2

Remote Utilization Review Social Worker Jobs in Ohio

Social Worker III

Delaware, OH ยท On-site +1

$24.67 - $34.46/hr

Delaware, OH Job Type: Full-Time Remote Employment: Flexible/Hybrid Job Number: 2601332 Department ... Licensed Social Worker (LSW) a plus. * Must possess a valid driver's license and proof of insurance ...

Social Worker III

Delaware, OH ยท On-site +1

$24.67 - $34.46/hr

... Hybrid remote work opportunities - Meaningful work serving our community every day If you're ... Licensed Social Worker (LSW) a plus. Must possess a valid driver's license and proof of insurance ...

next page

Showing results 1-20

Remote Utilization Review Social Worker information

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 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 cities in Ohio are hiring for Remote Utilization Review Social Worker jobs?

Cities in Ohio with the most Remote Utilization Review Social Worker job openings:

Infographic showing various Remote Utilization Review Social Worker job openings in Ohio as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Licensed Clinical Social Worker, Remote

Cleveland, OH โ€ข Remote

Full-time

Re-posted 2 days ago


Job description

Salvo Health is looking for an experienced Lincensed Clinical Social Worker to play an integral role on our care team.ย 
ย 
This role will work directly with patients virtually, offering personalized psychosocial support and counseling to patients to reduce symptoms and improve quality of life. The LCSW will empower patients with the knowledge and tools to make lasting behavioral changes that will improve clinical outcomes and overall wellness. You'll serve as one of our patients' primary success partners, with responsibilities including: addressing member health questions, providing relevant educational resources, and fostering positive member accountability.ย  If you have a passion for patient empowerment through a holistic-based approach to medicine, come join our team!
ย 
ย 
Responsibilities:
  • Provide case consultation and collaborate with interdisciplinary care teams.
  • Conduct case management, including assessing patient needs, coordinating care, and connecting patients with community resources.
  • Lead group sessions focused on psychoeducation, stress management, mindfulness, and meditation.
  • Conduct one-on-one patient visits to provide emotional support, stress management techniques, psychoeducation, and coping strategies.
  • Document patient encounters and coordinating follow-up care to support positive health outcomes.
Requirements:
  • LCSW license with licensure to practice in GA, FL, and MI (also open to PA, NY, OH)
  • 2+ years experience as a an LCSW
  • Bachelor's and Master's degrees requiredย 
  • Experience communicating with patients asynchronously preferred
  • Experience with GI conditions or weight management a plus
  • Proficiency in using telehealth platforms and electronic health record (EHR) systems
  • Passion for working with clients to facilitate behavior change by helping them set health goals to effectively manage chronic disease
  • Experience working with patients in a clinic setting preferred
  • Demonstrates a willingness to go above and beyond normal responsibilities to provide the best care possible
  • Excellent interpersonal communication and problem-solving skills
  • Exceptional organizational skills
  • Experience and ability to thrive in a fast-paced, high-growth environment
  • Strong personal computing skills - remote work experience preferred
  • Passion for and commitment to functional medicine approaches

Salvo Health is taking a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. We bring multidisciplinary virtual care to patients at community specialty care practices, particularly GI and hepatology brick & mortar clinics around the US. ย We assign each patient a "whole patient" care team and offer daily access to app-based care, using Remote Patient Monitoring ("RPM") and Chronic Care Management ("CCM") to bill. These services are covered by most patient's insurance, both Medicare and commercial.

Salvo represents a major step forward to go beyond episodic appointments to continuous care, and deliver interdisciplinary wraparound care in partnership with the patient's existing specialist. ย Salvo customers include over 700 GI physicians who have contracted to bring Salvo to their patients; three of the four largest independent GI practices in the US have chosen Salvo. ย 
Salvo has raised a Series A investment round from leading healthcare investors who backed innovators such as Livongo, Ro, Brightline, Tia, and others. Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social workers, for a personalized, multi-month journey to better health.
Salvo offers a competitive salary and health benefits, a remote work environment, flexible time-off, a larger sense of mission, and professional development and entrepreneurial opportunities. At Salvo, you will work alongside a bunch of super talented and friendly people, in a culture of constant innovation, marked by relentless curiosity and a sense of empathy.
Salvo is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
apply for this job