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Remote Utilization Review Jobs in Bloomington, IL

Remote Utilization Review information

See Bloomington, IL salary details

$20

$40

$66

How much do remote utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization review in Bloomington, IL is $40.56, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 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 are popular job titles related to Remote Utilization Review jobs in Bloomington, IL?

For Remote Utilization Review jobs in Bloomington, IL, the most frequently searched job titles are:

What cities near Bloomington, IL are hiring for Remote Utilization Review jobs?

Cities near Bloomington, IL with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Bloomington, IL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $84,361 per year, or $40.6 per hour.

Remote Clinical Social Worker (LCSW) - Full-time Position

High Point Family and Marriage Counseling

Bloomington, IL • Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

New


Job description

Position Overview

High Point Family and Marriage Counseling is actively seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) for a full-time remote role. This position focuses on providing vital counseling services within a school setting and promoting long-term recovery for students facing challenges related to mental health and substance use disorders.

About the Organization

High Point Family and Marriage Counseling is a renowned leader in addiction treatment services, impacting over 25,000 patients across the nation on a daily basis. Our organization is dedicated to removing barriers to recovery, offering effective treatment that transforms lives and communities. Our mission is deeply rooted in our commitment to promoting recovery and restoring hope for individuals and families.

Work Environment

The LCSW position operates in a fully remote setting, granting flexibility and allowing you to make the most of your work-life balance while also connecting with students and families. Working closely with the Clinical Director and Executive Director, you will cultivate a supportive therapeutic environment aimed at fostering growth and recovery among clients. The role involves interaction with various stakeholders including educational personnel, families, and legal representatives.

Key Responsibilities
  • Conduct comprehensive assessments to identify the counseling needs of each client.
  • Utilize the DSM (Diagnostic and Statistical Manual) to diagnose substance abuse issues and determine the most appropriate level of care using ASAM (American Society of Addiction Medicine) criteria.
  • Prepare and implement tailored substance abuse counseling plans that align with each client’s unique circumstances and needs.
  • Develop discharge and continuum of care plans to facilitate clients' transition to the necessary levels of care.
  • Document all counseling sessions, assessments, referrals, and follow-up services in the clinical records accurately and promptly.
  • Manage a client caseload effectively, performing case management and utilization reviews as needed, ensuring timely treatment planning and clinical charting.
  • Coordinate support services for clients and their families, ensuring thorough documentation of services rendered.
  • Engage with various referral sources such as legal entities, educational institutions, and employers, ensuring seamless communication and support for clients.
  • Facilitate crisis interventions when necessary, leveraging a multidisciplinary team approach to deliver effective support to assigned clients.
Patient Population / Client Focus

As an LCSW at High Point, you will engage primarily with adolescents and young adults facing mental health challenges and substance use issues within a school environment. You will work diligently to create a safe and supportive atmosphere for students, empowering them to overcome their struggles and achieve lasting recovery.

Qualifications
  • A Bachelor’s Degree in Social Work or a related field is required.
  • Holds an active LCSW license in Illinois.
  • Demonstrates professionalism, strong therapeutic boundaries, and excellent organizational skills.
  • Possesses cultural competency and the ability to work effectively with diverse populations.
  • Self-motivated and capable of working independently while also collaborating with team members.
Preferred Experience
  • Previous experience in co-occurring disorders counseling is highly desirable.
  • Experience working in school or community-based settings.
  • Proficiency in electronic health record systems and documentation protocols.
Compensation and Benefits

High Point offers a competitive salary ranging from USD 70,000 to 100,000 yearly, commensurate with experience and qualifications. We value our employees’ well-being, which is why we provide a comprehensive benefits package including:

  • 18 days of Paid Time Off (PTO) annually.
  • A 401(k) plan with company matching contributions to support your financial future.
  • Company-sponsored ongoing training and certification opportunities to enhance your skills.
  • Full benefits package including medical, dental, vision, and both short- and long-term disability coverage.
  • Access to the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP).
  • Discounted tuition and scholarship opportunities through Capella University to further your education.
Career Growth Opportunities

At High Point Family and Marriage Counseling, we believe in the continuous development of our team members. As an LCSW, you will have access to training programs and opportunities for advancement within the organization, including leadership roles and specialized certifications tailored to your career interests.

Why Join Our Team

By joining High Point, you will become a part of a passionate team that is dedicated to making a difference in the lives of individuals, families, and communities. Our culture is built on compassion and empowerment, where every employee contributes to a collective mission of healing and recovery. Your role as an LCSW will be integral to our goal of providing comprehensive treatment services that lead to successful, sustainable outcomes for our clients.

Application Information

If you are a committed and compassionate Licensed Clinical Social Worker ready to impact the lives of young individuals through transformative counseling services, we invite you to apply today. Join us in our mission to create a better future for families and communities in need.