Participate in treatment team meetings, engaging in utilization reviews and contributing to case ... As a remote Licensed Clinical Social Worker, you will have the opportunity to impact patients' well ...
Participate in treatment team meetings, engaging in utilization reviews and contributing to case ... As a remote Licensed Clinical Social Worker, you will have the opportunity to impact patients' well ...
Engage in case consultations and regular peer review sessions aimed at enhancing the quality and ... Utilization of electronic health record systems tailored for mental health documentation and ...
Engage in case consultations and regular peer review sessions aimed at enhancing the quality and ... Utilization of electronic health record systems tailored for mental health documentation and ...
Specialty Account Manager, Philadelphia - Eastern PA
Lancaster, PA · Remote
$165K - $175K/yr
Remote ABOUT ACCORD BIOPHARMA Accord BioPharma, a division of Accord Healthcare and a wholly owned ... Own and execute a territory business plan to drive adoption, utilization, and growth of Accord ...
Specialty Account Manager, Philadelphia - Eastern PA
Lancaster, PA · Remote
$165K - $175K/yr
Remote ABOUT ACCORD BIOPHARMA Accord BioPharma, a division of Accord Healthcare and a wholly owned ... Own and execute a territory business plan to drive adoption, utilization, and growth of Accord ...
... utilization and has been published in peer-reviewed literature. Today, Wider Circle offers its ... Remote Independence: Successfully work in a remote team environment with high independence and ...
... utilization and has been published in peer-reviewed literature. Today, Wider Circle offers its ... Remote Independence: Successfully work in a remote team environment with high independence and ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... utilization, profitability, and pricing trends to recommend revenue enhancement strategies. • ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... utilization, profitability, and pricing trends to recommend revenue enhancement strategies. • ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
Overview This is a full-time career opportunity that can be remote or hybrid. This role is ... Analyze client utilization, profitability, and pricing trends to recommend revenue enhancement ...
This is a full-time career opportunity that can be remote or hybrid. This role is responsible for ... utilization, profitability, and pricing trends to recommend revenue enhancement strategies. • ...
This is a full-time career opportunity that can be remote or hybrid. This role is responsible for ... utilization, profitability, and pricing trends to recommend revenue enhancement strategies. • ...
... a fully remote capacity within the United States. This senior-level role serves as the primary ... At least 1-2 years in a senior, lead, or mentoring capacity - setting standards, reviewing others ...
... a fully remote capacity within the United States. This senior-level role serves as the primary ... At least 1-2 years in a senior, lead, or mentoring capacity - setting standards, reviewing others ...
Remote Utilization Review information
See Lancaster, PA salary details
$20.79 - $25
2% of jobs
$25 - $29.20
9% of jobs
$32.08 is the 25th percentile. Wages below this are outliers.
$29.20 - $33.41
21% of jobs
The median wage is $36.81 / hr.
$33.41 - $37.61
23% of jobs
$37.61 - $41.82
13% of jobs
$45.09 is the 75th percentile. Wages above this are outliers.
$41.82 - $46.02
10% of jobs
$46.02 - $50.23
8% of jobs
$50.23 - $54.43
5% of jobs
$54.43 - $58.64
5% of jobs
$58.64 - $62.84
2% of jobs
$62.84 - $67.05
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 popular job titles related to Remote Utilization Review jobs in Lancaster, PA?
For Remote Utilization Review jobs in Lancaster, PA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Lancaster, PA look for?
The top searched job categories for Remote Utilization Review jobs in Lancaster, PA are:
What cities near Lancaster, PA are hiring for Remote Utilization Review jobs?
Cities near Lancaster, PA with the most Remote Utilization Review job openings:

Remote Licensed Clinical Social Worker (LCSW) for Hospice Care
Manheim, PA • Remote
Full-time
Medical, PTO
This job post has expired 2 days ago. Applications are no longer accepted.
Job description
As a Licensed Clinical Social Worker (LCSW) at Sutter Health Counseling, LLC, your primary responsibility is to provide critical clinical social work services by conducting thorough evaluations, providing counseling, and managing cases for patients receiving hospice care. This full-time, remote position not only requires keen clinical insights but also emphasizes collaboration with psychiatrists and various healthcare professionals to ensure comprehensive patient support. The competitive salary range for this role is USD 120,000 to 130,000 annually.
About the OrganizationSutter Health Counseling, LLC is dedicated to providing empathetic and comprehensive mental health support, particularly focused on our clients in hospice care. Our organization values the dignity of individuals and their families, striving to make end-of-life experiences as dignified and supportive as possible. As part of a respected healthcare system with a strong community presence, we believe in teamwork and excellent service to positively impact our clients' emotional well-being.
Work EnvironmentThis position offers the flexibility of remote work, allowing you to effectively manage a caseload from the comfort of your own home while maintaining a healthy work-life balance. The work setting primarily involves collaboration through virtual communication, and you will engage with both patients and colleagues via secure online platforms. The Hospice Center is focused on creating a supportive environment for both clients and staff, reinforcing the mission to deliver compassionate care to those in need.
Key Responsibilities- Conduct clinical evaluations to understand the psychosocial needs of patients and develop tailored counseling strategies.
- Collaborate with psychiatrists to monitor medication side effects and adjust treatment plans accordingly for optimal patient outcomes.
- Manage a diverse caseload, ensuring effective documentation as per company policies, including biopsychosocial assessments and treatment planning.
- Engage in crisis intervention when necessary, providing timely support to patients and families in challenging situations.
- Develop and implement comprehensive aftercare plans for clients upon discharge, aimed at facilitating a smooth transition and continued support post-hospice.
- Participate in treatment team meetings, engaging in utilization reviews and contributing to case management discussions.
- Advocate for patients by researching and connecting them to necessary community resources, enhancing their quality of life.
This role centers on serving patients engaged in hospice care, which requires sensitivity, empathy, and specialized knowledge of end-of-life processes. You will interact with patients facing terminal illnesses, offering emotional and psychological support to them and their families. Your ability to perform thorough psychosocial assessments, address complex needs, and provide tailored interventions will be crucial for ensuring a supportive environment during an extremely challenging time.
Qualifications- A Master’s Degree in Social Work from an accredited graduate program is a prerequisite for this role.
- Must possess an active and unrestricted California Clinical Social Worker License (LCSW).
- At least 2 years of direct experience in a behavioral health setting, particularly in case management or a related social services role.
- Demonstrated ability to conduct psychosocial history taking and utilize effective interview techniques.
- Excellent conflict management and resolution skills to handle sensitive discussions and situations.
- Experience with hospice or palliative care settings is highly desirable.
- Familiarity with electronic health record systems and telehealth platforms.
- Previous work involving cross-disciplinary collaboration with healthcare providers and mental health professionals.
- Competitive annual salary ranging from USD 120,000 to 130,000.
- Flexible work scheduling to promote work-life balance.
- Comprehensive health insurance offerings for you and your dependents.
- Generous paid time off policy to recharge and focus on your well-being.
- An employee referral program that rewards you for bringing talented individuals to our team.
Sutter Health Counseling, LLC is committed to your professional development. We provide access to ongoing training and continuing education programs to enhance your skills and knowledge. You will have opportunities to collaborate with experienced professionals, engage in mentorship, and explore pathways to advance within the organization.
Why Join Our TeamJoining Sutter Health Counseling, LLC means being part of a passionate team dedicated to making a difference in the lives of individuals facing critical health challenges. As a remote Licensed Clinical Social Worker, you will have the opportunity to impact patients' well-being dramatically while benefiting from a supportive and flexible work environment that fosters personal satisfaction and professional growth.
Application InformationIf you are a compassionate and skilled Licensed Clinical Social Worker who is ready to make a meaningful difference in hospice care, we encourage you to apply. Join our team and be a part of delivering valuable support to our clients and their families during an essential time in their lives. Please submit your application, including your resume and cover letter, highlighting your relevant experience and interest in this position.