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Remote Utilization Review Rn Jobs in Springfield, IL

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Remote Utilization Review Rn information

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

As of Sep 12, 2026, the average hourly pay for remote utilization review rn in Springfield, IL is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Springfield, IL?

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

What cities near Springfield, IL are hiring for Remote Utilization Review Rn jobs?

Cities near Springfield, IL with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Springfield, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,164 per year, or $41.9 per hour.

Licensed Clinical Social Worker (LCSW) - Remote Position at Ascend Mind Journey

Springfield, IL β€’ On-site, Remote

Full-time

Medical, Dental, Vision, Life

Posted 9 days ago


Job description

Position Overview

Ascend Mind Journey is seeking compassionate and dedicated Licensed Clinical Social Workers (LCSW) to join our team in Springfield, Illinois. In this full-time remote role, you will have the opportunity to make a significant impact on the lives of individuals facing various mental health challenges. As part of a multidisciplinary treatment team, you will play a crucial role in providing comprehensive assessment, treatment planning, and therapeutic support.

About the Organization

At Ascend Mind Journey, we are committed to providing exceptional mental health care in a supportive and empowering environment. Our organization specializes in trauma-informed care with a focus on treating anxiety, depression, and other mental health disorders. We strive to create a warm, welcoming atmosphere where clients feel safe and valued. Our mission is to support individuals in their journey toward recovery, helping them develop coping strategies and resilience.

Work Environment

This position offers the flexibility of remote work, allowing you to manage your schedule while maintaining a healthy work-life balance. Our hospice center is committed to fostering a collaborative and respectful virtual work culture, emphasizing open communication among team members. You will have access to the latest tools and resources designed to aid your practice and enhance client interactions while minimizing paperwork.

Key Responsibilities
  • Conduct thorough clinical assessments to identify the needs, strengths, and challenges of clients.
  • Develop and implement individualized treatment plans that include evidence-based strategies and interventions.
  • Utilize solution-focused therapy techniques to facilitate positive change and promote mental well-being.
  • Maintain accurate and confidential client records in compliance with regulatory standards and organizational policies.
  • Collaborate closely with a team of professionals including nurses, physicians, and other social workers to ensure comprehensive care delivery.
  • Participate in regular team meetings to share insights, review client progress, and adjust treatment plans as necessary.
  • Stay informed on current research and developments in social work practices, trauma-informed care, and mental health strategies to continually refine your approach.
Patient Population / Client Focus

Your primary focus will be on working with clients in a hospice setting who are experiencing a range of mental health issues, including but not limited to anxiety, depression, grief, and trauma. Many clients may be navigating significant life changes, making it essential to approach care with sensitivity and empathy. You will provide support not just to the patients but also to their families, ensuring that they have the tools and resources they need during difficult times.

Qualifications
  • A Master’s degree in Social Work from an accredited institution.
  • An active LCSW license in the state of Illinois.
  • Strong communication and interpersonal skills, with the ability to establish rapport with diverse populations.
  • Proficient in using electronic health records (EHR) systems for maintaining client documentation.
  • A commitment to continued professional development and staying current with best practices in the field.
Preferred Experience
  • Experience providing therapy in a hospice or similar healthcare setting.
  • Background in trauma-informed care approaches.
  • Knowledge of community resources and referral networks for client support.
Compensation and Benefits

This position offers a competitive salary ranging from USD 80,000 to 100,000 annually, with the potential for additional bonuses based on performance. Our comprehensive benefits package includes medical, dental, and vision insurance, life and disability insurance, malpractice insurance, and an employee assistance program. You will also benefit from minimal paperwork, unlimited referrals, and the support necessary to maintain a fulfilling caseload.

Career Growth Opportunities

At Ascend Mind Journey, we are committed to the professional development of our staff. We provide opportunities for ongoing training, workshops, and conferences to enhance your skills in social work practice. As you grow within our organization, you may explore leadership roles, specialty areas of practice, or expanded responsibilities that align with your career goals.

Why Join Our Team

Joining Ascend Mind Journey means becoming part of a community that values compassion, excellence, and collaboration. You will work alongside a team of passionate professionals dedicated to making a difference in the lives of clients. Our virtual work environment and strong support system provide you with the tools needed to thrive both personally and professionally.

Application Information

If you are ready to embark on a rewarding career with a focus on healing and support, we encourage you to apply today. Please submit your resume and a cover letter detailing your experience and passion for social work. Together, let’s make a positive impact in the lives of those we serve in Springfield, Illinois.