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Remote Utilization Review Rn Jobs in Visalia, CA

Remote Utilization Review Rn information

See Visalia, CA salary details

$21

$42

$70

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Visalia, CA is $42.99, according to ZipRecruiter salary data. Most workers in this role earn between $33.99 and $49.38 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 Visalia, CA?

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

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

The top searched job categories for Remote Utilization Review Rn jobs in Visalia, CA are:

What cities near Visalia, CA are hiring for Remote Utilization Review Rn jobs?

Cities near Visalia, CA with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Visalia, CA as of August 2026, with employment types broken down into 34% As Needed, 33% Full Time, and 33% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,413 per year, or $43 per hour.

Remote Licensed Clinical Social Worker at Integral Health Care Center in Visalia, CA

Integral Health Care Center

Visalia, CA โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 3 days ago

New


Job description

Position Overview

Integral Health Care Center is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity. This role is critical in providing high-quality mental health support to individuals in various stages of their recovery journey, particularly within our detox center. The ideal candidate will demonstrate strong clinical skills, a commitment to patient empowerment, and the ability to work collaboratively with other health care professionals.

About the Organization

Integral Health Care Center is a premier facility located in the heart of Visalia, California, dedicated to offering exceptional mental health services tailored to meet a diverse array of needs. Our mission involves cultivating an inclusive and nurturing environment where every client can embark on a path of personal growth and healing. We pride ourselves on a team of experienced professionals who are committed to providing compassionate care that acknowledges and respects the unique identities of each individual.

Work Environment

The work setting for this position is fully remote, allowing for flexibility and the ability to work from home, while frequently engaging with clients through telehealth platforms. Our detox center serves as a hub for individuals seeking recovery, and the LCSW will coordinate closely with both clinical and administrative teams to ensure a seamless and supportive treatment experience. Your welcoming demeanor and empathetic communication style will directly contribute to the nurturing environment we strive to foster.

Key Responsibilities
  • Act as the primary liaison between families and outpatient providers, ensuring consistent and clear communication about treatment plans and progress.
  • Engage with insurance companies to manage pre-authorizations and utilization review processes, advocating for our clientsโ€™ needs.
  • Contribute to discharge planning and aftercare strategies, ensuring clients transition smoothly from detox to outpatient services.
  • Provide therapeutic meal support, incorporating education on nutrition and fostering healthy relationships with food.
  • Deliver safe, empathetic, and affirming care, tailoring support to address the diverse identities and backgrounds of our clients.
Patient Population / Client Focus

Our clientele primarily consists of individuals undergoing detoxification and recovery from substance use disorders, with a significant focus on older adults. As an LCSW, your expertise in handling complex emotional and psychological issues will be pivotal in providing holistic care that enhances each client's treatment experience. Your interpersonal skills will help establish trust and rapport, fostering an environment conducive to healing and growth.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution is required.
  • A valid LCSW license in the state of California is mandatory.
  • Previous experience working with older adults, particularly within a detox or rehabilitation setting, is essential.
  • Proficient clinical and diagnostic skills, with an ability to craft individualized treatment plans.
  • Outstanding communication and interpersonal skills to effectively connect with clients and collaborate with multidisciplinary teams.
Preferred Experience
  • Experience in substance use disorder treatment and recovery-oriented practices.
  • Familiarity with telehealth technologies and electronic health record systems.
  • Knowledge of community resources and support services relevant to the patient population.
Compensation and Benefits

The salary for this position ranges from USD 115,000 to 130,000 annually, commensurate with experience and qualifications. Integral Health Care Center values its employees and offers a competitive benefits package that includes:

  • Comprehensive medical, dental, and vision insurance options.
  • A 401(k) retirement plan with employer matching.
  • Flexible spending accounts.
  • Life insurance coverage and short-term disability insurance.
  • Opportunities for continuing education and professional development.
Career Growth Opportunities

At Integral Health Care Center, we believe in nurturing the career paths of our staff. As an LCSW, you will have access to ongoing training programs, workshops, and mentorship opportunities to enhance your skills and advance within the organization. We encourage our employees to pursue certifications and specializations, contributing to both personal and organizational growth.

Why Join Our Team

Joining the Integral Health Care Center means becoming part of a mission-driven organization that prioritizes the well-being of its clients and its employees. You will work alongside a passionate team where your contributions are valued, and your unique insights are welcomed. Be part of a fulfilling experience that allows you to make a tangible difference in the lives of individuals seeking recovery and support.

Application Information

If you are a skilled and compassionate Licensed Clinical Social Worker eager to contribute to a meaningful cause, we encourage you to apply today. Please submit your resume and a cover letter detailing your relevant experience and motivation for joining Integral Health Care Center. We look forward to reviewing your application and potentially welcoming you to our dedicated team.