This full-time remote position offers a unique opportunity to make a significant impact on the ... Engage with insurance companies to facilitate pre-certification and manage utilization review ...
This full-time remote position offers a unique opportunity to make a significant impact on the ... Engage with insurance companies to facilitate pre-certification and manage utilization review ...
Telehealth Mental Health Counselor - Full-Time Opportunity in Gig Harbor, WA
Gig Harbor, WA · Remote
$90K - $110K/yr
Work Environment This role is designed as a remote position, allowing you the flexibility to work ... Familiarity with the mental health and substance abuse utilization review process. * Prior ...
Telehealth Mental Health Counselor - Full-Time Opportunity in Gig Harbor, WA
Gig Harbor, WA · Remote
$90K - $110K/yr
Work Environment This role is designed as a remote position, allowing you the flexibility to work ... Familiarity with the mental health and substance abuse utilization review process. * Prior ...
Telehealth Mental Health Counselor - Full-Time Opportunity in Gig Harbor, WA
Gig Harbor, WA · Remote
$90K - $110K/yr
Work Environment This role is designed as a remote position, allowing you the flexibility to work ... Familiarity with the mental health and substance abuse utilization review process. * Prior ...
Telehealth Mental Health Counselor - Full-Time Opportunity in Gig Harbor, WA
Gig Harbor, WA · Remote
$90K - $110K/yr
Work Environment This role is designed as a remote position, allowing you the flexibility to work ... Familiarity with the mental health and substance abuse utilization review process. * Prior ...
Clinical Sales Manager (Seattle)
Seattle, WA · Remote
$118K - $177K/yr
... and utilization review. * Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. * Collaborate with Customer Success to onboard new ...
Quick apply
Clinical Sales Manager (Seattle)
Seattle, WA · Remote
$118K - $177K/yr
... and utilization review. * Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. * Collaborate with Customer Success to onboard new ...
Clinical Sales Manager (Seattle)
Seattle, WA · On-site +1
$118K - $177K/yr
... and utilization review. • Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. • Collaborate with Customer Success to onboard new ...
Clinical Sales Manager (Seattle)
Seattle, WA · On-site +1
$118K - $177K/yr
... and utilization review. • Secure contracts and agreements, where necessary or optimal, to ... remote and in-person, and manage follow-up. • Collaborate with Customer Success to onboard new ...
Registered Nurse - Utilization Management Discharge Nurse
Seattle, WA · On-site +1
$87K - $161K/yr
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Registered Nurse - Utilization Management Discharge Nurse
Seattle, WA · On-site +1
$87K - $161K/yr
Summary The Utilization Management Discharge Nurse uses the nursing process and nursing expertise ... Reviews inpatient charts, using third party criteria (currently InterQual), and collaborates with ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account check-ins to review program performance, identify barriers, and uncover new ...
Quick apply
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account check-ins to review program performance, identify barriers, and uncover new ...
Be Seen First
Power Studies Engineer - SKM / Data Centers (SCCAF) - Remote
Bellevue, WA · Remote
$90K - $110K/yr
Perform load flow studies to evaluate system loading, voltage performance, equipment utilization ... Review electrical one-line diagrams, equipment schedules, protective device information ...
Quick apply
Be Seen First
Power Studies Engineer - SKM / Data Centers (SCCAF) - Remote
Bellevue, WA · Remote
$90K - $110K/yr
Perform load flow studies to evaluate system loading, voltage performance, equipment utilization ... Review electrical one-line diagrams, equipment schedules, protective device information ...
Remote Licensed Independent Clinical Social Worker (LICSW) for Outpatient Services
Federal Way, WA · Remote
$80K - $100K/yr
Engage in regular case consultations and peer review meetings, contributing your insights and ... Utilization of integrated care models to work alongside other healthcare professionals in a remote ...
Remote Licensed Independent Clinical Social Worker (LICSW) for Outpatient Services
Federal Way, WA · Remote
$80K - $100K/yr
Engage in regular case consultations and peer review meetings, contributing your insights and ... Utilization of integrated care models to work alongside other healthcare professionals in a remote ...
Remote Licensed Independent Clinical Social Worker (LICSW) for Outpatient Services
Federal Way, WA · Remote
$80K - $100K/yr
Engage in regular case consultations and peer review meetings, contributing your insights and ... Utilization of integrated care models to work alongside other healthcare professionals in a remote ...
Remote Licensed Independent Clinical Social Worker (LICSW) for Outpatient Services
Federal Way, WA · Remote
$80K - $100K/yr
Engage in regular case consultations and peer review meetings, contributing your insights and ... Utilization of integrated care models to work alongside other healthcare professionals in a remote ...
Remote Care Management Nurse
Renton, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Renton, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Tacoma, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Tacoma, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Bellevue, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Remote Care Management Nurse
Bellevue, WA · Remote
$34.20 - $55.70/hr
Remote Care Management Nurse (Future Opportunities) Work from home within Oregon, Washington, Idaho ... utilization management, disease management, auditing, or retrospective review * Active ...
Experienced Mental Health Counselor - Remote Position
Tacoma, WA · Remote
$80K - $104K/yr
Participate in case reviews and contribute to continuous quality improvement initiatives within our ... Familiarity with telehealth platforms and the utilization of technology in delivering remote ...
Experienced Mental Health Counselor - Remote Position
Tacoma, WA · Remote
$80K - $104K/yr
Participate in case reviews and contribute to continuous quality improvement initiatives within our ... Familiarity with telehealth platforms and the utilization of technology in delivering remote ...
Experienced Mental Health Counselor - Remote Position
Tacoma, WA · Remote
$80K - $104K/yr
Participate in case reviews and contribute to continuous quality improvement initiatives within our ... Familiarity with telehealth platforms and the utilization of technology in delivering remote ...
Experienced Mental Health Counselor - Remote Position
Tacoma, WA · Remote
$80K - $104K/yr
Participate in case reviews and contribute to continuous quality improvement initiatives within our ... Familiarity with telehealth platforms and the utilization of technology in delivering remote ...
Engaging in regular case consultations and peer review meetings to refine treatment approaches ... Familiarity with electronic health record (EHR) systems and their utilization in maintaining ...
Engaging in regular case consultations and peer review meetings to refine treatment approaches ... Familiarity with electronic health record (EHR) systems and their utilization in maintaining ...
Engaging in regular case consultations and peer review meetings to refine treatment approaches ... Familiarity with electronic health record (EHR) systems and their utilization in maintaining ...
Engaging in regular case consultations and peer review meetings to refine treatment approaches ... Familiarity with electronic health record (EHR) systems and their utilization in maintaining ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Manager, Customer Success, Strategic
Seattle, WA · On-site +1
Establish a consistent operating rhythm-including 1:1s, strategic account reviews, call listening ... Use performance trends, product utilization, customer outcomes, relationship signals, and program ...
Manager, Customer Success, Strategic
Seattle, WA · On-site +1
Establish a consistent operating rhythm-including 1:1s, strategic account reviews, call listening ... Use performance trends, product utilization, customer outcomes, relationship signals, and program ...
Remote Utilization Review information
See Seattle, WA salary details
$24.35 - $29.27
2% of jobs
$29.27 - $34.20
9% of jobs
$37.56 is the 25th percentile. Wages below this are outliers.
$34.20 - $39.12
21% of jobs
The median wage is $43.11 / hr.
$39.12 - $44.04
23% of jobs
$44.04 - $48.97
13% of jobs
$52.80 is the 75th percentile. Wages above this are outliers.
$48.97 - $53.89
10% of jobs
$53.89 - $58.82
8% of jobs
$58.82 - $63.74
5% of jobs
$63.74 - $68.67
5% of jobs
$68.67 - $73.59
2% of jobs
$73.59 - $78.51
2% of jobs
$24
$48
$78
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 Seattle, WA?
The most popular types of Utilization Review jobs in Seattle, WA are:
What are popular job titles related to Remote Utilization Review jobs in Seattle, WA?
For Remote Utilization Review jobs in Seattle, WA, the most frequently searched job titles are:
- Remote Utilization Review Rn
- Remote Utilization Management Nurse
- Remote Utilization Review Nurse
- Remote Clinical Reviewer
- Remote Utilization Review Social Worker
- Night Utilization Review Nurse
- Remote Concurrent Review Nurse
- Nurse Reviewer
- Part Time Utilization Review Nurse
- Full Time Remote Utilization Review Nurse
What job categories do people searching Remote Utilization Review jobs in Seattle, WA look for?
The top searched job categories for Remote Utilization Review jobs in Seattle, WA are:
- Remote Lpn Utilization Review
- Remote Occupational Therapy Utilization Review
- Remote Aetna Utilization Review Nurse
- Remote Optum Utilization Review
- Utilization Review Manager
- Remote Weekend Utilization Review
- Remote Medical Utilization Review Physician
- Remote Psychiatric Utilization Review
- Remote Dental Utilization Review
- Utilization Review Nurse Compact License
What cities near Seattle, WA are hiring for Remote Utilization Review jobs?
Cities near Seattle, WA with the most Remote Utilization Review job openings:

Full-Time Remote Licensed Clinical Social Worker at Horsham Behavioral Health
Kent, WA • Remote
Full-time
Medical, Dental, Vision, Life, Retirement
Posted 10 days ago
Job description
Horsham Behavioral Health is seeking a dedicated and compassionate Licensed Independent Clinical Social Worker (LICSW) to join our dynamic team in providing essential mental health services. This full-time remote position offers a unique opportunity to make a significant impact on the lives of clients while collaborating with a committed group of professionals in a supportive environment. Our salary range for this role is USD 90,000 to 105,000 annually, commensurate with experience and qualifications.
About the OrganizationHorsham Behavioral Health prides itself on delivering exceptional mental health support tailored to a diverse range of needs. Our organization is rooted in the belief that mental health is essential for overall well-being, and we strive to create a safe and nurturing atmosphere conducive to personal growth, healing, and empowerment. Our team consists of skilled and passionate professionals dedicated to providing high-quality care and fostering meaningful relationships with our clients.
Work EnvironmentAs a remote position, our Licensed Clinical Social Worker will benefit from flexible working conditions that promote work-life balance. The Hospice Center environment encourages collaboration and creativity, allowing for continuous professional development and opportunities to engage with colleagues in various virtual settings. Our team culture values input, innovation, and a shared commitment to enhancing client well-being.
Key Responsibilities- Act as a vital liaison between clients, families, and outpatient providers to ensure seamless coordination of care.
- Engage with insurance companies to facilitate pre-certification and manage utilization review processes, ensuring appropriate access to services for clients.
- Contribute to discharge planning and aftercare strategies, ensuring clients have the necessary support and resources post-treatment.
- Provide therapeutic meal support, modeling healthy relationships with food and assisting clients in addressing food-related challenges.
- Deliver empathetic, affirming care tailored to individual client circumstances and their unique intersecting identities, fostering an inclusive space for healing.
This role focuses primarily on older adults who may be dealing with complex health and emotional challenges, including chronic illnesses, mental health conditions, or end-of-life issues. By employing a strengths-based perspective, the Licensed Clinical Social Worker will navigate the intricate needs of clients, ensuring they receive comprehensive and respectful care. Your expertise will contribute to optimizing their quality of life, ensuring a dignified approach to their personal and mental health needs.
Qualifications- A Master's degree in Social Work from an accredited institution is required.
- A valid Licensed Independent Clinical Social Worker (LICSW) license in Washington State is essential.
- Demonstrated experience working effectively with older adult populations is expected.
- Strong clinical and diagnostic skills are crucial for assessing client needs accurately and recommending appropriate interventions.
- Excellent communication abilities are necessary to build rapport with clients, families, and multidisciplinary teams.
- Must demonstrate efficacy in working independently, while also collaborating effectively as part of a cohesive team.
- Experience in hospice or end-of-life care settings is highly desirable.
- Knowledge of health insurance systems and familiarity with case management protocols.
- Prior involvement in group therapy or workshops focused on healthy relationship-building is a plus.
We offer a competitive salary range of USD 90,000 to 105,000 per year, along with an attractive benefits package that includes:
- Medical, Dental, and Vision Insurance coverage.
- 401(k) with company matching and flexible spending account options.
- Life Insurance options to provide financial security for you and your loved ones.
- Accident and Short-term Disability coverage to support you in unforeseen circumstances.
At Horsham Behavioral Health, we are committed to fostering professional development. Our team members are encouraged to pursue continued education and training opportunities that enhance their clinical skills and knowledge. Employees may have access to mentorship programs, leadership training, and pathways to advance within the organization, ensuring a fulfilling career dedicated to the field of social work.
Why Join Our TeamBy becoming part of Horsham Behavioral Health, you will not only contribute to transforming the lives of those we serve but also join a team that values compassion, collaboration, and innovation in mental health care. Your work will play a pivotal role in promoting mental wellness, and you will find personal and professional satisfaction in helping others achieve their fullest potential.
Application InformationIf you are a passionate, licensed clinical social worker excited to make a meaningful difference in the lives of older adults, we invite you to apply today! Join us at Horsham Behavioral Health and become part of a team dedicated to excellence in mental health care.