Within our supportive remote setting, you will work closely with the Clinical Director and ... and utilization reviews. * Coordinating support services for clients and their families ...
Within our supportive remote setting, you will work closely with the Clinical Director and ... and utilization reviews. * Coordinating support services for clients and their families ...
Within our supportive remote setting, you will work closely with the Clinical Director and ... and utilization reviews. * Coordinating support services for clients and their families ...
Within our supportive remote setting, you will work closely with the Clinical Director and ... and utilization reviews. * Coordinating support services for clients and their families ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Project Audit RN
Dallas, TX ยท Remote
Project Audit RN Full Time, Remote WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas ... Experience 5 years of clinical experience as a RN including 2 years performing utilization review ...
Senior Product Manager
Dallas, TX ยท On-site +1
$50 - $60/hr
... utilization review. ยท Proven experience with Amazon Connect migration projects, including ... US (Remote/Hybrid - Preferred locations: Brillio Offices or St. Louis, MO) Industry: Healthcare / ...
Quick apply
Senior Product Manager
Dallas, TX ยท On-site +1
$50 - $60/hr
... utilization review. ยท Proven experience with Amazon Connect migration projects, including ... US (Remote/Hybrid - Preferred locations: Brillio Offices or St. Louis, MO) Industry: Healthcare / ...
REMOTE- Inpatient Coder
Dallas, TX ยท Remote
$22 - $28/hr
Review emergency department medical records and accurately assign ICD-10-CM diagnosis codes, CPT ... including utilization of the ACEP E/M tool. * Analyze clinical documentation from physicians ...
REMOTE- Inpatient Coder
Dallas, TX ยท Remote
$22 - $28/hr
Review emergency department medical records and accurately assign ICD-10-CM diagnosis codes, CPT ... including utilization of the ACEP E/M tool. * Analyze clinical documentation from physicians ...
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท Remote
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
Quick apply
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท Remote
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท On-site +1
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท On-site +1
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท On-site +1
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
Acumatica Senior Construction Consultant (Remote)
Dallas, TX ยท On-site +1
$90K - $130K/yr
This is a remote role. Objectives (Key Outcomes): * Complete assigned tasks independently and may ... Review (BPR) documentation, and NexTec methodology. * Maintain at least 75 percent utilization on ...
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
Clinical Pharmacist - Cardiology / Value-Based Care
Dallas, TX ยท Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
Quick apply
Clinical Pharmacist - Cardiology / Value-Based Care
Dallas, TX ยท Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
... reviews, vendor management, and escalation management through issue resolution for the Client ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...
... reviews, vendor management, and escalation management through issue resolution for the Client ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...
Program Manager - MES (GE Proficy Preferred)
Plano, TX ยท Remote
$132K/yr
Plano, TX (Remote) Employment Type: Full-Time Experience Required: 18-20 Years Visa Type: USC / GC ... Review program charter, operating model, RACI and governance framework * Orchestrate cross ...
Quick apply
Program Manager - MES (GE Proficy Preferred)
Plano, TX ยท Remote
$132K/yr
Plano, TX (Remote) Employment Type: Full-Time Experience Required: 18-20 Years Visa Type: USC / GC ... Review program charter, operating model, RACI and governance framework * Orchestrate cross ...
Contract Recruiter - Remote
Irving, TX ยท On-site +1
... including utilization of social media, internal and external databases, and building a vast ... Qualify prospective candidates via resume review, phone screens and in-person interviews to assess ...
Contract Recruiter - Remote
Irving, TX ยท On-site +1
... including utilization of social media, internal and external databases, and building a vast ... Qualify prospective candidates via resume review, phone screens and in-person interviews to assess ...
Remote Aviation Design Manager
Dallas, TX ยท On-site +1
Monitor team utilization and proactively address workload imbalances. * Collaborate with Project ... Ensure design reviews are completed at established project milestones. * Track quality metrics ...
Remote Aviation Design Manager
Dallas, TX ยท On-site +1
Monitor team utilization and proactively address workload imbalances. * Collaborate with Project ... Ensure design reviews are completed at established project milestones. * Track quality metrics ...
Remote Aviation Design Manager
Dallas, TX ยท On-site +1
Monitor team utilization and proactively address workload imbalances. * Collaborate with Project ... Ensure design reviews are completed at established project milestones. * Track quality metrics ...
Remote Aviation Design Manager
Dallas, TX ยท On-site +1
Monitor team utilization and proactively address workload imbalances. * Collaborate with Project ... Ensure design reviews are completed at established project milestones. * Track quality metrics ...
Director, Managed Services (Remote)
Dallas, TX ยท On-site +1
... reviews, vendor management, and escalation management through issue resolution for the Client ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...
Director, Managed Services (Remote)
Dallas, TX ยท On-site +1
... reviews, vendor management, and escalation management through issue resolution for the Client ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...
Clinical Quality Consultant - Oncogenetic Program - Remote
Dallas, TX ยท On-site +1
$112K - $193K/yr
Proven ability to review work performed by others and provide recommendations Preferred Qualifications: * Hands-on utilization and/or quality management experience * Experience in using electronic ...
Clinical Quality Consultant - Oncogenetic Program - Remote
Dallas, TX ยท On-site +1
$112K - $193K/yr
Proven ability to review work performed by others and provide recommendations Preferred Qualifications: * Hands-on utilization and/or quality management experience * Experience in using electronic ...
Remote Utilization Review information
See Forney, TX salary details
$19.27 - $23.17
2% of jobs
$23.17 - $27.07
9% of jobs
$29.74 is the 25th percentile. Wages below this are outliers.
$27.07 - $30.97
21% of jobs
The median wage is $34.12 / hr.
$30.97 - $34.87
23% of jobs
$34.87 - $38.76
13% of jobs
$41.79 is the 75th percentile. Wages above this are outliers.
$38.76 - $42.66
10% of jobs
$42.66 - $46.56
8% of jobs
$46.56 - $50.46
5% of jobs
$50.46 - $54.35
5% of jobs
$54.35 - $58.25
2% of jobs
$58.25 - $62.15
2% of jobs
$19
$38
$62
How much do remote utilization review jobs pay per hour?
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 the most commonly searched types of Utilization Review jobs in Forney, TX?
The most popular types of Utilization Review jobs in Forney, TX are:
What are popular job titles related to Remote Utilization Review jobs in Forney, TX?
For Remote Utilization Review jobs in Forney, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Forney, TX look for?
The top searched job categories for Remote Utilization Review jobs in Forney, TX are:
What cities near Forney, TX are hiring for Remote Utilization Review jobs?
Cities near Forney, TX with the most Remote Utilization Review job openings:

Remote Licensed Clinical Social Worker (LCSW) - Detox Center
Irving, TX โข Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
This job post hasย expired 2 days ago.ย Applications are no longer accepted.
Job description
Premire Counseling & Wellness Services is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity at our Detox Center located in Irving, Texas. As a vital member of our multidisciplinary team, you will play an essential role in providing high-quality counseling services aimed at facilitating recovery for individuals struggling with substance use disorders and co-occurring mental health conditions.
About the OrganizationPremire Counseling & Wellness Services has established itself as a growing leader in addiction treatment services across the nation, caring for over 25,000 patients daily. Our mission is centered on breaking down barriers to recovery and transforming the lives of individuals, families, and communities through effective treatment solutions. We pride ourselves on creating an environment where our employees work collaboratively to support recovery, leading to personal and communal rejuvenation.
Work EnvironmentThis position offers the flexibility of remote work, allowing our LCSWs to deliver essential counseling services from the comfort of their chosen workspace. Within our supportive remote setting, you will work closely with the Clinical Director and Executive Director to foster a therapeutic environment that is conducive to long-term recovery. Your role will involve engaging with clients virtually, enabling you to provide meaningful support while maintaining a work-life balance.
Key ResponsibilitiesAs an LCSW at Premire Counseling & Wellness Services, your primary responsibilities will include:
- Conducting comprehensive assessments to identify the unique counseling needs of each client.
- Utilizing the DSM (Diagnostic and Statistical Manual) criteria to assess clients for substance use diagnoses and ensure they are referred to the appropriate level of care based on ASAM (American Society of Addiction Medicine) criteria.
- Developing individual treatment plans that include substance abuse counseling components tailored to clients' specific needs.
- Creating discharge and continuum of care plans that facilitate transitions to appropriate care settings as clients progress in their recovery journey.
- Meticulously documenting all counseling and educational services in each client's clinical record, ensuring compliance with best practices and regulatory standards.
- Managing an active caseload, which involves treatment planning, clinical charting, and routine updates for case management and utilization reviews.
- Coordinating support services for clients and their families, maintaining accurate records of all services rendered.
- Engaging with external referral sources such as schools, employers, and legal representatives to provide holistic support for clients.
- Facilitating crisis interventions utilizing a collaborative, multi-disciplinary team approach to address urgent issues as they arise.
This role involves working with a diverse population that includes individuals suffering from substance use disorders and concurrent mental health challenges. As our LCSW, you will contribute to the transformative process of recovery by building trusting relationships with clients, empowering them to overcome obstacles, and fostering resilience.
QualificationsThe ideal candidate will possess the following qualifications:
- A minimum of a Bachelorโs Degree in Social Work, with a valid LCSW license.
- Strong interpersonal skills, alongside a commitment to upholding professionalism and therapeutic boundaries.
- Exceptional organizational abilities and a self-motivated approach to work.
- Cultural competency and the ability to connect with diverse populations.
While not mandatory, candidates with prior experience in addiction counseling, dual diagnosis, or within a detox center environment will be given preference. Familiarity with treatment modalities and recovery-oriented systems of care is highly advantageous.
Compensation and BenefitsThe LCSW position offers a competitive annual salary ranging between USD 70,000 and 100,000, complemented by a comprehensive benefits package that includes:
- 18 days of Paid Time Off (PTO) annually.
- A 401k retirement plan with company matching contributions.
- Company-sponsored ongoing training and certification opportunities to support your professional growth.
- Medical, dental, vision, short-term and long-term disability, and accident insurance coverage.
- Participation in the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP).
- Access to discounted tuition and scholarships through Capella University to enhance educational pursuits.
We are committed to the continued development of our employees. At Premire Counseling & Wellness Services, you will find numerous opportunities for mentorship, career advancement, and professional enrichment through workshops and training programs. As you grow within our organization, you may explore leadership roles or specialized training in emerging therapeutic practices.
Why Join Our TeamBecoming a part of the Premire Counseling & Wellness Services team means joining a collaborative and passionate community dedicated to making a real difference in the lives of our clients. We believe in empowering employees and creating a nurturing work environment where you can thrive. If you are ready to take the next step in your social work career and contribute to a meaningful cause, we encourage you to apply.
Application InformationIf you are interested in this fulfilling opportunity to impact lives positively as a Licensed Clinical Social Worker, please submit your resume and a cover letter detailing your experience and passion for this work. We look forward to welcoming a new dedicated team member who shares our commitment to enhancing lives through compassionate care.