We are driven by a commitment to excellence, evidenced by our utilization of evidence-based ... Participate in regular case consultations, peer reviews, and team meetings to foster professional ...
We are driven by a commitment to excellence, evidenced by our utilization of evidence-based ... Participate in regular case consultations, peer reviews, and team meetings to foster professional ...
We are driven by a commitment to excellence, evidenced by our utilization of evidence-based ... Participate in regular case consultations, peer reviews, and team meetings to foster professional ...
We are driven by a commitment to excellence, evidenced by our utilization of evidence-based ... Participate in regular case consultations, peer reviews, and team meetings to foster professional ...
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท Remote
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Medical Director - Clinical Advocacy and Support - Remote - PST preferred
Houston, TX ยท On-site +1
$248K - $373K/yr
Experience in utilization and clinical coverage review * Proven excellent oral, written, and interpersonal communication skills, facilitation skills * Proven data analysis and interpretation aptitude
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Experience in utilization and clinical coverage review * Reside in Nebraska or Texas * Licensure in TX. IN, KS, NE, AZ, WA, FL or a compact license * Proven excellent oral, written, and interpersonal ...
Remote Advanced Practice Provider, Nurse Practitioner, NP, Weekends, (part time)
Houston, TX ยท Remote
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Remote Advanced Practice Provider, Nurse Practitioner, NP, Weekends, (part time)
Houston, TX ยท Remote
... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...
Service Delivery Manager - Remote - USA
Houston, TX ยท On-site +1
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Service Delivery Manager - Remote - USA
Houston, TX ยท On-site +1
Comfortable owning engagement financials under a fixed-fee structure: capacity and utilization ... Able to run a budget and progress review with a client sponsor and de-escalate a difficult ...
Coding Analyst - Remote
Houston, TX ยท Remote
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Coding Analyst - Remote
Houston, TX ยท Remote
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Coding Analyst - Remote
Houston, TX ยท Remote
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Coding Analyst - Remote
Houston, TX ยท Remote
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Coding Analyst - Remote
Houston, TX ยท On-site +1
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Coding Analyst - Remote
Houston, TX ยท On-site +1
Maintains and demonstrates expert knowledge of coding, coding operations, coding review of all ... Identifies & builds consensus for facilitation of system and process standardization, utilization ...
Billing Specialist
Houston, TX ยท On-site +1
$18.92 - $23.46/hr
Position is 100% remote. Duties/Responsibilities: * Create and submit medical, pharmacy and third ... Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy ...
Billing Specialist
Houston, TX ยท On-site +1
$18.92 - $23.46/hr
Position is 100% remote. Duties/Responsibilities: * Create and submit medical, pharmacy and third ... Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy ...
Billing Specialist
Houston, TX ยท Remote
$18.92 - $23.46/hr
Position is 100% remote. Duties/Responsibilities: * Create and submit medical, pharmacy and third ... Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy ...
Billing Specialist
Houston, TX ยท Remote
$18.92 - $23.46/hr
Position is 100% remote. Duties/Responsibilities: * Create and submit medical, pharmacy and third ... Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy ...
Sr. Process Engineer - Water Treatment
Houston, TX ยท On-site +1
$99K - $128K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
Sr. Process Engineer - Water Treatment
Houston, TX ยท On-site +1
$99K - $128K/yr
... the utilization of existing customer assets. Key responsibilities include preparing detailed ... Participate in P-table (Process) reviews prior to proposal submission to ensure your proposed ...
Director, Total Rewards (Remote, USA)
Houston, TX ยท Remote
$119K - $163K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
Director, Total Rewards (Remote, USA)
Houston, TX ยท Remote
$119K - $163K/yr
Review benefit premium rate contribution, claims and utilization data on an annual basis; analyze and interpret data for trends, improvements, and efficiencies * Coordinate and lead the 401(k) ...
Payroll & Accounts Payable Specialist - Remote (54041)
Houston, TX ยท Remote
$19.75 - $27/hr
Review and validate time and attendance data, including overtime, vacation, and leave accruals ... Paycom System Utilization * Serve as the primary subject matter expert for payroll, timekeeping ...
Payroll & Accounts Payable Specialist - Remote (54041)
Houston, TX ยท Remote
$19.75 - $27/hr
Review and validate time and attendance data, including overtime, vacation, and leave accruals ... Paycom System Utilization * Serve as the primary subject matter expert for payroll, timekeeping ...
CRE Portfolio Manager I
Houston, TX ยท On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
CRE Portfolio Manager I
Houston, TX ยท On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
CRE Portfolio Manager I
Houston, TX ยท On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
CRE Portfolio Manager I
Houston, TX ยท On-site +1
Manages delinquencies, collateral exceptions, borrowing base, portfolio reviews, specialized ... Effective utilization of IT systems that support the Commercial Segment. Systems include; CLOS ...
Remote Utilization Review information
See Spring, TX salary details
$19.04 - $22.89
2% of jobs
$22.89 - $26.74
9% of jobs
$29.37 is the 25th percentile. Wages below this are outliers.
$26.74 - $30.59
21% of jobs
The median wage is $33.71 / hr.
$30.59 - $34.44
23% of jobs
$34.44 - $38.29
13% of jobs
$41.29 is the 75th percentile. Wages above this are outliers.
$38.29 - $42.14
10% of jobs
$42.14 - $45.99
8% of jobs
$45.99 - $49.84
5% of jobs
$49.84 - $53.69
5% of jobs
$53.69 - $57.54
2% of jobs
$57.54 - $61.39
2% of jobs
$19
$37
$61
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 Spring, TX?
The most popular types of Utilization Review jobs in Spring, TX are:
What are popular job titles related to Remote Utilization Review jobs in Spring, TX?
For Remote Utilization Review jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Spring, TX look for?
The top searched job categories for Remote Utilization Review jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Utilization Review jobs?
Cities near Spring, TX with the most Remote Utilization Review job openings:

Compassionate Licensed Clinical Social Worker (LCSW) - Remote Opportunity
Houston, TX โข Remote
Full-time
Medical, Dental, Vision, PTO
Posted 24 days ago
Job description
Inner Journey Wellness Center is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team on a full-time basis in the vibrant city of Houston, Texas. This fully remote position allows you to deliver high-quality mental health care to a diverse range of clients from the comfort of your home while engaging in meaningful, life-changing work.
About the OrganizationAt Inner Journey Wellness Center, our mission is to enhance the mental, emotional, and social well-being of our community members. We are driven by a commitment to excellence, evidenced by our utilization of evidence-based practices and innovative treatment methodologies. Our organization values collaboration, continuous learning, and personal growth, providing a supportive atmosphere for both staff and clients alike.
Work EnvironmentIn this remote role, you will interact with clients through secure, HIPAA-compliant telehealth platforms, allowing flexibility while maintaining a professional approach. Our virtual clinic is equipped with cutting-edge technology to facilitate comprehensive mental health assessments, therapy sessions, and client education. As a member of our multidisciplinary team, you will collaborate closely with psychiatrists, psychologists, and allied health professionals to coordinate a holistic approach to care.
Key ResponsibilitiesAs a Licensed Clinical Social Worker, you will take on a variety of crucial responsibilities aimed at improving patient outcomes:
- Conduct thorough clinical assessments to develop individualized treatment plans based on evidence-based practices and solution-focused interventions.
- Implement a variety of therapeutic interventions, including but not limited to cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and mindfulness techniques, tailored to each patient's unique needs.
- Maintain accurate and timely clinical documentation that adheres to HIPAA standards, ensuring compliance and confidentiality.
- Engage in collaborative treatment planning with a diverse team of mental health professionals, focusing on coordinated care to achieve patient-centered outcomes.
- Participate in regular case consultations, peer reviews, and team meetings to foster professional development and enhance service delivery quality.
- Educate clients and their families about mental health challenges, treatment options, and community resources, empowering them to make informed decisions regarding their care.
- Stay informed on current research in mental health and incorporate new knowledge into clinical practice to continuously improve therapeutic outcomes.
Your caseload will encompass a wide array of clients facing various mental health challenges, including anxiety disorders, depression, relationship issues, and trauma. By employing evidence-based practices and culturally competent care, you will work to alleviate suffering and enhance quality of life for each individual. Our commitment to social justice ensures that we extend our services to underserved populations, promoting equity in mental health care.
Qualifications- A Masterโs degree in Social Work from an accredited institution, affirming your academic foundation in the field.
- A valid license to practice as a Licensed Clinical Social Worker (LCSW) in Texas, reflecting your commitment to professional standards.
- A minimum of three years of clinical experience, specializing in psychotherapy services, showcasing your depth of knowledge and expertise.
- Strong proficiency in solution-focused psychotherapy techniques, establishing a framework for transformative care.
- Exceptional communication and interpersonal skills, allowing you to connect authentically with clients and foster therapeutic relationships.
- Experience with teletherapy platforms and digital healthcare solutions, enhancing your adaptability to a virtual work environment.
- Experience in community health clinics or similar settings, offering a rich understanding of the challenges faced by diverse populations.
- Familiarity with electronic health record (EHR) systems, optimizing the documentation and administrative aspects of clinical work.
Your expert contributions to Inner Journey Wellness Center are valued and rewarded. The salary range for this position is between USD 80,000 and 100,000 annually, commensurate with experience. In addition to a competitive salary, we offer a comprehensive benefits package that may include health, dental, and vision insurance, a flexible spending account, paid time off, and opportunities for continuing education and professional development.
Career Growth OpportunitiesInner Journey Wellness Center is dedicated to fostering the growth of our employees. You will have access to ongoing training, mentorship programs, and opportunities to expand your professional skills within various areas of mental health therapy. We encourage our staff to pursue advanced certifications and specialties in accordance with personal career aspirations, supporting your journey toward professional excellence.
Why Join Our TeamJoining Inner Journey Wellness Center means becoming part of a mission-driven organization where your work genuinely matters. We cultivate a culture of empathy, respect, and connection, ensuring that our professionals are well-supported to provide outstanding care. If you are passionate about making a difference and ready to embrace a rewarding career with flexibility, we would love to welcome you to our compassionate team.
Application InformationIf you are ready to embark on a fulfilling career as a Licensed Clinical Social Worker, please submit your resume and a cover letter outlining your relevant experience and passion for the field to our Human Resources department. We look forward to reviewing your application and possibly welcoming you to Inner Journey Wellness Center!