Work Environment The LCSW position operates in a fully remote setting, granting flexibility and ... Manage a client caseload effectively, performing case management and utilization reviews as needed ...
New
Work Environment The LCSW position operates in a fully remote setting, granting flexibility and ... Manage a client caseload effectively, performing case management and utilization reviews as needed ...
New
Work Environment The LCSW position operates in a fully remote setting, granting flexibility and ... Manage a client caseload effectively, performing case management and utilization reviews as needed ...
New
Work Environment The LCSW position operates in a fully remote setting, granting flexibility and ... Manage a client caseload effectively, performing case management and utilization reviews as needed ...
New
Work Environment The LCSW position operates in a fully remote setting, granting flexibility and ... Manage a client caseload effectively, performing case management and utilization reviews as needed ...
New
Bloomington, Illinois Case Management Direct RN Remote Case Manager Supervisor - Central Illinois ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...
Bloomington, Illinois Case Management Direct RN Remote Case Manager Supervisor - Central Illinois ... May perform daily, weekly, monthly reviews of various reports, invoices, logs and expenses * May be ...
$20.52 - $24.67
2% of jobs
$24.67 - $28.82
9% of jobs
$31.66 is the 25th percentile. Wages below this are outliers.
$28.82 - $32.97
21% of jobs
The median wage is $36.33 / hr.
$32.97 - $37.12
23% of jobs
$37.12 - $41.27
13% of jobs
$44.50 is the 75th percentile. Wages above this are outliers.
$41.27 - $45.43
10% of jobs
$45.43 - $49.58
8% of jobs
$49.58 - $53.73
5% of jobs
$53.73 - $57.88
5% of jobs
$57.88 - $62.03
2% of jobs
$62.03 - $66.18
2% of jobs
$20
$40
$66
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.
For Remote Utilization Review jobs in Bloomington, IL, the most frequently searched job titles are:
Cities near Bloomington, IL with the most Remote Utilization Review job openings:

Bloomington, IL • Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted yesterday
New
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 OrganizationHigh 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 EnvironmentThe 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 ResponsibilitiesAs 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.
QualificationsHigh 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:
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 TeamBy 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 InformationIf 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.