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Remote Utilization Review Social Worker Jobs in Springfield, IL

micro1 AI

Compliance Officers

Springfield, IL · Remote

$50 - $70/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

Springfield, IL · 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

Clinical Pharmacy Technicians

Springfield, IL · 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

Director of Biostatistics

Springfield, IL · 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

Springfield, IL · 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 ...

CSpring

MDM Data Quality Analyst

Springfield, IL · Remote

... remote" as a reason to be hard to reach. What You'll Do Working under the guidance of the MDM ... Perform data profiling and quality review and analysis. * Perform data quality assessments and ...

Crowe LLP

Tax Manager, Exempt Organizations

Springfield, IL · On-site +1

$110K - $144K/yr

... social service agencies and more. Our work extends far beyond tax return compliance-we act as ... Manage the preparation and review of IRS Forms 990, 990-T, 990-PF, and state filings for exempt ...

Hansoninc

Cultural Resource Specialist

Springfield, IL · On-site +1

$60K - $80K/yr

Working knowledge of Section 106 review processes and agency coordination. * Strong technical ... Combination of office, remote, and field-based work. The salary for this position is $60,000 - $80 ...

Memorial Health

Denial Appeals Specialist

Springfield, IL · Remote

$18.34 - $28.42/hr

To review Memorial's Benefits click here: Benefits - Memorial HR Education: Education equivalent to ... Basic working knowledge of personal computers and their associate user software is required.

Kong

Sales Strategy and Operations Manager

Springfield, IL · Remote

$130K - $160K/yr

United States & Canada (Remote) What You'll Do: * Lead annual AMS GTM planning process to include ... Reviews. * Drive CRM accuracy, pipeline analytics, forecasting, and ad hoc regional reporting ...

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All JobsUtilization Review Social Worker JobsRemote Utilization Review Social Worker JobsRemote Utilization Review Social Worker Jobs in Springfield, IL

Remote Utilization Review Social Worker information

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

As of Aug 11, 2026, the average hourly pay for remote utilization review social worker 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 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 popular job titles related to Remote Utilization Review Social Worker jobs in Springfield, IL? For Remote Utilization Review Social Worker jobs in Springfield, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Social Worker jobs in Springfield, IL look for? The top searched job categories for Remote Utilization Review Social Worker jobs in Springfield, IL are:
What cities near Springfield, IL are hiring for Remote Utilization Review Social Worker jobs? Cities near Springfield, IL 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 Springfield, IL 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, with an average salary of $87,164 per year, or $41.9 per hour.

Compliance Officers

micro1 AI

Springfield, IL • Remote

$50 - $70/hr

Part-time

Posted 7 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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