This full-time position offers the flexibility of a remote work environment while allowing you to ... Act as a liaison between clients, the Utilization Review Department, and the Business Department to ...
This full-time position offers the flexibility of a remote work environment while allowing you to ... Act as a liaison between clients, the Utilization Review Department, and the Business Department to ...
This full-time position offers the flexibility of a remote work environment while allowing you to ... Act as a liaison between clients, the Utilization Review Department, and the Business Department to ...
This full-time position offers the flexibility of a remote work environment while allowing you to ... Act as a liaison between clients, the Utilization Review Department, and the Business Department to ...
This full-time, remote position offers the opportunity to impact the lives of individuals within a ... Provide utilization reviews to insurance companies, presenting necessary clinical details to secure ...
This full-time, remote position offers the opportunity to impact the lives of individuals within a ... Provide utilization reviews to insurance companies, presenting necessary clinical details to secure ...
This full-time, remote position offers the opportunity to impact the lives of individuals within a ... Provide utilization reviews to insurance companies, presenting necessary clinical details to secure ...
This full-time, remote position offers the opportunity to impact the lives of individuals within a ... Provide utilization reviews to insurance companies, presenting necessary clinical details to secure ...
Work Environment This position is entirely remote, offering the flexibility to work from anywhere ... Conduct utilization reviews with insurance companies, articulating pertinent clinical data to ...
Work Environment This position is entirely remote, offering the flexibility to work from anywhere ... Conduct utilization reviews with insurance companies, articulating pertinent clinical data to ...
Work Environment This position is entirely remote, offering the flexibility to work from anywhere ... Conduct utilization reviews with insurance companies, articulating pertinent clinical data to ...
Work Environment This position is entirely remote, offering the flexibility to work from anywhere ... Conduct utilization reviews with insurance companies, articulating pertinent clinical data to ...
This full-time, remote role offers an exciting opportunity to provide high-quality mental health ... Facilitate utilization reviews, effectively providing necessary clinical information to insurance ...
This full-time, remote role offers an exciting opportunity to provide high-quality mental health ... Facilitate utilization reviews, effectively providing necessary clinical information to insurance ...
This full-time, remote role offers an exciting opportunity to provide high-quality mental health ... Facilitate utilization reviews, effectively providing necessary clinical information to insurance ...
This full-time, remote role offers an exciting opportunity to provide high-quality mental health ... Facilitate utilization reviews, effectively providing necessary clinical information to insurance ...
Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC) at Clearly Heard Counseling Services
Central Point, OR ยท Remote
In this full-time, remote role, you will play a pivotal part in enhancing the mental well-being of ... Conduct utilization reviews with insurance companies to secure necessary authorizations while ...
Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC) at Clearly Heard Counseling Services
Central Point, OR ยท Remote
In this full-time, remote role, you will play a pivotal part in enhancing the mental well-being of ... Conduct utilization reviews with insurance companies to secure necessary authorizations while ...
Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC) at Clearly Heard Counseling Services
Central Point, OR ยท Remote
In this full-time, remote role, you will play a pivotal part in enhancing the mental well-being of ... Conduct utilization reviews with insurance companies to secure necessary authorizations while ...
Remote Licensed Mental Health Counselor (LCSW, LMFT, LPC) at Clearly Heard Counseling Services
Central Point, OR ยท Remote
In this full-time, remote role, you will play a pivotal part in enhancing the mental well-being of ... Conduct utilization reviews with insurance companies to secure necessary authorizations while ...
In this full-time remote position, you will play a pivotal role in delivering high-quality mental ... Conducting utilization reviews in collaboration with insurance providers and communicating ...
In this full-time remote position, you will play a pivotal role in delivering high-quality mental ... Conducting utilization reviews in collaboration with insurance providers and communicating ...
In this full-time remote position, you will play a pivotal role in delivering high-quality mental ... Conducting utilization reviews in collaboration with insurance providers and communicating ...
In this full-time remote position, you will play a pivotal role in delivering high-quality mental ... Conducting utilization reviews in collaboration with insurance providers and communicating ...
Remote Care Management Nurse
Medford, OR ยท Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Medford, OR ยท Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Utilization Review information
See Medford, OR salary details
$22.23 - $26.72
2% of jobs
$26.72 - $31.22
9% of jobs
$34.30 is the 25th percentile. Wages below this are outliers.
$31.22 - $35.72
21% of jobs
The median wage is $39.36 / hr.
$35.72 - $40.21
23% of jobs
$40.21 - $44.71
13% of jobs
$48.20 is the 75th percentile. Wages above this are outliers.
$44.71 - $49.20
10% of jobs
$49.20 - $53.70
8% of jobs
$53.70 - $58.19
5% of jobs
$58.19 - $62.69
5% of jobs
$62.69 - $67.19
2% of jobs
$67.19 - $71.68
2% of jobs
$22
$43
$71
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 Medford, OR?
For Remote Utilization Review jobs in Medford, OR, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Medford, OR look for?
The top searched job categories for Remote Utilization Review jobs in Medford, OR are:
What cities near Medford, OR are hiring for Remote Utilization Review jobs?
Cities near Medford, OR with the most Remote Utilization Review job openings:

Licensed Mental Health Therapist - Remote (LCSW, LMFT, LPC)
Eagle Point, OR โข Remote
Full-time
Medical, Dental, Vision, Life
Posted 19 days ago
Job description
Sleep Better Healthcare Services, Inc. is looking for a dedicated and passionate Licensed Mental Health Therapist (LCSW, LMFT, LPC) to join our dynamic team. This full-time position offers the flexibility of a remote work environment while allowing you to make a meaningful impact on the lives of our clients from the comfort of your home. As a crucial member of our outpatient care team, you will be instrumental in providing high-quality mental health services and ensuring that our clients receive personalized treatment plans that cater to their unique needs.
About the OrganizationAt Sleep Better Healthcare Services, Inc., we are committed to transforming the mental health landscape by eliminating stigma and increasing access to qualified mental health professionals. Our organization prides itself on fostering innovative approaches to therapy and working in partnership with clients and community providers to deliver comprehensive care. We achieve exceptional outcomes and nurture a supportive environment by embracing creativity and compassion in our practice.
Work EnvironmentThis position is fully remote, allowing you the liberty to work from anywhere while connecting with clients and team members effectively. Our outpatient office remains focused on delivering high-quality mental health services, and your contributions will play a key role in shaping our innovative culture. We utilize state-of-the-art electronic medical records (EMR) systems to streamline client information and enhance service efficiency.
Key Responsibilities- Act as a liaison between clients, the Utilization Review Department, and the Business Department to ensure seamless authorization and payment processes.
- Support continuity of care by maintaining communication with referral sources and outpatient providers during a client's admission, midpoint, and discharge phases.
- Initiate discharge planning on the day of admission for every patient, including conducting discharge sessions to reinforce coping skills and ensure a robust transition plan.
- Manage crisis situations effectively, providing necessary support to both clients and milieu staff, while collaborating closely with the entire treatment team to ensure optimum clinical quality.
- Maintain timely and accurate clinical documentation following each session to comply with regulatory and internal standards.
- Build and nurture therapeutic relationships with clients and their families, carefully assessing patients for suicidality and risks to self or others.
- Facilitate professional admission assessments for new patients, maintaining a welcoming demeanor to create a positive initial experience.
- Engage actively in weekly treatment team meetings to communicate treatment goals and contribute to cohesive patient care.
- Conduct utilization reviews for insurance companies, providing relevant clinical information to support both initial and ongoing authorizations.
- Ensure availability and responsiveness to family members, returning calls and emails promptly within a 2-hour window during business hours and within 24 hours outside of those times.
The therapist will work with a diverse population of clients requiring mental health support. This includes individuals presenting with a range of challenges, such as anxiety, depression, trauma, and more. Your expertise will be pivotal in facilitating their behavioral health improvements, contributing positively to their overall well-being, and guiding them in their personal growth journeys.
Qualifications- A masterโs or doctorate degree in clinical psychology, counseling, or clinical social work from an accredited program (e.g., MA, MS, MSW, MFT, MHC, PhD, PsyD).
- An independent license to practice in the state of Oregon (LCSW, LMFT, LPC).
- Demonstrated ability to manage a sizable caseload while effectively interfacing with healthcare providers and support staff.
- A profound commitment to making a positive impact in the field of mental health.
- Familiarity with electronic medical records systems to enhance therapy documentation and client management.
- Proven electronic communication skills for efficient collaboration with team members and stakeholders.
We offer a competitive salary range of USD 50,000 to 70,000 per year, depending on experience and qualifications. In addition to this attractive compensation, our benefits package includes:
- Employee assistance program providing mental health support.
- Minimal administrative paperwork to allow for more focus on client care.
- A full caseload that ensures a busy yet fulfilling schedule.
- Comprehensive medical, dental, and vision insurance plans.
- Life and disability insurance coverage.
- Professional liability insurance for peace of mind in your practice.
At Sleep Better Healthcare Services, Inc., we value continuous learning and development. You'll have access to professional training and workshops to expand your skills and grow within the organization. We actively support your career advancement, with potential pathways to leadership roles or specialized therapeutic areas as you progress.
Why Join Our TeamJoining our team means you will be part of a forward-thinking organization that prioritizes diversity and inclusion. We are committed to building a staff that reflects the demographics of the communities we serve, ensuring that our client base feels understood and valued. We invite you to make a real difference in the lives of others while growing your career in a nurturing and supportive environment.
Application InformationIf you are ready to embark on a rewarding career that combines your passion for mental health with the opportunity to help others, we want to hear from you! Please complete your application by submitting your resume and a cover letter outlining your qualifications and interest in the role. Join us at Sleep Better Healthcare Services and help us redefine the future of mental health care.