This full-time, remote position offers the opportunity to work in a dynamic and supportive ... utilization reviews. * Coordinating support services for clients and their families, documenting ...
New
This full-time, remote position offers the opportunity to work in a dynamic and supportive ... utilization reviews. * Coordinating support services for clients and their families, documenting ...
New
This full-time, remote position offers the opportunity to work in a dynamic and supportive ... utilization reviews. * Coordinating support services for clients and their families, documenting ...
New
This full-time, remote position offers the opportunity to work in a dynamic and supportive ... utilization reviews. * Coordinating support services for clients and their families, documenting ...
New
This full-time, remote position offers the opportunity to work in a dynamic and supportive ... utilization reviews. * Coordinating support services for clients and their families, documenting ...
New
Directly supervise remote (from home) clinical staff. Must be an Arizona resident. Essential ... and Utilization Review as assigned by management. * Ensure quality service delivery including ...
Quick apply
Directly supervise remote (from home) clinical staff. Must be an Arizona resident. Essential ... and Utilization Review as assigned by management. * Ensure quality service delivery including ...
Phoenix, AZ ยท On-site +1
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Phoenix, AZ ยท On-site +1
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Phoenix, AZ ยท Remote
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Phoenix, AZ ยท Remote
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท On-site +1
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท On-site +1
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Quick apply
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท On-site +1
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท On-site +1
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Quick apply
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Mesa, AZ ยท Remote
$65K - $75K/yr
Partner with Clinical Managers to promote appropriate medication utilization, patient care outcomes, and cost management initiatives. * Lead recurring business reviews by preparing meeting agendas ...
Scottsdale, AZ ยท Remote
$95 - $110/hr
... in a remote environment. Responsibilities: * Lead the technical review of a high volume of ... items, and utilization of tax attributes. * Oversee return-to-provision true-up analyses and ...
Quick apply
Scottsdale, AZ ยท Remote
$95 - $110/hr
... in a remote environment. Responsibilities: * Lead the technical review of a high volume of ... items, and utilization of tax attributes. * Oversee return-to-provision true-up analyses and ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Regular virtual meetings and collaborative case reviews will help you feel connected with your ... Engage with insurance companies for pre-certifications and ongoing utilization management, ensuring ...
Regular virtual meetings and collaborative case reviews will help you feel connected with your ... Engage with insurance companies for pre-certifications and ongoing utilization management, ensuring ...
Regular virtual meetings and collaborative case reviews will help you feel connected with your ... Engage with insurance companies for pre-certifications and ongoing utilization management, ensuring ...
Regular virtual meetings and collaborative case reviews will help you feel connected with your ... Engage with insurance companies for pre-certifications and ongoing utilization management, ensuring ...
$20.14 - $24.21
2% of jobs
$24.21 - $28.29
9% of jobs
$31.07 is the 25th percentile. Wages below this are outliers.
$28.29 - $32.36
21% of jobs
The median wage is $35.66 / hr.
$32.36 - $36.43
23% of jobs
$36.43 - $40.51
13% of jobs
$43.67 is the 75th percentile. Wages above this are outliers.
$40.51 - $44.58
10% of jobs
$44.58 - $48.65
8% of jobs
$48.65 - $52.72
5% of jobs
$52.72 - $56.80
5% of jobs
$56.80 - $60.87
2% of jobs
$60.87 - $64.94
2% of jobs
$20
$39
$64
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
The most popular types of Utilization Review jobs in Apache Junction, AZ are:
For Remote Utilization Review jobs in Apache Junction, AZ, the most frequently searched job titles are:
Cities near Apache Junction, AZ with the most Remote Utilization Review job openings:

Scottsdale, AZ โข Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 2 days ago
New
We are seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our team at Crossroad Behavioral Health Services. This full-time, remote position offers the opportunity to work in a dynamic and supportive environment, focusing on providing high-quality mental health and substance use counseling to diverse populations. The ideal candidate will have a strong background in co-occurring counseling and will play a pivotal role in fostering recovery and wellness among our clients.
About the OrganizationCrossroad Behavioral Health Services is a leading provider of addiction treatment services, recognized for our commitment to improving the lives of thousands of individuals nationwide. With a mission to eliminate barriers to recovery, we deliver effective and comprehensive treatment to over 25,000 patients daily. Our employees are passionate about making a difference and believe in creating a supportive community that promotes healing for individuals, families, and communities.
Work EnvironmentThis position is fully remote, allowing you to work from the comfort of your own home while still being an integral part of our clinical team. You will interact regularly with your colleagues, including the Clinical Director and Executive Director, to maintain a therapeutic environment that is conducive to client recovery. Our virtual work setting combines professionalism with flexibility, ensuring that you can balance your personal and professional life while contributing to our mission of recovery and transformation.
Key ResponsibilitiesAs a Licensed Clinical Social Worker at Crossroad Behavioral Health Services, your primary responsibilities will include:
Your work will primarily involve individuals dealing with a range of mental health issues and substance use disorders. By tailoring your therapeutic approaches to fit the needs of each client, you will empower them on their journeys toward recovery and self-sufficiency. Your focus will encompass aiding clients in developing coping strategies, family dynamics, and life skills crucial for long-term recovery and wellness.
QualificationsThe ideal candidate must hold a Bachelor's Degree in social work or a related field, with a valid LCSW license in Arizona. We are looking for a professional who demonstrates:
While not required, experience in co-occurring disorders treatment is highly desirable. Previous work in community health clinics or similar settings where collaboration with multi-disciplinary teams occurred will be advantageous. Familiarity with electronic health record (EHR) systems is a plus, as documentation will be electronic.
Compensation and BenefitsWe offer a competitive salary ranging from USD 70,000 to 100,000 annually, commensurate with your experience and qualifications. Our comprehensive benefits package includes:
At Crossroad Behavioral Health Services, we are committed to fostering the professional development of our employees. You will have access to numerous training and professional development programs designed to enhance your skills, certifications, and overall career trajectory within the field of behavioral health. Opportunities for leadership roles and specialized area training may also arise as you grow with our organization.
Why Join Our TeamBy joining Crossroad Behavioral Health Services, you become part of a passionate team dedicated to making a meaningful impact in the lives of those we serve. Our supportive and collaborative work environment empowers you to flourish in your clinical practice while contributing to significant patient outcomes and community health improvements. Your efforts will play a vital role in transforming lives and creating a brighter future for countless individuals and families.
Application InformationIf you are ready to take the next step in your career and join a leading organization devoted to recovery and wellness, we encourage you to submit your application today. Please include your updated resume along with a cover letter detailing your relevant experience and enthusiasm for this position.