metrics and ... remote work. The CX Engineer acts as a key interface that is focused on maintaining a service ...

DevOps Platform Engineer

Rome, NY ยท On-site +1

$61K - $141K/yr

Remote Work: Hybrid Job Number: R0243162 Location: Rome,NY,US Share job via: Share DevOps Platform ... Experience in Active Directory and GPO configuration and management Clearance: Applicants selected ...

Showing results 41-60

Remote Utilization Review Manager information

See Oneida, NY salary details

$39.5K

$92.1K

$169.5K

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

As of Aug 20, 2026, the average yearly pay for remote utilization review manager in Oneida, NY is $92,116.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,200.00 and $110,800.00 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 Oneida, NY?

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

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

The top searched job categories for Remote Utilization Review Manager jobs in Oneida, NY are:

What cities near Oneida, NY are hiring for Remote Utilization Review Manager jobs?

Cities near Oneida, NY with the most Remote Utilization Review Manager job openings:

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

Elevance Psychiatric Medical Group, INC

Utica, NY โ€ข Remote

$100K - $125K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

Elevance Psychiatric Medical Group, INC is seeking a dedicated and empathetic Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity. In this role, you will leverage your skills to provide high-quality mental health care to a diverse clientele, helping individuals navigate their mental health challenges and improve their overall well-being.

About the Organization

At Elevance Psychiatric Medical Group, INC, we are deeply committed to delivering exceptional mental health services within our community. Our organization is a leading provider in the field, known for a holistic approach that prioritizes both patient care and employee support. We believe in fostering an empowering work environment that values compassion, collaboration, and continuous improvement.

Work Environment

Our organization operates out of a Community Health Clinic setting, designed to provide a comfortable and supportive atmosphere for both staff and patients. You'll be working remotely, allowing for a flexible schedule that helps you maintain a healthy work-life balance. Equipped with the latest technologies and access to digital resources, our treatment teams collaborate seamlessly to provide integrated care, ensuring that each patient receives personalized attention and effective interventions.

Key Responsibilities

As a Licensed Clinical Social Worker, you will be at the forefront of delivering psychotherapy and intervention services to individuals struggling with various mental health issues. Your day-to-day tasks will include:

  • Conducting thorough clinical assessments for new clients and developing tailored treatment plans that incorporate evidence-based practices.
  • Implementing a wide range of therapeutic interventions, such as Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), aimed at addressing the unique psychiatric needs of each client.
  • Maintaining accurate and up-to-date clinical documentation in compliance with HIPAA regulations and standards, ensuring data integrity and security.
  • Collaborating with interdisciplinary team members including psychiatrists, psychologists, and fellow social workers to enhance care delivery and client outcomes.
  • Participating actively in case consultations and peer review meetings to foster professional development and improve the quality of care provided.
  • Educating clients and their families about mental health issues, treatment options, and available community resources that could aid in their recovery.
  • Staying informed on the latest advances in mental health practices and research to continually refine your clinical expertise.
Patient Population / Client Focus

In your role, you will work primarily with a diverse population of patients experiencing a range of mental health concerns, including anxiety disorders, mood disorders, and trauma-related conditions. Our clinic emphasizes cultural competency, and you will have the opportunity to work with individuals from various backgrounds, enhancing your ability to provide inclusive care.

Qualifications
  • A Masterโ€™s degree in Social Work (MSW) or a closely related field is required.
  • Active state licensure as a Licensed Clinical Social Worker (LCSW) or equivalent.
  • Demonstrated experience in a clinical setting, providing mental health services is essential.
  • Excellent communication and interpersonal skills, with the ability to connect with clients and foster a trusting environment.
  • A proven capacity to work independently as well as collaboratively within a team.
Preferred Experience
  • Experience working with diverse populations and addressing complex mental health issues is highly valued.
  • Familiarity with electronic health record (EHR) systems to streamline documentation and patient management.
  • Skills in crisis intervention and stabilization are beneficial.
  • Prior experience in community health settings or outpatient clinics will be advantageous.
Compensation and Benefits

The salary for this position ranges from $100,000 to $125,000 per year, commensurate with experience and hours worked. In addition to a competitive salary, we offer:

  • A comprehensive healthcare benefits package, covering medical, dental, and vision insurance for you and eligible family members.
  • An employer-matching retirement savings plan designed to support your financial well-being.
  • Generous paid time off (PTO) and holiday pay to promote a balanced lifestyle.
  • Professional development opportunities focused on continuing education, training, and specialization in mood disorders.
  • A collaborative work environment that emphasizes teamwork and support.
  • Clear pathways for career advancement within our practice, encouraging you to take on leadership roles or expand your expertise.
Career Growth Opportunities

At Elevance Psychiatric Medical Group, we are committed to your growth. You will have access to structured mentoring and opportunities for advanced training that can lead to specialization in areas of your interest. We believe in recognizing and fostering talent, providing multiple avenues for career advancement.

Why Join Our Team

Joining Elevance Psychiatric Medical Group, INC means becoming part of a passionate team that is dedicated to making a positive impact on the community and providing meaningful support to those in need. We offer you the tools, resources, and support you need to thrive both professionally and personally. If you are passionate about mental health and want to play a vital role in improving lives, we would love for you to apply!

Application Information

If you are ready to take the next step in your career as a Licensed Clinical Social Worker, we encourage you to submit your application for this exciting opportunity. We look forward to hearing from individuals who are eager to contribute to our mission and make a significant difference in the lives of those we serve.