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Remote Utilization Review Social Worker Jobs in Indiana

BetterHelp

Licensed Psychologist- Remote

Indianapolis, IN · Remote

$55 - $70/hr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... We're Looking For * LCSW, LPC, LMFT, LMHC, Licensed Professional Counselor, or Psychologist / PsyD

coty

$14.25 - $18.25/hr

Social Media & Content Creator Intern Consumer Beauty Darmstadt - 6 months internship Are you ... We believe that a more flexible philosophy of remote working will give everyone the freedom to ...

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Talkiatry

Remote Therapist - Indiana

Fort Wayne, IN · Remote

Minimal administrative burden in a fully remote environment * Clear expectations around caseload ... Independently licensed therapists (LCSW, LMFT, LPC, LMHC or equivalent) * Active, unrestricted ...

Talkiatry

Remote Therapist - Indiana

Indianapolis, IN · Remote

Minimal administrative burden in a fully remote environment * Clear expectations around caseload ... Independently licensed therapists (LCSW, LMFT, LPC, LMHC or equivalent) * Active, unrestricted ...

Talkiatry

Remote Therapist - Indiana

Evansville, IN · Remote

Minimal administrative burden in a fully remote environment * Clear expectations around caseload ... Independently licensed therapists (LCSW, LMFT, LPC, LMHC or equivalent) * Active, unrestricted ...

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Remote Utilization Review Social Worker information

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

To thrive as a Remote Utilization Review Social Worker, you need a background in social work (often a MSW and relevant licensure), knowledge of medical terminology, and experience in patient care coordination. Familiarity with utilization management software, electronic health records (EHRs), and certification such as ACM or CCM is typically required. Strong analytical thinking, communication skills, and the ability to work independently are vital soft skills for this position. These skills ensure effective patient advocacy, compliance with regulations, and optimal resource utilization in a remote healthcare environment.

How does a remote utilization review social worker typically collaborate with interdisciplinary teams while working off-site?

Remote Utilization Review Social Workers regularly communicate with physicians, nurses, case managers, and insurance representatives through virtual meetings, secure emails, and electronic health record systems. Despite working remotely, they play a key role in ensuring appropriate patient care by reviewing cases, discussing treatment plans, and advocating for necessary services. Collaboration often involves scheduled case conferences and prompt responses to queries, requiring strong organizational and digital communication skills. Building effective working relationships remotely is crucial for delivering coordinated, patient-centered care.

What does a remote utilization review social worker do?

A Remote Utilization Review Social Worker evaluates patient care plans and medical records to ensure that healthcare services are medically necessary, appropriate, and cost-effective. Working remotely, they collaborate with healthcare providers, insurance companies, and patients to review treatment plans and make recommendations on care approvals or alternatives. Their goal is to help manage healthcare costs while ensuring patients receive the care they need, often working within hospitals, insurance companies, or third-party review organizations.
What are the most commonly searched types of Utilization Review Social Worker jobs in Indiana? The most popular types of Utilization Review Social Worker jobs in Indiana are:
What are popular job titles related to Remote Utilization Review Social Worker jobs in Indiana? For Remote Utilization Review Social Worker jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Social Worker jobs in Indiana look for? The top searched job categories for Remote Utilization Review Social Worker jobs in Indiana are:
What cities in Indiana are hiring for Remote Utilization Review Social Worker jobs? Cities in Indiana with the most Remote Utilization Review Social Worker job openings:
Remote Utilization Review Social Worker jobs near you
Infographic showing various Remote Utilization Review Social Worker job openings in Indiana as of August 2026, with employment types broken down into 3% Internship, 67% Full Time, 15% Part Time, and 15% Contract. Highlights an 100% Remote job distribution.

Physician / Cardiology / Indiana / Permanent / Associate Medical Director - Cardiology - 100% Remote

eviCore healthcare

Indianapolis, IN • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with collaborative cultureeviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of PTO(starting) per year plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSAPaid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

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