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Remote Utilization Review Social Worker Jobs in Rochester, MN

micro1 AI

Compliance Officers

Rochester, MN · Remote

$50 - $80/hr

Remote micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project ... Author and review evaluation tasks inspired by real-world agency requests and sponsor response ...

micro1 AI

Pharmacovigilance Expert

Rochester, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... or reviewing DSURs and/or PSURs/PBRERs from start to finish. * Working fluency with ICH E2F, ICH ...

micro1 AI

Legal Counsel - AI Trainer

Rochester, MN · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned General Counsels for a part-time role at the forefront ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Clinical Pharmacy Technicians

Rochester, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... or reviewing DSURs and/or PSURs/PBRERs from start to finish. * Working fluency with ICH E2F, ICH ...

CannonDesign

Risk & Legal Analyst

Rochester, MN · On-site +1

$88K - $110K/yr

Facilitate reviews with CannonDesign's internal risk management and legal team on critical ... We have paid time off, flex-time schedules, remote work options and a 401k plan and employee perk ...

micro1 AI

In-house Counsel

Rochester, MN · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned in-house transactional attorneys for a part-time role ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Transactional Counsel

Rochester, MN · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned in-house transactional attorneys for a part-time role ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

micro1 AI

Business Law Attorney

Rochester, MN · Remote

$90 - $130/hr

Remote Job Summary: We are seeking seasoned in-house transactional attorneys for a part-time role ... In this role, you will review, assess, and contribute to contract redlining workflows used to train ...

Word On Fire

Associate Academic Editor

Rochester, MN · On-site +1

$65K - $80K/yr

Remote Employment Type: Full-time Responsibilities * Evaluate essay and book manuscripts, assessing ... Write and review book indices and bibliographies * Help to manage Word on Fire Academic web pages ...

micro1 AI

Director of Biostatistics

Rochester, MN · Remote

$60 - $65/hr

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

micro1 AI

Biostatistician

Rochester, MN · Remote

$60 - $65/hr

Remote micro1 is engaging Biostatisticians to contribute their clinical statistics expertise to a ... Scope of Work * Author and review evaluation tasks that require deriving, reproducing, or ...

Mayo Clinic

Senior Engineer - Rochester

Rochester, MN · On-site +1

$108K - $162K/yr

Working to develop expertise in regulatory requirements applicable to his/her unit. Self-starter ... This position is a combination of remote and on-site work; individual must live within a 100 mile ...

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Remote Utilization Review Social Worker information

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How much do remote utilization review social worker jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization review social worker in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

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.

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Remote Utilization Review Social Worker jobs near you

Compliance Officers

micro1 AI

Rochester, MN • Remote

$50 - $80/hr

Part-time

Re-posted 4 days ago

Job description

Role Title: Regulatory Affairs Specialist


Role Type: Contractor


Location: Remote


micro1 is engaging Regulatory Affairs Specialists to contribute to a customer's project focused on AI innovation in regulatory documentation. In this role, you'll apply your expertise to help train next-generation AI systems. Your work will shape how models learn, reason, and perform through high-quality, real-world input. No prior experience in AI is required — your domain knowledge is what matters.


Scope of Work

  1. Author and review evaluation tasks inspired by real-world agency requests and sponsor response threads, determining if drafted responses meet regulatory expectations.
  2. Apply expert judgment to review clinical documentation, assessing whether conclusions are substantiated, commitments are properly scoped, and records can withstand regulatory scrutiny.
  3. Distinguish between substantively adequate and superficially polished responses, articulating clear rationales for any deficiencies.
  4. Assess consistency across comprehensive document sets, identifying unsupported or conflicting claims within or between documents.
  5. Provide structured, well-reasoned written feedback grounded in applicable regulatory guidelines rather than subjective impressions.
  6. Collaborate asynchronously and communicate complex regulatory concepts clearly in both written and verbal form.


Preferred Qualifications

  1. 5+ years of direct regulatory affairs experience at a sponsor, CRO, or consultancy, with responsibility for clinical submissions.
  2. Documented experience drafting or leading responses to health authority information requests, particularly for ongoing regulatory filings.
  3. Demonstrated working knowledge of the ICH framework, CTD/eCTD structure, and practical expectations of at least one major regulatory body (FDA, EMA, MHRA, PMDA, or Health Canada).
  4. Proven ability to critically read clinical or safety documents to identify regulatory risks, unsupported statements, and potential reviewer concerns.
  5. Exceptional written communication skills, with the capability to convey regulatory reasoning clearly, concisely, and defensibly.
  6. Degree in life sciences, pharmacy, medicine, or a related field; RAC certification is an advantage.
  7. Experience engaging with multiple regions or agencies, prior health authority reviewer/assessor background, or familiarity with AI-assisted regulatory tools (all considered valuable).

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