... utilization review updates as necessary. * Coordinate support services for clients and their ... As a remote LCSW, you will have ample opportunities for advancement within our organization ...
... utilization review updates as necessary. * Coordinate support services for clients and their ... As a remote LCSW, you will have ample opportunities for advancement within our organization ...
... utilization review updates as necessary. * Coordinate support services for clients and their ... As a remote LCSW, you will have ample opportunities for advancement within our organization ...
... utilization review updates as necessary. * Coordinate support services for clients and their ... As a remote LCSW, you will have ample opportunities for advancement within our organization ...
Public Healthcare Consultant
Phoenix, AZ ยท On-site +1
$71K/yr
Preferred: โข Experience in Prior Authorization, Utilization Management, claims review, auditing ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Public Healthcare Consultant
Phoenix, AZ ยท On-site +1
$71K/yr
Preferred: โข Experience in Prior Authorization, Utilization Management, claims review, auditing ... Remote work is a management option and not an employee entitlement or right. An agency may ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท On-site +1
$60K - $107K/yr
Managed Care experience * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท On-site +1
$60K - $107K/yr
Managed Care experience * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท Remote
$60K - $107K/yr
Managed Care experience * 1 years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท Remote
$60K - $107K/yr
Managed Care experience * 1 years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท Remote
$60K - $107K/yr
Managed Care experience * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
Inpatient Care Management Nurse RN - Remote PST MST or CST
Phoenix, AZ ยท Remote
$60K - $107K/yr
Managed Care experience * 1+ years of experience involving utilization review and evidence-based guidelines (i.e. MCG, InterQual Guidelines) * Experience performing discharge planning * Ability to ...
RN, Case Manager
Phoenix, AZ ยท Remote
After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally ...
RN, Case Manager
Phoenix, AZ ยท Remote
After completing training, it is a remote position with a work schedule of Monday - Friday 8am ... MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally ...
... Utilization Review as well as an active RN licensure in state worked. This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID ...
... Utilization Review as well as an active RN licensure in state worked. This is a fully remote position and available if you live in the following states only: AK, AL, AR, AZ, CA, CO, FL, GA, IA, ID ...
Managing a caseload that includes regular case management and utilization reviews to track clients ... remote setting. * Demonstrated professionalism, cultural competency, and excellent therapeutic ...
New
Managing a caseload that includes regular case management and utilization reviews to track clients ... remote setting. * Demonstrated professionalism, cultural competency, and excellent therapeutic ...
New
Managing a caseload that includes regular case management and utilization reviews to track clients ... remote setting. * Demonstrated professionalism, cultural competency, and excellent therapeutic ...
New
Managing a caseload that includes regular case management and utilization reviews to track clients ... remote setting. * Demonstrated professionalism, cultural competency, and excellent therapeutic ...
New
Open-Pit and Underground Mine Planning Leads - Remote
Phoenix, AZ ยท On-site +1
$150 - $300/hr
Fleet selection, productivity and equipment utilization * Drill-and-blast design and fragmentation ... Review pit optimization, phases, pushbacks, underground layouts and method selection. * Assess ...
Quick apply
Open-Pit and Underground Mine Planning Leads - Remote
Phoenix, AZ ยท On-site +1
$150 - $300/hr
Fleet selection, productivity and equipment utilization * Drill-and-blast design and fragmentation ... Review pit optimization, phases, pushbacks, underground layouts and method selection. * Assess ...
Open-Pit and Underground Mine Planning Leads - Remote
Phoenix, AZ ยท On-site +1
$150 - $300/hr
Fleet selection, productivity and equipment utilization * Drill-and-blast design and fragmentation ... Review pit optimization, phases, pushbacks, underground layouts and method selection. * Assess ...
Open-Pit and Underground Mine Planning Leads - Remote
Phoenix, AZ ยท On-site +1
$150 - $300/hr
Fleet selection, productivity and equipment utilization * Drill-and-blast design and fragmentation ... Review pit optimization, phases, pushbacks, underground layouts and method selection. * Assess ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account check-ins to review program performance, identify barriers, and uncover new ...
Quick apply
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account check-ins to review program performance, identify barriers, and uncover new ...
Medical Nutrition Spc - Remote
Phoenix, AZ ยท On-site +1
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Medical Nutrition Spc - Remote
Phoenix, AZ ยท On-site +1
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Medical Nutrition Spc - Remote
Phoenix, AZ ยท Remote
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
Medical Nutrition Spc - Remote
Phoenix, AZ ยท Remote
$29.25 - $39.25/hr
Conducts nutritional assessments by reviewing medical records, physician orders, and laboratory ... for utilization in patient care applications * Verifies enteral and oral nutrition orders for ...
REMOTE- Inpatient Coder
Phoenix, AZ 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
Phoenix, AZ 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 ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Remote Utilization Review information
See Goodyear, AZ salary details
$20.90 - $25.13
2% of jobs
$25.13 - $29.36
9% of jobs
$32.25 is the 25th percentile. Wages below this are outliers.
$29.36 - $33.59
21% of jobs
The median wage is $37.01 / hr.
$33.59 - $37.81
23% of jobs
$37.81 - $42.04
13% of jobs
$45.33 is the 75th percentile. Wages above this are outliers.
$42.04 - $46.27
10% of jobs
$46.27 - $50.50
8% of jobs
$50.50 - $54.72
5% of jobs
$54.72 - $58.95
5% of jobs
$58.95 - $63.18
2% of jobs
$63.18 - $67.41
2% of jobs
$20
$41
$67
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 Goodyear, AZ?
The most popular types of Utilization Review jobs in Goodyear, AZ are:
What are popular job titles related to Remote Utilization Review jobs in Goodyear, AZ?
For Remote Utilization Review jobs in Goodyear, AZ, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Goodyear, AZ look for?
The top searched job categories for Remote Utilization Review jobs in Goodyear, AZ are:
What cities near Goodyear, AZ are hiring for Remote Utilization Review jobs?
Cities near Goodyear, AZ with the most Remote Utilization Review job openings:

Full-Time Licensed Clinical Social Worker (LCSW) - Remote Opportunity
Glendale, AZ โข Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 17 days ago
Job description
Crossroad Behavioral Health Services is actively seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our remote team. This full-time position involves providing expert counseling and therapeutic support to individuals who are navigating the complexities of substance use and mental health issues. As an essential member of our team, you will assess client needs, implement tailored treatment plans, and facilitate recovery pathways that promote long-term wellness and empowerment.
About the OrganizationCrossroad Behavioral Health Services is recognized as a leading provider of addiction treatment services in the United States, impacting the lives of over 25,000 patients daily. Our commitment to transforming the lives of individuals, families, and entire communities through effective treatment makes us a vital resource in the behavioral health landscape. Our mission centers on removing barriers to recovery, and we are dedicated to ensuring that comprehensive, high-quality care is accessible to all in need.
Work EnvironmentThis position is set within a fully remote framework, allowing for flexible working conditions while still maintaining a collaborative and supportive relationship with team members and clinical leadership. As part of a community health clinic model, you will engage regularly with other professionals dedicated to mental health and substance use recovery, fostering an atmosphere where ideas and best practices can thrive.
Key Responsibilities- Conduct thorough assessments of clientsโ counseling needs, ensuring accurate diagnosis and calibration of treatment strategies.
- Utilize the DSM (Diagnostic and Statistical Manual) criteria to evaluate clients for substance abuse diagnoses, determining appropriate levels of care based on ASAM (American Society of Addiction Medicine) standards.
- Develop and implement comprehensive treatment plans tailored to individual client circumstances, particularly focusing on the substance abuse components.
- Create and manage discharge and continuum of care plans to facilitate smooth transitions for clients moving between levels of care.
- Maintain meticulous documentation of counseling sessions, treatment plans, assessments, referrals, and follow-ups in the clientโs clinical record.
- Supervise a manageable caseload, performing case management duties and overseeing utilization review updates as necessary.
- Coordinate support services for clients and their families, ensuring seamless integration of services into the treatment process.
- Engage in collaborative communication with referral sources, including legal entities, schools, and employers, to ensure comprehensive support.
- Facilitate intervention strategies for crisis situations utilizing a multi-disciplinary team approach, focusing on client-centered solutions.
Your primary role will involve working with a diverse array of patients experiencing a spectrum of substance use disorders alongside mental health challenges. You will engage with individuals from various backgrounds and communities, providing necessary support, empathy, and guidance as they navigate their journeys towards recovery. Expect to work hand-in-hand with clients and their families to foster an environment conducive to healing, engagement, and empowerment.
Qualifications- Masterโs degree in Social Work or a related field, along with a valid LCSW license.
- Strong professionalism, characterized by resilience, excellent therapeutic boundaries, and cultural competency.
- Demonstrated ability to self-motivate and manage time effectively, balancing multiple caseloads and responsibilities.
- Previous experience in a clinical setting, particularly in addiction treatment or mental health counseling.
- Experience in co-occurring disorder treatment, emphasizing the integration of mental health and substance use recovery strategies.
- Familiarity with utilizing clinical software tools for documentation and treatment planning.
The position offers a competitive salary range of USD 70,000 to USD 100,000 annually, commensurate with experience and qualifications. Additionally, we provide a comprehensive benefits package that includes:
- 18 days of Paid Time Off (PTO) to promote work-life balance.
- A robust 401(k) plan with company matching contributions.
- Access to continuous training and certification opportunities, ensuring you stay at the forefront of best practices in your field.
- Full medical, dental, and vision insurance coverage, along with short and long-term disability, and accident insurance.
- Participation in the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP).
- Educational benefits, including discounted tuition and scholarships through Capella University.
At Crossroad Behavioral Health Services, we believe in investing in our team members' professional journeys. As a remote LCSW, you will have ample opportunities for advancement within our organization, contributing to various programs or departments aligned with our mission. We encourage our employees to pursue further education and specialization which can be supported through our comprehensive training programs.
Why Join Our TeamCrossroad Behavioral Health Services is more than just a workplace; it is a community of professionals united by the common goal of making a lasting impact in the lives of those we serve. Join us and be a part of a dynamic environment where your contributions directly influence patient outcomes and community health. We offer an opportunity not just to work, but to make a difference in the world, helping to rebuild lives and restore communities through effective treatment.
Application InformationIf you are passionate about making meaningful change and have the qualifications we seek, we invite you to apply for this position. Please submit your resume and a cover letter detailing your relevant experience and motivations for joining Crossroad Behavioral Health Services. We look forward to hearing from you!