2

Remote Utilization Review Nurse Practitioner Jobs in Riverside, CA

Oncology Account Executive

Riverside, CA ยท Remote

$241K - $311K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

Oncology Account Executive

Riverside, CA ยท Remote

$241K - $311K/yr

Physicians Assistant (PA), Nurse Practitioner (NP) or Registered Nurse (RN) with experience ... LI-Remote For more information about how we protect your information, we encourage you to review ...

LICENSED VOCATIONAL NURSE-LCM

Pomona, CA ยท Remote

$29 - $31/hr

Increase utilization of preventative care * Reduce emergency room utilization and hospital ... Although this role is remote, there will be times when you will be required to report to our ...

Showing results 41-60

Remote Utilization Review Nurse Practitioner information

See Riverside, CA salary details

$74.1K

$140.2K

$219.6K

How much do remote utilization review nurse practitioner jobs pay per year?

As of Aug 20, 2026, the average yearly pay for remote utilization review nurse practitioner in Riverside, CA is $140,183.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,800.00 and $159,100.00 per year, depending on experience, location, and employer.

What is a remote utilization review nurse practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a remote utilization review nurse practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

What are popular job titles related to Remote Utilization Review Nurse Practitioner jobs in Riverside, CA?

For Remote Utilization Review Nurse Practitioner jobs in Riverside, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Nurse Practitioner jobs in Riverside, CA look for?

The top searched job categories for Remote Utilization Review Nurse Practitioner jobs in Riverside, CA are:

What cities near Riverside, CA are hiring for Remote Utilization Review Nurse Practitioner jobs?

Cities near Riverside, CA with the most Remote Utilization Review Nurse Practitioner job openings:

Infographic showing various Remote Utilization Review Nurse Practitioner job openings in Riverside, CA as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $140,183 per year, or $67.4 per hour.

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

Child and Adult Empower Mental Clinic Services

Pomona, CA โ€ข Remote

Full-time

Medical, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

We are seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team at Child and Adult Empower Mental Clinic Services. This full-time, remote position offers a unique opportunity to provide critical mental health support to diverse populations, enabling you to make a significant impact in their lives. As a vital member of our clinical team, you will engage with clients through individual, couples, family, and child therapy sessions, contribute to community outreach programs, and help foster connections with essential local resources.

About the Organization

Child and Adult Empower Mental Clinic Services is committed to providing comprehensive mental health care for individuals and families in the Pomona, California area. Our mission is to enhance the quality of life for our clients by promoting mental wellness and ensuring access to resources that empower them to thrive. We uphold the highest professional standards while encouraging a culture of collaboration, respect, and continuous growth within our team.

Work Environment

In this remote role, you will conduct your work primarily from your home or another suitable environment, allowing for flexibility in your schedule while ensuring that you meet the needs of our clients effectively. The community health clinic setting fosters a strong support network among staff, enabling you to connect with colleagues and share best practices and strategies for effective client care. Our commitment to maintaining a supportive atmosphere means you can focus on delivering exceptional therapy while feeling part of a fulfilling team environment.

Key Responsibilities
  • Maintain compliance with all facility and licensing standards, ensuring the highest quality of care.
  • Conduct thorough intake assessments for new clients to identify their mental health needs and establish appropriate treatment plans.
  • Deliver mental health therapy sessions for individuals of varying ages, couples, and families, utilizing evidence-based therapeutic techniques.
  • Perform case management duties, including connecting clients with community resources and advocating for their needs.
  • Collaborate with the Utilization Review Department and Business Department to manage authorization and payment processes effectively.
  • Support colleagues as needed, filling in for them during their absence while maintaining continuity of care for clients.
  • Document all services provided and maintain accurate records in a timely manner to comply with organizational policies.
Patient Population / Client Focus

Our diverse client population includes children, families, individuals, and couples seeking mental health services. We strive to address a wide array of mental health issues, including anxiety, depression, trauma, and relationship challenges. As an LCSW at our clinic, you will have the opportunity to work with clients from various backgrounds and life experiences, ultimately enhancing their emotional, psychological, and relational well-being.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited university is required.
  • An active California LCSW license is mandatory to practice.
  • Demonstrated effective written and verbal communication skills for engaging with clients and staff.
  • Proven ability to establish and maintain appropriate professional boundaries with clients.
  • Proficiency in submitting documentation of services and other necessary paperwork accurately and punctually.
Preferred Experience
  • Experience working with diverse populations and familiarity with the specific challenges they may face.
  • Previous involvement in community outreach or resource connection initiatives.
  • Knowledge of various therapeutic modalities tailored to meet the needs of individuals, families, and groups.
Compensation and Benefits

The salary for this full-time position ranges from USD 120,000 to 130,000 per year, commensurate with experience and caseload. In addition to a competitive salary, we offer a comprehensive benefits package that includes health insurance, retirement plans, and paid time off. We are dedicated to investing in our employeesโ€™ growth, providing opportunities for professional development and continuing education to help you enhance your skills.

Career Growth Opportunities

At Child and Adult Empower Mental Clinic Services, we believe in fostering the career growth of our team members. With access to ongoing professional training, mentorship opportunities, and a clear pathway for advancement, you will have the chance to grow within the organization while enhancing your skills. We encourage our employees to pursue areas of interest, including specialization in certain therapeutic practices or community engagement initiatives.

Why Join Our Team

If you are a passionate and skilled therapist dedicated to making a difference in the lives of others, we invite you to apply. You will become part of a supportive and collaborative team that advocates for mental health accessibility and empowers clients through expert care. Joining our team means engaging in meaningful work that not only supports your career development but also contributes significantly to the community's overall well-being.

Application Information

If you are ready to take the next step in your career and help empower clients to lead fulfilling lives, we encourage you to apply today. Please submit your resume and a cover letter detailing your relevant experience and your motivation for wanting to join our team at Child and Adult Empower Mental Clinic Services.