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Remote Utilization Review Nurse Jobs in Springfield, MA

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 ...

Pharmacovigilance Expert

Springfield, MA ยท Remote

$70 - $80/hr

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 ...

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 ...

Pharmacovigilance Expert

Hartford, CT ยท Remote

$70 - $80/hr

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 ...

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

Utility Sales Support

Bloomfield, CT ยท Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Showing results 21-40

Remote Utilization Review Nurse information

See Springfield, MA salary details

$21

$42

$68

How much do remote utilization review nurse jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review nurse in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 per hour, depending on experience, location, and employer.

What is a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

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

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

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

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

What are the most commonly searched types of Utilization Review Nurse jobs in Springfield, MA?

The most popular types of Utilization Review Nurse jobs in Springfield, MA are:

What are popular job titles related to Remote Utilization Review Nurse jobs in Springfield, MA?

For Remote Utilization Review Nurse jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Nurse jobs in Springfield, MA look for?

The top searched job categories for Remote Utilization Review Nurse jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Remote Utilization Review Nurse jobs?

Cities near Springfield, MA with the most Remote Utilization Review Nurse job openings:

Infographic showing various Remote Utilization Review Nurse job openings in Springfield, MA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Remote Licensed Professional Counselor (LPC) - Full-Time Opportunity

Alvita Counseling Center

Hartford, CT โ€ข Remote

$59K - $80K/yr

Full-time

Medical, Dental, Vision

Posted 3 days ago

New


Job description

Position Overview

Alvita Counseling Center is seeking a dedicated and compassionate Licensed Professional Counselor (LPC) to provide exceptional mental health services in a remote setting. This full-time position is ideal for professionals who are committed to enhancing the emotional well-being of individuals and families. As a critical member of our team, you will utilize your expertise to create individualized treatment plans that foster personal development and emotional stability.

About the Organization

Alvita Counseling Center is a community health clinic located in Hartford, Connecticut, dedicated to offering quality mental health support to underserved populations. Our mission is to improve access to care for individuals and families who may otherwise struggle to receive the help they need. We pride ourselves on nurturing a supportive and inclusive environment where clients feel safe and valued.

Work Environment

This role is fully remote, allowing you the flexibility to manage your own schedule while still fulfilling the needs of your clients. We understand that maintaining a healthy work-life balance is essential for both personal wellness and professional effectiveness. At Alvita, you will have access to a collaborative virtual team of healthcare professionals, including psychiatrists, nurses, and fellow counselors, to ensure that you are fully supported in your role.

Key Responsibilities
  • Conduct comprehensive assessments and detailed evaluations to develop personalized therapy strategies tailored to each clientโ€™s needs.
  • Administer evidence-based therapeutic interventions to diverse populations, including individuals, couples, and families, utilizing modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and solution-focused therapy.
  • Maintain meticulous clinical documentation and client records in compliance with ethical standards and legal regulations.
  • Collaborate effectively with a multidisciplinary team to enhance the quality of care provided, participating in team meetings and case reviews.
  • Engage in continuous professional development through workshops and training sessions to remain abreast of the latest mental health research and methodologies.
Patient Population / Client Focus

Our primary focus is on individuals and families who face barriers to mental health care. Many of our clients represent marginalized communities in Hartford, including individuals experiencing trauma, substance use disorders, and various mental health issues. Your role as an LPC will be pivotal in offering these clients the support they need to navigate their challenges and improve their overall quality of life.

Qualifications
  • A Master's or Doctoral degree in Counseling, Psychology, or a related field is required.
  • Active and unrestricted licensure as a Professional Counselor (LPC) in the state of Connecticut is essential.
  • A minimum of two years of counseling experience, ideally in a clinical or community health setting.
  • A robust understanding of legal and ethical standards governing professional practice.
  • Excellent interpersonal and communication skills, with a proven ability to establish rapport with clients from diverse backgrounds.
  • Experience with electronic medical records (EMR) software and relevant technologies is necessary to effectively manage client documentation.
Preferred Experience
  • Specialization or significant experience in family therapy, couples therapy, trauma-informed care, or substance use treatment is highly preferred.
  • Experience working within a community health clinic is a plus, as it requires adaptability and a deep understanding of the challenges faced by underserved populations.
Compensation and Benefits

The salary range for this position is competitive, offering between USD 70,000 - 90,000 per year, depending on your experience and caseload capacity. In addition to a generous salary, we provide a comprehensive benefits package, including:

  • Health, dental, and vision insurance.
  • Malpractice insurance coverage.
  • A supportive environment for billing and documentation, which minimizes administrative burdens on counselors.
  • Access to a steady stream of client referrals, allowing for a manageable caseload.
Career Growth Opportunities

At Alvita, we believe in fostering the professional development of our team members. As a Licensed Professional Counselor, you will have opportunities for advancement within the organization, and we support further education and training in specialized therapeutic areas, impacting both your career trajectory and client outcomes.

Why Join Our Team

By joining Alvita Counseling Center, you are becoming part of a team that is dedicated to making a real difference in the lives of our clients. Our supportive culture prioritizes emotional wellness for both our clients and our team members, providing a fulfilling and rewarding work experience.

Application Information

If you are passionate about mental health and committed to providing quality care to underserved populations, we encourage you to apply. Please submit your resume and cover letter detailing your relevant experience and your vision for contributing to our mission at Alvita Counseling Center. Take the next step in your counseling career by connecting with us today!