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Remote Utilization Review Jobs in Beverly, MA (NOW HIRING)

Clinical Supervisor/BCBA

Lynn, MA · Remote

$65 - $70/hr

Signing bonus Help Set the Standard for High-Quality ABA Care- Fully Remote Clinical Supervisor ... utilization of scheduled hours with Behavior Technicians ● Develop and monitor individual ...

Senior Linux Device Programmer

Boston, MA · On-site +1

$170K - $185K/yr

Mentor junior engineers and review code contributions QUALIFICATIONS EDUCATION * Bachelor's degree ... This role can be remote or hybrid. Salary Range $170,000--$185,000 USD Owl Labs is an Equal ...

Insurance Coordinator

Boston, MA · On-site +1

$19.37 - $27.71/hr

This position is primarily REMOTE, but may require an on-site meeting once per quarter. The full ... utilization using departmental tools. Support billing and charge review processes, including ...

Showing results 21-40

Remote Utilization Review information

See Beverly, MA salary details

$23

$46

$76

How much do remote utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization review in Beverly, MA is $46.67, according to ZipRecruiter salary data. Most workers in this role earn between $36.88 and $53.61 per hour, depending on experience, location, and employer.

What is a remote utilization review?

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.

What does a remote utilization review do?

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.

What are the key skills and qualifications needed to thrive in remote utilization review?

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.

What cities near Beverly, MA are hiring for Remote Utilization Review jobs?

Cities near Beverly, MA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Beverly, MA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $97,070 per year, or $46.7 per hour.

Full-Time Licensed Independent Clinical Social Worker (LICSW) at Wellmore Health Center

Wellmore Health Center

Cambridge, MA • On-site, Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago


Job description

Position Overview

Wellmore Health Center is seeking an experienced and compassionate Licensed Independent Clinical Social Worker (LICSW) to join our dedicated team remotely from the vibrant city of Cambridge, Massachusetts. This full-time position offers an annual salary ranging from $90,000 to $105,000, reflecting our commitment to recruit and retain exceptional talent in mental health support. In this role, you will provide high-quality clinical services to clients, ensuring they receive the best care tailored to their unique circumstances.

About the Organization

At Wellmore Health Center, we pride ourselves on delivering exceptional mental health services designed to meet a diverse range of needs. Our organization is recognized for fostering a collaborative, supportive culture where team members can thrive in their roles. With a focus on creating a safe environment for personal growth and healing, we empower our clients to navigate their challenges effectively.

Work Environment

This position allows for remote work, providing flexibility while engaging with clients through telehealth platforms or other digital means. You’ll be part of a community-focused health clinic that prioritizes teamwork and collaboration, even from a distance. Our team is equipped with advanced technology and resources to ensure seamless communication and client care.

Key Responsibilities
  • Engage with clients and establish therapeutic relationships, conducting initial assessments and ongoing evaluations to develop personalized treatment plans.
  • Act as a liaison between clients, their families, and outpatient service providers to coordinate comprehensive care.
  • Communicate effectively with insurance companies for pre-certifications and manage utilization review processes to ensure patients receive necessary services without interruption.
  • Participate in planning for client discharge and aftercare, ensuring a smooth transition and continuity of care.
  • Facilitate therapeutic meal support, providing guidance that fosters a healthy relationship with food and addressing underlying emotional issues related to eating.
  • Deliver empathetic, affirming care based on an understanding of the diverse and intersecting identities of clients, ensuring a personalized and respectful approach to each individual’s circumstances.
  • Document case notes and maintain accurate records in compliance with organizational standards and state regulations.
Patient Population / Client Focus

As a LICSW at Wellmore Health Center, you will work with a varied patient population that includes adults seeking support for mental health challenges, including anxiety, depression, trauma, and more. A key focus will be engaging older adults, navigating unique life transitions and health-related concerns with sensitivity and expertise. Our diverse clientele means your role will emphasize understanding and addressing the complexities of various intersecting identities, enhancing overall patient outcomes.

Qualifications
  • A Master’s degree in Social Work from an accredited institution is required.
  • A valid LICSW license to practice in the state of Massachusetts is mandatory.
  • Experience working with older adults, particularly in addressing their mental health and emotional well-being, is crucial.
  • Strong clinical and diagnostic abilities, with proven skills in developing effective treatment plans.
  • Excellent verbal and written communication skills to build rapport with clients and collaborate with multidisciplinary teams.
  • The ability to function independently while also contributing positively to a team-oriented environment.
Preferred Experience
  • Experience using electronic health records (EHR) systems and familiarity with telehealth practices and platforms to deliver care remotely.
  • Engagement in continuous professional development, including workshops or training related to diverse client needs and evidence-based practices.
  • Demonstrated capacity to manage complex cases effectively and compassionately.
Compensation and Benefits

Wellmore Health Center offers a comprehensive compensation package that includes a competitive salary between $90,000 and $105,000 annually, along with a robust benefits package. Our benefits include:

  • Medical, Dental, and Vision insurance to ensure your health and wellness needs are met.
  • A 401(k) plan with flexible spending options to help you prepare for your financial future.
  • Life insurance and accident coverage, including short-term disability benefits for peace of mind.
  • A supportive and enriching work environment that emphasizes continuous learning and professional development.
Career Growth Opportunities

At Wellmore Health Center, we are committed to the professional growth of our employees. You will have access to ongoing training opportunities, mentorship programs, and the potential for advancement within the organization. We encourage our staff to pursue further certifications and specializations that align with their career aspirations in the mental health field.

Why Join Our Team

Joining Wellmore Health Center means becoming part of a compassionate community dedicated to making a difference in the lives of our clients. You will have the opportunity to work within an organization that values your insights, supports your professional growth, and celebrates your contributions to clients’ well-being. Together, we strive to provide the highest quality mental health care while fostering an environment of respect, collaboration, and empowerment.

Application Information

If you are driven to make a positive impact and meet the qualifications outlined above, we encourage you to apply today. Please submit your resume and a cover letter detailing your experience and motivation for joining our team at Wellmore Health Center.