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Remote Utilization Review Jobs in San Ramon, CA (NOW HIRING)

Remote Summary: The main function of a network engineer is to determine user requirements and ... Review and approve equipment configuration prototypes, including network hardware, software ...

Remote Summary: The main function of a network engineer is to determine user requirements and ... Review and approve equipment configuration prototypes, including network hardware, software ...

Remote Role Responsibilities * Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. * Evaluate AI ...

New

Remote Role Responsibilities * Evaluate the usage of Google Chat within your business to enhance ... Our team reviews applications daily. Please complete your AI interview and application steps to be ...

CUDA Engineer - Kernel Optimization

San Francisco, CA ยท Remote

$241K/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

Showing results 21-40

Remote Utilization Review information

See San Ramon, CA salary details

$23

$47

$77

How much do remote utilization review jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote utilization review in San Ramon, CA is $47.25, according to ZipRecruiter salary data. Most workers in this role earn between $37.36 and $54.28 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 San Ramon, CA?

For Remote Utilization Review jobs in San Ramon, CA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in San Ramon, CA look for?

The top searched job categories for Remote Utilization Review jobs in San Ramon, CA are:

What cities near San Ramon, CA are hiring for Remote Utilization Review jobs?

Cities near San Ramon, CA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in San Ramon, CA as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $98,282 per year, or $47.3 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Full-time School Setting

Child and Adult Empower Mental Clinic Services

Sunnyvale, CA โ€ข On-site, Remote

$120K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 2 days ago

New


Job description

Position Overview

We invite you to join our dedicated team at Child and Adult Empower Mental Clinic Services as a Licensed Clinical Social Worker (LCSW). This full-time, remote position offers the opportunity to make a positive impact on the mental health of children, adolescents, and families within a school-based setting in Sunnyvale, California. The ideal candidate will be passionate about providing therapeutic support and connecting clients with essential community resources.

About the Organization

At Child and Adult Empower Mental Clinic Services, we are committed to empowering individuals and families by providing tailored mental health solutions. Our clinic fosters an inclusive and supportive approach, prioritizing high-quality care for diverse populations. We work alongside educational institutions to ensure students have access to the mental health resources they need to thrive academically and emotionally.

Work Environment

This role primarily operates in a remote environment, allowing for flexible working arrangements while maintaining strong communication with clients and the clinical team. As part of our school services, you will collaborate closely with educators and administrators to provide comprehensive support to students. Our culture prioritizes teamwork, collaboration, and ongoing professional development, ensuring that our staff members feel supported in their roles.

Key Responsibilities
  • Conduct intake assessments for new clients to determine mental health needs and develop individualized treatment plans.
  • Provide high-quality mental health therapy to individuals, couples, families, and children, utilizing evidence-based practices.
  • Offer case management services to connect clients with local resources, ensuring they receive comprehensive support.
  • Adhere to all facility and licensing standards to maintain compliance with regulations affecting clinical practice.
  • Serve as a point of contact with the Utilization Review Department and Business Department regarding authorization processes and payment issues.
  • Document client progress and treatment interventions in a timely manner, utilizing practice management software for accurate record-keeping.
  • Collaborate with the clinical team, providing additional support during high-demand periods or when team members are unavailable.
  • Engage in community outreach initiatives to raise awareness of mental health resources and foster connections within the community.
Patient Population / Client Focus

This role primarily focuses on children, adolescents, and their families within an educational setting, addressing various psychological and emotional issues. You will work with clients facing challenges such as anxiety, depression, behavioral issues, and family dynamics, aiming to foster resilience and promote mental wellness.

Qualifications
  • Masterโ€™s degree in Social Work from an accredited program.
  • Active California state licensure as a Clinical Social Worker (LCSW).
  • Demonstrated effective written and verbal communication skills to engage effectively with clients, families, and school personnel.
  • Proven ability to maintain appropriate professional boundaries with clients while providing compassionate care.
  • Experience managing and documenting clinical services efficiently and in accordance with established standards.
Preferred Experience
  • Previous experience working in a school setting or with child and adolescent populations.
  • Familiarity with community resources and referral processes pertinent to mental health services.
  • Background in crisis intervention and conflict resolution strategies.
  • Experience working with diverse populations and a commitment to cultural competence in service delivery.
Compensation and Benefits
  • Competitive salary ranging from $120,000 to $130,000 per year, commensurate with experience and caseload.
  • Comprehensive benefits package, including health insurance (medical, dental, and vision) and retirement plans.
  • Access to professional development opportunities and funding for continuing education to enhance your skills.
  • A supportive work environment that promotes resilience and work-life balance.
Career Growth Opportunities

Our organization values the professional growth of our staff and actively encourages you to pursue further education and training. We offer pathways for career advancement within our clinic, including opportunities to take on leadership roles or specialize in certain areas of mental health.

Why Join Our Team

Child and Adult Empower Mental Clinic Services is not just a workplace; it's a community dedicated to making a difference. If you are an experienced therapist passionate about providing high-quality care and mental health solutions to those who need it most, we want to hear from you! Embrace the opportunity to work in a collaborative environment that supports your professional aspirations while helping children and families in Sunnyvale thrive.

Application Information

If you are ready to take the next step in your career and join a team that truly values your contributions, please submit your resume and a cover letter detailing your relevant experience and passion for helping others. We look forward to reviewing your application!