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Remote Utilization Review Jobs in Mokena, IL (NOW HIRING)

National Technical Support

Chicago, IL ยท On-site +1

$38K - $48K/yr

... and utilization of engineering expertise; manages team schedule to ensure efficient resource ... out Remote Performance Reviews; responsible for escalated case support which includes ...

Customer Service Representative

Chicago, IL ยท Remote

$16.50 - $22.50/hr

Perk Of This Role * Fully remote position, where you can work from home. Rotational shifts ... reviews and process. * Answers the Beneficiary Helpline through the utilization of the hunt group ...

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

Manager - Resource Management (Tax)

Chicago, IL ยท On-site +1

$114K - $149K/yr

We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...

AVP, Construction

Chicago, IL ยท On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

AVP, Construction

Chicago, IL ยท On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

Showing results 41-60

Remote Utilization Review information

See Mokena, IL salary details

$21

$41

$67

How much do remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization review in Mokena, IL is $41.60, according to ZipRecruiter salary data. Most workers in this role earn between $32.88 and $47.79 per hour, depending on experience, location, and employer.

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 Mokena, IL?

For Remote Utilization Review jobs in Mokena, IL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Mokena, IL look for?

The top searched job categories for Remote Utilization Review jobs in Mokena, IL are:

What cities near Mokena, IL are hiring for Remote Utilization Review jobs?

Cities near Mokena, IL with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Mokena, IL as of August 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $86,524 per year, or $41.6 per hour.

Manager of Client Success (Remote)

RxSaveCard Inc

Chicago, IL โ€ข Remote

Full-time

Retirement

Re-posted 13 days ago


Job description

About RxSaveCard

RxSaveCard was founded in 2024 with a mission to reduce pharmacy costs for employers and their employees. Our innovative model is unique in the market, and we are building a modern, card-based approach to prescription benefits that simplifies a complicated system. Our innovative model is unique in the market, backed by financial partners at Distributed Ventures and Rock Health. 

Position Overview

As our first Manager of Client Success, you will be the primary day-to-day contact for our employer clients and their broker and consultant partners.   You will join our team, responsible for accounts aasigned to you, where you will own the ongoing success, retention, and growth of our employer clients and their broker and consultant partners. This role is focused on ensuring clients achieve measurable value from RxSaveCard and continue to expand their engagement over time.

Key Responsibilities

  • Own a portfolio of employer clients and be accountable for retention and growth outcomes.
  • Lead client implementations to drive high adoption rates among employers and their employees.
  • Conduct an orderly launch process to ensure long-term success for the client and RxSaveCard.
  • Conduct monthly/quarterly business reviews for employer clients and their broker and consultant partners.
  • Turn client reporting data into clear insights and recommendations that demonstrate value and drive decision-making and account growth.
  • Consult with clients on best practices to optimize RxSaveCard's service.
  • Provide timely responses (at a minimum, same day) to resolve day-to-day issues and answer questions for clients, brokers, and consultants.
  • Work with other team members on various aspects of marketing, product, and technology to improve employer and member experience.
  • Develop and execute account strategies aligned to client goals and organizational priorities.
  • Identify risks early and proactively take action to address them.
  • Drive retention and expansion through proactive engagement and value demonstration.
Qualifications
  • 3+ years of customer-facing account management experience, including a track record of responsibility for expanding accounts (measured in revenue, utilization, retention, etc)
  • Excellent project management and organizational skills to coordinate the employer launch process
  • Strong communication and presentation skills to build trust and respect with employer clients
  • Technical proficiency to be self-sufficient: pc/mac, browser, MS-Office, etc.
  • Analytical skills to understand data and develop reporting using Excel and other tools
  • Ability to operate cross-functionally and collaborate with product, operations, and engineering teams 
  • Strong desire to grow with the company and accept advancement opportunities, especially the ability to mentor and lead teams

Role Focus

  • This role is focused on client relationship ownership, retention, and growth. Implementation execution, data operations, and reporting generation are supported by other roles to enable Client Success Managers to remain focused on strategy and outcomes.
Nice to Have
  • Prior startup or growth-stage experience is a strong plus
  • Prior experience within pharmacy benefit consulting, HR employee benefits, or the PBM industry
The Right Culture Fit for This Role
  • Mission-minded to help people and bring solutions to a very challenging and broken industry
  • Scrappy and resilient to thrive in an early-stage company and rise to the challenge of doing new and scary things
  • Intelligence, curiosity, and drive to anticipate problems and turn them into business opportunities
  • Hardworking and responsible to be a trusted member of our growing team
  • Mindful and balanced to avoid burnout
  • Kindness and camaraderie to add to the culture at RxSaveCard
Why RxSaveCard?
  • Opportunity to join an innovative company at a critical growth stage
  • Competitive salary and benefits package, including insurance and 401k with match
  • Remote or hybrid Chicago work flexibility
  • Collaborative and dynamic team environment
  • The chance to make a meaningful impact on healthcare costs for millions of employees.
How to Apply

If you're excited about making prescription drugs more affordable and want to be an early employee at a start-up company, we'd love to hear from you!