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Remote Utilization Review Jobs in Chicago, IL (NOW HIRING)

Bcbsa

Director, Trade Client Relations

Chicago, IL · Remote

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed

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All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Chicago, IL

Remote Utilization Review information

See Chicago, IL salary details

$22

$43

$71

How much do remote utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote utilization review in Chicago, IL is $43.56, according to ZipRecruiter salary data. Most workers in this role earn between $34.42 and $50.00 per hour, depending on experience, location, and employer.

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 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 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 are the most commonly searched types of Utilization Review jobs in Chicago, IL? The most popular types of Utilization Review jobs in Chicago, IL are:
What are popular job titles related to Remote Utilization Review jobs in Chicago, IL? For Remote Utilization Review jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Chicago, IL look for? The top searched job categories for Remote Utilization Review jobs in Chicago, IL are:
What cities near Chicago, IL are hiring for Remote Utilization Review jobs? Cities near Chicago, IL with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Chicago, IL as of August 2026, with employment types broken down into 88% Full Time, 4% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $90,598 per year, or $43.6 per hour.

Discipline Manager-Engineering (Gas)

Sterling Engineering Inc.

Woodridge, IL • Remote

$140K - $160K/yr

Full-time

Re-posted 9 days ago

Job description

Title: Discipline Manager

Location: Remote (with capability to work effectively in a remote setting)

Hire Type: Direct Hire

Compensation: $140,000 - $160,000 (BOE)


Must have Skill Set: Strong technical knowledge of Natural Gas Design and related Codes, Consulting background/knowledge of consulting practices and KPIs, and capability to work independently in a remote setting.


Overview:

The Discipline Manager is responsible for managing key client natural gas projects, acting as the primary internal and external contact for program work of varying sizes. This leadership role focuses on executing projects on time, within budget, and according to strict company and client quality and technical expectations. Additionally, the role drives business growth by maintaining relationships with existing clients to organically expand the project base, while actively engaging new and potential clients to increase market reach.


Job Duties:

  • People Leadership: Provide transparent and timely performance feedback, coordinate training and development, mentor and coach staff, and conduct Career Development Discussions for direct reports.

  • Project Execution: Ensure quality completion of projects, conduct random quality audits, provide technical guidance in coordination with technical leads, and provide risk mitigation planning and project guidance to drive efficiency.

  • Fiduciary Tracking & Reporting: Track and report on resource utilization, allowable vs. actual hours, internal/external OTD (On-Time Delivery), project performance, and individual KPIs while managing and adjusting budgetary objectives based on analytical data.

  • Client & Vendor Relations: Conduct regular check-ins with internal and external clients, maintain excellent customer service standards, anticipate workload changes based on client feedback, and organically grow the existing project base.

  • Resource Planning & Financials: Review, approve, and audit invoices as needed; serve as a resource for invoicing questions; track resource utilization; and work with internal stakeholders and the Managing Director to assemble project teams.

  • Contracts & Proposals: Coordinate contract reviews and approvals, interpret contract requirements throughout project execution, and support proposal preparation by writing project approaches, compiling sample experience, pricing for the discipline, and building org charts.


Qualifications:

Required Education & Experience (Must meet one of the following discipline paths):