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Remote Utilization Review Jobs in Schenectady, NY

Every application submitted through Workday is reviewed by a real person, not an AI. We value your ... Provide remote and occasional on-site Level 2 technical support to ADNET clients through telephone ...

New

Every application submitted through Workday is reviewed by a real person, not an AI. We value your ... Provide remote and occasional on-site Level 2 technical support to ADNET clients through telephone ...

New

Commercial Insurance Broker/Senior Broker

Albany, NY ยท On-site +1

$75K - $99K/yr

To support hybrid/remote work, candidates must have access to a reliable, confidential, and ... Oversee the review of binders and policies to ensure terms and conditions are accurately reflected

... reviews, and strategic engagements. * Collaborate with Sales, Professional Services, Managed ... Monitor business performance, pipeline health, utilization, and operational metrics, providing ...

Practice Director, AI

Albany, NY ยท Remote

$200K - $270K/yr

... reviews, and strategic engagements. * Collaborate with Sales, Professional Services, Managed ... Monitor business performance, pipeline health, utilization, and operational metrics, providing ...

RN, Case Manager (NY | Remote)

Clifton Park, NY ยท Remote

$33.65 - $38.46/hr

Conduct medical reviews and gather additional patient history as needed * Obtain and manage ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

RN, Case Manager (NY | Remote)

Clifton Park, NY ยท Remote

$33.65 - $38.46/hr

Conduct medical reviews and gather additional patient history as needed * Obtain and manage ... Remote / NY Pay Rate: $33.65- $38.46/hr About aptihealth aptihealth, inc. is a behavioral health ...

Remote Utilization Review information

See Schenectady, NY salary details

$20

$40

$66

How much do remote utilization review jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for remote utilization review in Schenectady, NY is $40.91, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.97 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 the most commonly searched types of Utilization Review jobs in Schenectady, NY?

The most popular types of Utilization Review jobs in Schenectady, NY are:

What are popular job titles related to Remote Utilization Review jobs in Schenectady, NY?

For Remote Utilization Review jobs in Schenectady, NY, the most frequently searched job titles are:

What cities near Schenectady, NY are hiring for Remote Utilization Review jobs?

Cities near Schenectady, NY with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Schenectady, NY as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $85,090 per year, or $40.9 per hour.

Full-time Clinical Social Worker (LCSW) - Remote Position at Heart Mental & Wellness Clinic

Heart Mental & Wellness Clinic

Schenectady, NY โ€ข On-site, Remote

$80K - $100K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted yesterday

New


Job description

Position Overview

The Heart Mental & Wellness Clinic is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our team in a full-time remote capacity. In this role, you will be responsible for delivering comprehensive mental health services, supporting clients with a focus on their individual needs, and contributing to a collaborative care environment.

About the Organization

Heart Mental & Wellness Clinic is a renowned provider of mental health services located in Schenectady, New York. Our mission is to deliver exceptional support that addresses an array of psychological and emotional challenges faced by our clients. We pride ourselves on fostering a nurturing and supportive environment conducive to healing, personal growth, and empowerment. Our team consists of experienced professionals committed to driving positive outcomes for our community.

Work Environment

As a remote worker at Heart Mental & Wellness Clinic, you will collaborate with a diverse team of clinicians and support staff who prioritize a culture of sensitivity and mutual respect. Our Hospice Center setting allows you to provide compassionate service to clients while experiencing the flexibility and autonomy that remote work offers. You will have access to technology and software that facilitate seamless communication and documentation, empowering you to focus on providing quality care.

Key Responsibilities
  • Act as a critical liaison between clients, families, and outpatient providers, ensuring open lines of communication and effective care coordination.
  • Engage with insurance companies to manage pre-certifications and utilization reviews, advocating for client needs.
  • Participate actively in discharge planning and aftercare strategies, facilitating smooth transitions for clients returning home or moving on to alternative care settings.
  • Offer therapeutic meal support, guiding clients in establishing a healthy relationship with food through empathetic and supportive interactions.
  • Deliver safe, compassionate, and affirming care tailored to each client's unique situation, taking into account their diverse identities and backgrounds.
Patient Population / Client Focus

Your client base will primarily encompass older adults dealing with complex mental health challenges, including grief, anxiety, depression, and end-of-life concerns. By providing specialized support in these areas, you will play an integral role in enhancing the quality of life for individuals at a critical juncture, contributing to their mental and emotional wellness.

Qualifications
  • A Masterโ€™s degree in Social Work from an accredited institution is required.
  • Possession of a valid LCSW license in the State of New York is mandatory.
  • Experience working with older adult populations is highly preferred, highlighting your capability to address their specific needs and challenges.
  • Strong clinical and diagnostic skills to assess and deliver effective interventions.
  • Excellent communication and interpersonal skills, enabling effective collaboration with team members, clients, and external partners.
  • Ability to work both independently and within a team-oriented environment, demonstrating flexibility and initiative.
Preferred Experience

While a minimum of one year of relevant experience is required, additional experience in palliative care, hospice, or related fields would enhance your candidacy. Familiarity with therapeutic methodologies and engagement strategies tailored for older adults will be advantageous.

Compensation and Benefits

The position offers a competitive annual salary ranging from $80,000 to $100,000, commensurate with experience and qualifications. In addition to competitive pay, we provide comprehensive medical, dental, and vision insurance, ensuring that you and your family have access to necessary healthcare services. Other benefits include a 401(k) plan with flexible spending options, life insurance, and short-term disability coverage, facilitating both your financial and personal well-being.

Career Growth Opportunities

At Heart Mental & Wellness Clinic, we are deeply invested in the professional development of our staff. As you grow within our organization, you will find opportunities for further training and specialization in areas related to geriatric mental health, advanced clinical techniques, and leadership roles within the social work community. We encourage continuous learning and strive to provide the necessary resources for your career advancement.

Why Join Our Team

Joining Heart Mental & Wellness Clinic represents an opportunity to make a significant impact in the lives of individuals and families during some of their most challenging times. You will be part of a team that values your insight, fosters innovation, and emphasizes a holistic approach to mental wellness. If you are passionate about making a difference and believe in the power of compassionate care, we invite you to apply.

Application Information

If you are interested in becoming a part of our mission at Heart Mental & Wellness Clinic, please submit your application, including your resume and a cover letter outlining your qualifications and experiences relevant to this role. We look forward to the opportunity to learn more about you!