Remote Utilization Review Social Worker information
See Springfield, MO salary details
$19.46 - $23.40
2% of jobs
$23.40 - $27.33
9% of jobs
$30.03 is the 25th percentile. Wages below this are outliers.
$27.33 - $31.27
21% of jobs
The median wage is $34.45 / hr.
$31.27 - $35.20
23% of jobs
$35.20 - $39.14
13% of jobs
$42.20 is the 75th percentile. Wages above this are outliers.
$39.14 - $43.08
10% of jobs
$43.08 - $47.01
8% of jobs
$47.01 - $50.95
5% of jobs
$50.95 - $54.88
5% of jobs
$54.88 - $58.82
2% of jobs
$58.82 - $62.76
2% of jobs
How much do remote utilization review social worker jobs pay per hour?
As of Aug 14, 2026, the average hourly pay for remote utilization review social worker in Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 per hour, depending on experience, location, and employer.
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.
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.
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.
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