This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
New
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
New
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
New
Woodridge, IL ยท Remote
$140K - $160K/yr
Remote (with capability to work effectively in a remote setting) Hire Type: Direct Hire ... Track and report on resource utilization, allowable vs. actual hours, internal/external OTD (On ...
Quick apply
Woodridge, IL ยท Remote
$140K - $160K/yr
Remote (with capability to work effectively in a remote setting) Hire Type: Direct Hire ... Track and report on resource utilization, allowable vs. actual hours, internal/external OTD (On ...
... remote capacity. As an LCSW, you will play an integral role in delivering essential therapeutic ... utilization reviews are completed meticulously. * Coordinating referral services and maintaining ...
New
... remote capacity. As an LCSW, you will play an integral role in delivering essential therapeutic ... utilization reviews are completed meticulously. * Coordinating referral services and maintaining ...
New
Be Seen First
Chicago, IL ยท Remote
$85K - $100K/yr
About the Role 100% remote opportunity for an insurance professional knowledgeable with group ... Review current programs, evaluate claims and utilization data * Take proposals to market to help ...
New
Quick apply
Be Seen First
Chicago, IL ยท Remote
$85K - $100K/yr
About the Role 100% remote opportunity for an insurance professional knowledgeable with group ... Review current programs, evaluate claims and utilization data * Take proposals to market to help ...
New
Deerfield, IL ยท Remote
$73K - $100K/yr
Review job placement results and follow appropriate process to store and facilitate follow up as ... appropriate utilization of benefits. Incorporates knowledge of applicable state and federal ...
Quick apply
Deerfield, IL ยท Remote
$73K - $100K/yr
Review job placement results and follow appropriate process to store and facilitate follow up as ... appropriate utilization of benefits. Incorporates knowledge of applicable state and federal ...
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
Quick apply
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
... utilization. The NAD is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews * Proficiency with sales support technology - example ...
Chicago, IL ยท On-site +1
$144K/yr
Remote Role Responsibilities * Analyze and optimize GPU kernels for performance, efficiency, and ... Review GPU kernel implementations and identify bottlenecks without deep algorithmic background.
New
Quick apply
Chicago, IL ยท On-site +1
$144K/yr
Remote Role Responsibilities * Analyze and optimize GPU kernels for performance, efficiency, and ... Review GPU kernel implementations and identify bottlenecks without deep algorithmic background.
New
Manage remote hotel room block requests for departmental onsites. * Contribute to ideation and ... Own event vendor processes, including securing quotes and COIs, contract reviews, and vendor ...
Manage remote hotel room block requests for departmental onsites. * Contribute to ideation and ... Own event vendor processes, including securing quotes and COIs, contract reviews, and vendor ...
Chicago, IL ยท Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Chicago, IL ยท Remote
$155K - $175K/yr
Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy ... Clinical Team - Liaise with Clinical team to review clinical data and policy requirements as needed
Conduct psychosocial assessments, employing interviews, observations, and comprehensive reviews of ... and utilization of these services. * Support discharge planning activities, ensuring smooth ...
New
Conduct psychosocial assessments, employing interviews, observations, and comprehensive reviews of ... and utilization of these services. * Support discharge planning activities, ensuring smooth ...
New
Our commitment to high standards of care is demonstrated through our utilization of evidence-based ... reviews, and training sessions, to continually enhance your clinical skills and knowledge.
New
Our commitment to high standards of care is demonstrated through our utilization of evidence-based ... reviews, and training sessions, to continually enhance your clinical skills and knowledge.
New
Manage remote hotel room block requests for departmental onsites. * Contribute to ideation and ... Own event vendor processes, including securing quotes and COIs, contract reviews, and vendor ...
Manage remote hotel room block requests for departmental onsites. * Contribute to ideation and ... Own event vendor processes, including securing quotes and COIs, contract reviews, and vendor ...
Naperville, IL ยท Remote
Description This is a REMOTE position. Our headquarters are based in Naperville, IL. Job Title ... Conduct weekly supply reviews with each clinician, documenting requests and ensuring timely orders ...
Quick apply
Naperville, IL ยท Remote
Description This is a REMOTE position. Our headquarters are based in Naperville, IL. Job Title ... Conduct weekly supply reviews with each clinician, documenting requests and ensuring timely orders ...
Conduct monthly/quarterly business reviews for employer clients and their broker and consultant ... utilization, retention, etc) * Excellent project management and organizational skills to coordinate ...
Quick apply
Conduct monthly/quarterly business reviews for employer clients and their broker and consultant ... utilization, retention, etc) * Excellent project management and organizational skills to coordinate ...
... utilization of the Platform. Key Criteria: MS Dynamics - D365 Finance and Operations Module ... Participate and/ or lead quality management reviews including designs, prototypes and other stages ...
... utilization of the Platform. Key Criteria: MS Dynamics - D365 Finance and Operations Module ... Participate and/ or lead quality management reviews including designs, prototypes and other stages ...
... utilization of the Platform. Key Criteria: MS Dynamics - D365 Finance and Operations Module ... Participate and/ or lead quality management reviews including designs, prototypes and other stages ...
... utilization of the Platform. Key Criteria: MS Dynamics - D365 Finance and Operations Module ... Participate and/ or lead quality management reviews including designs, prototypes and other stages ...
Chicago, IL ยท On-site +1
$50K - $60K/yr
Remote Status: Exempt; Salaried Who We Are: Recognized by Gartner in their Modern 4PL Market Guide ... Identify potential risks associated with contracts under review; * Assist with utilization of the ...
Chicago, IL ยท On-site +1
$50K - $60K/yr
Remote Status: Exempt; Salaried Who We Are: Recognized by Gartner in their Modern 4PL Market Guide ... Identify potential risks associated with contracts under review; * Assist with utilization of the ...
Warrenville, IL ยท On-site +1
*This position is a full-time remote position located anywhere in the U.S* What You'll Do: This role ... with HR issues, budgets, utilization * Strong working knowledge of AutoCAD and Civil 3D
Warrenville, IL ยท On-site +1
*This position is a full-time remote position located anywhere in the U.S* What You'll Do: This role ... with HR issues, budgets, utilization * Strong working knowledge of AutoCAD and Civil 3D
$21.25 - $25.55
2% of jobs
$25.55 - $29.85
9% of jobs
$32.79 is the 25th percentile. Wages below this are outliers.
$29.85 - $34.15
21% of jobs
The median wage is $37.63 / hr.
$34.15 - $38.45
23% of jobs
$38.45 - $42.75
13% of jobs
$46.09 is the 75th percentile. Wages above this are outliers.
$42.75 - $47.05
10% of jobs
$47.05 - $51.35
8% of jobs
$51.35 - $55.64
5% of jobs
$55.64 - $59.94
5% of jobs
$59.94 - $64.24
2% of jobs
$64.24 - $68.54
2% of jobs
$21
$42
$68
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 Mount Prospect, IL are:
The top searched job categories for Remote Utilization Review jobs in Mount Prospect, IL are:
Cities near Mount Prospect, IL with the most Remote Utilization Review job openings:

Elgin, IL โข Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 3 days ago
New
High Point Family and Marriage Counseling is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our compassionate team in providing essential mental health and substance use counseling services. This full-time remote position offers a unique opportunity to make a positive impact on the lives of individuals and families facing challenges related to addiction and mental health, all while maintaining the flexibility of remote work.
About the OrganizationHigh Point Family and Marriage Counseling is a recognized leader in addiction treatment services, catering to the needs of over 25,000 patients daily across the nation. Our mission is to eliminate barriers to recovery and empower individuals, families, and communities through effective treatment approaches. We pride ourselves on creating an inclusive environment where our employees contribute to reshaping lives and fostering hope through comprehensive treatment strategies.
Work EnvironmentThis position is based in a remote work setting, allowing for flexibility while still being an integral part of a collaborative team. As a part of our Hospice Center team, you will work closely with a network of skilled professionals dedicated to providing high-quality care to patients in need of support. Our work culture emphasizes compassion, professionalism, and a commitment to lifelong learning and growth.
Key ResponsibilitiesIn this role, you will work primarily with adults struggling with co-occurring mental health and substance use disorders. You will support clients who come from diverse backgrounds and present a wide range of psychosocial issues, requiring sensitivity, cultural competence, and personalized care strategies.
QualificationsWe offer a competitive salary ranging from USD 70,000 to 100,000 annually, commensurate with experience. Our comprehensive benefits package includes:
High Point Family and Marriage Counseling is committed to nurturing the growth and advancement of our employees. With access to ongoing training and mentorship programs, you will have the opportunity to expand your skill set, pursue certifications, and potentially advance into leadership roles within the organization over time.
Why Join Our TeamBy joining High Point Family and Marriage Counseling, you become part of a dedicated team working toward a shared vision: transforming lives and restoring hope. Our commitment to compassionate care not only supports our clients but also enriches the professional experience of our employees. We believe in creating a positive workplace culture that values contribution, personal growth, and the pursuit of excellence in all we do.
Application InformationIf you are passionate about making a difference in the lives of individuals facing mental health and substance use challenges, we would love to hear from you. Please submit your resume and cover letter detailing your qualifications and your interest in this position. Join us in our mission to provide life-changing care at High Point Family and Marriage Counseling.