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Remote Utilization Review Jobs in Springfield, MA

JLL

PDS Strategic Sourcing Specialist

Hartford, CT · On-site +1

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

JLL

PDS Strategic Sourcing Specialist

Springfield, MA · On-site +1

Participate and provide leadership to Preferred Supplier performance review meetings. * Support JLL ... Location: Remote -Boston, MA, Hartford, CT, New York, NY, Pittsburgh, PA, Providence, RI ...

All JobsUtilization Review JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Springfield, MA

Remote Utilization Review information

See Springfield, MA salary details

$21

$42

$68

How much do remote utilization review jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for remote utilization review in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 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 Springfield, MA?

The most popular types of Utilization Review jobs in Springfield, MA are:

What are popular job titles related to Remote Utilization Review jobs in Springfield, MA?

For Remote Utilization Review jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Springfield, MA look for?

The top searched job categories for Remote Utilization Review jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Remote Utilization Review jobs?

Cities near Springfield, MA with the most Remote Utilization Review job openings:

Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Springfield, MA as of September 2026, with employment types broken down into 79% Full Time, 12% Part Time, and 9% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,639 per year, or $42.1 per hour.

Utilization Review Therapist: Billing and Patient Accts- License Eligible Masters Required- Remote!

Windsor, CT • On-site, Remote

Community Health Resources
Offices of Mental Health Practitioners • 501 - 1,000 employees
Learn more about Community Health Resourcesexternal

$57K - $86K/yr

Full-time

Medical, Retirement, PTO

Re-posted 14 days ago

Job description

Recognized as a Top Workplace for 13 consecutive years! Your career can mean different things in different workplaces. Apply with CHR now to see what it's like to work somewhere your voice is heard, your wellness is a priority, and your success matters.
JOB TITLE: Utilization Review Therapist
EMPLOYMENT TYPE: Full-time, 40 hours/wk
SCHEDULED HOURS: Monday-Friday 8:00AM-4:30PM
PROGRAM/LOCATION: Billing & Patient Accounts, Windsor, CT/ Must be a resident of CT, MA, or RI only
PC#: 3146
DUTIES & RESPONSIBILITIES: Utilization Review Therapist
  • Oversees and manages all authorization activities related to IOP and Residential programs.
  • Ensures that all admissions and continued stays meet medical necessity
  • Works with service director to ensure that IOP and Residential documentation and programming meet all relevant regulatory and funder expectations.

QUALIFICATIONS:
Education: Master's degree in behavioral health field
Experience: Experience in providing behavioral health treatment
Licensure/Certification/Registration: Eligible for licensure in behavioral health field
Training: Behavioral health interventions, understanding of documentation and medical necessity expectations, working with insurers
Why Join CHR?
Be part of an exciting, supportive, and dynamic workplace where your growth and well-being are our top priorities!
  • Comprehensive benefits packages include health insurance, ample paid time off (including your birthday!), employer contributions to your 403b Retirement Plan, and competitive insurance premiums with added discounts on pet, home and auto!
  • Tuition reimbursement and professional development programs, including exclusive tuition discounts for CHR employees at several local colleges/universities
  • Career development opportunities! FREE robust training curriculum, featuring our Clinical Training Series for interactive learning, practical skill enhancement, and professional growth! Clinical supervision and/or mentoring offered at several programs
  • Wellness program: Annual wellness stipend, FREE premium subscription to the Calm app, 6 FREE confidential counseling sessions through our Employee Assistance Program
  • Employee appreciation and involvement, including contests, lunch & learns (meet with our CEO!), employee appreciation events, employee-led resource groups open to all, and more!

And so much more! (Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility)
COMPENSATION*:
$57,506.80/yr minimum- $86,023.39/yr maximum*
*Actual rates within this range are determined at the time of offer and are based on relevant experience, as well as adherence to our internal equity policy. (Please note, for part-time positions this range would be pro-rated based on hours worked)
CHR is an equal opportunity employer, and we encourage all to apply.
Take the first step to a meaningful career and apply to CHR today!
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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