This is a full-time, remote position based in Lubbock, Texas, allowing you to contribute to our ... utilization reviews, are met effectively. * Coordinate support services for clients and their ...
New
This is a full-time, remote position based in Lubbock, Texas, allowing you to contribute to our ... utilization reviews, are met effectively. * Coordinate support services for clients and their ...
New
This is a full-time, remote position based in Lubbock, Texas, allowing you to contribute to our ... utilization reviews, are met effectively. * Coordinate support services for clients and their ...
New
$18.37 - $22.09
2% of jobs
$22.09 - $25.80
9% of jobs
$28.35 is the 25th percentile. Wages below this are outliers.
$25.80 - $29.52
21% of jobs
The median wage is $32.53 / hr.
$29.52 - $33.24
23% of jobs
$33.24 - $36.95
13% of jobs
$39.84 is the 75th percentile. Wages above this are outliers.
$36.95 - $40.67
10% of jobs
$40.67 - $44.38
8% of jobs
$44.38 - $48.10
5% of jobs
$48.10 - $51.81
5% of jobs
$51.81 - $55.53
2% of jobs
$55.53 - $59.25
2% of jobs
$18
$36
$59
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.
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.
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.
The most popular types of Utilization Review jobs in Lubbock, TX are:
For Remote Utilization Review jobs in Lubbock, TX, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review jobs in Lubbock, TX are:
Cities near Lubbock, TX with the most Remote Utilization Review job openings:

Lubbock, TX • Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
New
We are seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team at Premier Counseling & Wellness Services. This is a full-time, remote position based in Lubbock, Texas, allowing you to contribute to our mission of transforming lives and communities through effective treatment solutions. As an LCSW, you will be an integral part of our community health clinic, providing essential counseling services to individuals and families facing addiction and mental health challenges.
About the OrganizationPremier Counseling & Wellness Services has established itself as a leading provider in addiction treatment services. With a commitment to eliminating barriers to recovery, we touch the lives of over 25,000 patients daily across the nation. Our mission is to ensure that every individual, family, and community has access to high-quality treatment services that really work. We pride ourselves on our innovative approaches and our passionate employees who believe in creating a better world through comprehensive care.
Work EnvironmentIn this remote work setting, you will have the flexibility to manage your schedule while being supported by a dynamic and collaborative team. As a clinical social worker in our community health clinic, you will engage with patients through virtual counseling sessions, ensuring that they receive the necessary support and guidance in their recovery journey. Our clinic emphasizes a supportive culture and utilizes advanced telehealth technologies to facilitate effective interactions and interventions.
Key ResponsibilitiesYour primary focus will be on clients struggling with addiction and co-occurring mental health issues. You will be tasked with providing empathetic and compassionate counseling that respects the individuality and unique backgrounds of each client. Adopting a person-centered approach, you will work towards empowering clients, helping them navigate their recovery paths successfully.
QualificationsThe salary range for this position is competitive, offering between USD 70,000 and 100,000 annually, commensurate with experience. In addition to a competitive salary, we provide a comprehensive benefits package that includes:
At Premier Counseling & Wellness Services, we are committed to your professional development. We offer multiple avenues for career advancement, including further educational opportunities, leadership training programs, and specialized certifications. As we expand our services nationally, you will have the chance to grow with us in this evolving field.
Why Join Our TeamJoining Premier Counseling & Wellness Services means becoming part of a team dedicated to making a meaningful impact in the lives of individuals and communities in need of support. We foster a collaborative environment where your skills and ideas will be valued. If you are passionate about making a difference in the field of mental health and addiction recovery, we encourage you to apply and start a rewarding career with us.
Application InformationIf you are ready to take the next step in your career and make a positive impact in the lives of others, please submit your resume and a cover letter outlining your qualifications and experience. We look forward to welcoming a new member to our compassionate and dedicated team at Premier Counseling & Wellness Services.