Engage proactively with the Utilization Review and Business Departments to manage service ... Experience in a remote work setting that requires self-management and effective communication.
Engage proactively with the Utilization Review and Business Departments to manage service ... Experience in a remote work setting that requires self-management and effective communication.
Work Environment This position is remote, allowing you to work from the comfort of your home while ... Engage in proactive communication with the Utilization Review Department and Business Department to ...
Work Environment This position is remote, allowing you to work from the comfort of your home while ... Engage in proactive communication with the Utilization Review Department and Business Department to ...
Licensed Marriage and Family Therapist (LMFT) - Full-Time Remote Position
Stockton, CA ยท Remote
$120K - $130K/yr
Thoroughly review intake assessments, initial self-reported questionnaires, sleep diaries, and ... utilization, and familiarity with electronic medical record systems. * An ability to thrive in a ...
Licensed Marriage and Family Therapist (LMFT) - Full-Time Remote Position
Stockton, CA ยท Remote
$120K - $130K/yr
Thoroughly review intake assessments, initial self-reported questionnaires, sleep diaries, and ... utilization, and familiarity with electronic medical record systems. * An ability to thrive in a ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Los Banos, CA ยท On-site +1
$22.75 - $28.75/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Los Banos, CA ยท On-site +1
$22.75 - $28.75/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Atwater, CA ยท On-site +1
$21.75 - $27.50/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Atwater, CA ยท On-site +1
$21.75 - $27.50/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Stockton, CA ยท On-site +1
$22.75 - $28.75/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Bilingual Case Management Specialist (Remote Flexible, Spanish Speaking)
Stockton, CA ยท On-site +1
$22.75 - $28.75/hr
Maintain ongoing caseload of individuals through the utilization of evidence based approaches to ... Our team regularly reviews applications and will reach out to candidates whose qualifications align ...
Freight Broker Agent
Stockton, CA ยท Remote
$25K - $65K/yr
Utilize industry knowledge and market trends to optimize routing, pricing, and capacity utilization ... Ability to work independently and meet deadlines in a remote work environment. * Proficient in ...
Quick apply
Freight Broker Agent
Stockton, CA ยท Remote
$25K - $65K/yr
Utilize industry knowledge and market trends to optimize routing, pricing, and capacity utilization ... Ability to work independently and meet deadlines in a remote work environment. * Proficient in ...
Freight Broker Agent
Stockton, CA ยท Remote
$25K - $65K/yr
Utilize industry knowledge and market trends to optimize routing, pricing, and capacity utilization ... Ability to work independently and meet deadlines in a remote work environment. * Proficient in ...
Quick apply
Freight Broker Agent
Stockton, CA ยท Remote
$25K - $65K/yr
Utilize industry knowledge and market trends to optimize routing, pricing, and capacity utilization ... Ability to work independently and meet deadlines in a remote work environment. * Proficient in ...
Registered Nurse
Modesto, CA ยท On-site +1
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Modesto, CA ยท On-site +1
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Modesto, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Modesto, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Turlock, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Turlock, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Waterford, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Waterford, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Newman, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Newman, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Patterson, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Patterson, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Registered Nurse
Oakdale, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Quick apply
Registered Nurse
Oakdale, CA ยท Remote
$110 - $130/hr
Review OASIS assessments for completeness, appropriateness, and compliance with federal and state ... Monitor visit utilization and flag potential financial risks or underutilization to clinical ...
Remote Utilization Review information
See Modesto, CA salary details
$22.57 - $27.14
2% of jobs
$27.14 - $31.70
9% of jobs
$34.82 is the 25th percentile. Wages below this are outliers.
$31.70 - $36.27
21% of jobs
The median wage is $39.96 / hr.
$36.27 - $40.83
23% of jobs
$40.83 - $45.40
13% of jobs
$48.95 is the 75th percentile. Wages above this are outliers.
$45.40 - $49.96
10% of jobs
$49.96 - $54.53
8% of jobs
$54.53 - $59.09
5% of jobs
$59.09 - $63.66
5% of jobs
$63.66 - $68.22
2% of jobs
$68.22 - $72.79
2% of jobs
$22
$44
$72
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 Modesto, CA?
The most popular types of Utilization Review jobs in Modesto, CA are:
What are popular job titles related to Remote Utilization Review jobs in Modesto, CA?
For Remote Utilization Review jobs in Modesto, CA, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Modesto, CA look for?
The top searched job categories for Remote Utilization Review jobs in Modesto, CA are:
What cities near Modesto, CA are hiring for Remote Utilization Review jobs?
Cities near Modesto, CA with the most Remote Utilization Review job openings:

Senior Licensed Clinical Social Worker (LCSW) - Remote | Hospice Services
Modesto, CA โข Remote
Full-time
Medical, Retirement, PTO
Posted 6 days ago
Job description
We are seeking a dedicated and experienced Senior Licensed Clinical Social Worker (LCSW) to join our remote team at Child and Adult Empower Mental Clinic Services, focusing on providing exceptional mental health care within a hospice center environment. This full-time position offers an opportunity to work closely with clients navigating complex emotional and psychosocial challenges, with a competitive salary ranging from USD 120,000 to 130,000 annually, based on caseload and experience.
About the OrganizationChild and Adult Empower Mental Clinic Services is committed to empowering individuals through compassionate mental health support. Our clinic specializes in providing holistic care to a diverse patient population, emphasizing accessibility and community integration. We pride ourselves on fostering an inclusive environment that values the unique experiences and needs of each individual, ensuring our services reflect the cultural richness of the Modesto, California community.
Work EnvironmentThis position allows for complete remote work, enabling flexibility while maintaining a strong connection to our patients and team members. As a fully remote team operating within a hospice center framework, you will work collaboratively with interdisciplinary teams to ensure that our patients receive comprehensive, empathetic care that addresses their emotional and psychological needs during critical times.
Key Responsibilities- Conduct timely wellness checks to assess the mental health and emotional wellbeing of clients, ensuring they feel supported and understood.
- Maintain strict adherence to all facility and licensing standards, guaranteeing quality of care and compliance with regulatory requirements.
- Provide peer support and clinical assistance to fellow team members, stepping in to cover during absences and facilitating cohesive team operations.
- Engage proactively with the Utilization Review and Business Departments to manage service authorizations and payment processes effectively.
- Guide clients in accessing community resources, helping them navigate available services for additional support with their mental health journey.
- Document all interactions and services provided accurately and expediently, ensuring continuity of care and compliance with organizational protocols.
Your primary role will be to serve a diverse demographic, focusing on both children and adults facing end-of-life issues and their families. By providing therapeutic support tailored to client needs and their unique circumstances, you will play a crucial role in enhancing their quality of life during this challenging time. Skills in multi-lingual communication and cultural competency will be vital in effectively serving our diverse client base.
Qualifications- A Masterโs degree in Social Work from an accredited institution.
- Active California LCSW licensure is a must.
- Proficient verbal and written communication abilities, crucial for effective client interaction and documentation.
- Strong boundary-setting skills, modeling appropriate interactions with clients and families.
- Demonstrated ability to meet deadlines consistently, ensuring timely documentation submission and adherence to care plans.
- Prior experience in hospice care or working with terminally ill patients is strongly preferred.
- Experience in a remote work setting that requires self-management and effective communication.
- Familiarity with electronic health record (EHR) systems and telehealth platforms is advantageous.
- Attractive salary range of USD 120,000 to 130,000 annually based on caseload and experience.
- Comprehensive benefits package, including health insurance, retirement plans, and paid time off.
- Ongoing professional development opportunities, including funding for continuing education and certification programs.
- A supportive and collaborative team environment that values your contributions and fosters your growth.
At Child and Adult Empower Mental Clinic Services, we believe in cultivating talent and supporting career progression. Opportunities for advancement include leadership positions, specialized clinical training, and involvement in initiatives that enhance service delivery and community engagement. We encourage our team members to pursue their professional interests and aspirations actively.
Why Join Our TeamIf you're driven by a passion for providing compassionate, high-quality mental health support to those in needโespecially in a hospice contextโwe want to hear from you! Our work environment promotes self-care, teamwork, and a culture of respect and inclusion.
Application InformationInterested candidates are encouraged to submit their resume and a cover letter detailing their relevant experience and passion for this work to our hiring team at Child and Adult Empower Mental Clinic Services. We look forward to discovering how you can contribute to our mission and make a meaningful impact in the lives of our clients.