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

Brainlab

National Technical Support

Chicago, IL · On-site +1

$38K - $48K/yr

... and utilization of engineering expertise; manages team schedule to ensure efficient resource ... out Remote Performance Reviews; responsible for escalated case support which includes ...

Arsenault Inc

Customer Service Representative

Chicago, IL · Remote

$16.50 - $22.50/hr

Perk Of This Role * Fully remote position, where you can work from home. Rotational shifts ... reviews and process. * Answers the Beneficiary Helpline through the utilization of the hunt group ...

STOW Group

Structural Engineer

Romeoville, IL · On-site +1

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

STOW Group

Structural Engineer

Romeoville, IL · On-site +1

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. Responsibilities * Assist in the planning and tactical execution of ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. * Assist in the planning and tactical execution of financial ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. Responsibilities * Assist in the planning and tactical execution of ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. Responsibilities * Assist in the planning and tactical execution of ...

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

Remote Utilization Review information

See Geneva, IL salary details

$20

$41

$67

How much do remote utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote utilization review in Geneva, IL is $41.27, according to ZipRecruiter salary data. Most workers in this role earn between $32.60 and $47.40 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 the most commonly searched types of Utilization Review jobs in Geneva, IL?

The most popular types of Utilization Review jobs in Geneva, IL are:

What are popular job titles related to Remote Utilization Review jobs in Geneva, IL?

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

What job categories do people searching Remote Utilization Review jobs in Geneva, IL look for?

The top searched job categories for Remote Utilization Review jobs in Geneva, IL are:

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

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

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Geneva, IL as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $85,833 per year, or $41.3 per hour.

Operations Specialist

United Woundcare Institute

Naperville, IL • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Description
This is a REMOTE position. Our headquarters are based in Naperville, IL.
Job Title: Operations Specialist
Location: Remote (serving 11 states)
Reports to: Head of National Operations
Overview

We are seeking a highly organized, customer-service–oriented professional to join our growing national healthcare operations team. This individual will play a critical role in coordinating medical supplies, managing graft orders, and ensuring a seamless referral management process across 11 states supporting 50–75 field clinicians.
The ideal candidate thrives in a fast-paced environment, is detail-driven, excels at problem-solving, and demonstrates exceptional communication and analytical skills.

Key Responsibilities


1. Supply Management (Medical & Non-Clinical)

  • Serve as the central point of contact for supply management across 11 states and 50–75 field clinicians.
  • Conduct weekly supply reviews with each clinician, documenting requests and ensuring timely orders via the web-based ordering system.
  • Source alternatives when items are unavailable — including substituting generic equivalents or ordering through alternate vendors such as Amazon, McKesson, or other approved suppliers.
  • Maintain and update a centralized supply tracking spreadsheet, ensuring accurate inventory reconciliation.
  • Perform cost analyses and usage reports using Excel (including pivot tables and filters).
  • Ensure all supplies and grafts are ordered, tracked, and delivered within expected timelines while minimizing waste and cost.
 
 
 
2. Graft Ordering Coordination

  • Review upcoming patient graft appointments in the EMR and generate a weekly list of scheduled cases.
  • Coordinate with scheduling coordinators and field clinicians to confirm graft type, quantity, and shipping location.
  • Cross-check new orders against previous shipments to manage existing inventory and reduce excess.
  • Maintain detailed records of graft utilization, shipments, and returns.
  • Be proactive and cost-conscious, continuously looking for opportunities to reduce redundancy and streamline processes.
 
3. Referral Monitoring & Customer Service

  • Monitor the CarePort web-based referral platform for all 11 states to ensure timely review and response to new referrals.
  • Triage and evaluate 25–85 daily referrals to ensure completeness, eligibility, and readiness for scheduling.
  • Review and interpret insurance information (Medicare, Medicaid, commercial, and secondary payers) to verify patient eligibility.
  • Communicate professionally and promptly with referring hospitals, clinicians, and internal teams, ensuring referrals are responded to within established turnaround times.
  • Partner closely with Scheduling and Sales to ensure all qualified referrals are accepted and scheduled efficiently.
  • Maintain accurate tracking and reporting metrics in shared databases or spreadsheets.

Skills, Knowledge and Expertise
  • Bachelor’s degree preferred (Healthcare Administration, Business, or related field) or equivalent experience.
  • Minimum 2–4 years of experience in healthcare operations, medical supply coordination, or patient referral management.
  • Strong customer service orientation with excellent verbal and written communication skills.
  • Proficiency in Microsoft Excel (pivot tables, VLOOKUP, sorting/filtering, and data analysis).
  • Comfortable working with web-based systems and EMRs (CarePort experience preferred).
  • Demonstrated ability to multi-task, prioritize, and respond rapidly to time-sensitive requests.
  • Familiarity with medical terminology and insurance verification processes.
  • Highly organized, detail-oriented, and cost-conscious in managing supplies and vendor relationships.
 
Ideal Candidate Attributes

  • A “can-do” attitude with exceptional responsiveness and follow-through.
  • Analytical thinker who can spot trends, identify inefficiencies, and propose process improvements.
  • Strong problem-solving skills — able to adapt quickly when supplies are unavailable or orders need escalation.
  • A team player who thrives in a remote, fast-paced healthcare environment.

Benefits
Competitive compensation
Robust health benefits package including premium health, dental and vision insurance. FSA, HSA
Company sponsored Short and Long Term disability
Company Sponsored Life Insurance
401k plan with generous company match
Generous PTO policy with paid holidays and sick leave
 
Ready to join a passionate team and make a difference in healthcare? We want to hear from you!