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Remote Utilization Review Social Worker Jobs (NOW HIRING)

Pacer Group

RN - UTILIZATION REVIEW

Everett, WA · Remote

$65/hr

Fully Remote Position Job Title : RN - UTILIZATION REVIEW Location: Everett, WA 98201 Start Date: 05/04/2026 Duration: 13 weeks Schedule Shift: Day 5x8-Hour (08:00 - 16:30) Shift Notes: Days (5×8 ...

Dragonfly Recruiting

Be Seen First

Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent ... Experience working with Medicare Advantage members . * Basic understanding of medical terminology ...

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ... Experience in clinical quality, utilization review, or case review * Familiarity with federal or ...

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

As of Jun 16, 2026, the average hourly pay for remote utilization review social worker in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 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, and why are they important?

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.
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Remote Utilization Review Social Worker jobs near you
RN - UTILIZATION REVIEW

RN - UTILIZATION REVIEW

Pacer Group

Everett, WA • Remote

$65/hr

Other

Posted 7 days ago

Job description

Fully Remote Position
Job Title : RN - UTILIZATION REVIEW
Location: Everett, WA 98201
Start Date: 05/04/2026
Duration: 13 weeks
Schedule Shift: Day 5x8-Hour (08:00 - 16:30)
Shift Notes: Days (5×8) | 08:00 - 16:30PAY DETAILS (72 HOURS / 2 WEEKS)
Pay Rate: $65/hr
Description:
Start date: ASAP
Shift:5x8 Days Monday-Friday
Years of Experience Required: 1 year
First-timers accepted: Yes
Weekends Required: No
Certs Required: BLS, WA RN License
Will this traveler need to float between like units? No
Locals accepted? No.
Pending License accepted: No
Fully Remote Position
RTO Restrictions: Please include all RTO at the time of submittal.
Guaranteed Hours: 72 hours per 2 week period
Hospital Highlights
Type of Facility: Level II Trauma Center
Total Staffed Beds: 571 total for both campuses
Scrub Color: Any (no reddish orange permitted)
Charting: EPIC
Parking Cost: Facility Paid

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