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Remote Utilization Review Jobs in State College, PA

Remote Utilization Review information

See State College, PA salary details

$20

$41

$67

How much do remote utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote utilization review in State College, PA is $41.35, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $47.50 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 State College, PA?

For Remote Utilization Review jobs in State College, PA, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in State College, PA look for?

The top searched job categories for Remote Utilization Review jobs in State College, PA are:

What cities near State College, PA are hiring for Remote Utilization Review jobs?

Cities near State College, PA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in State College, PA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $86,011 per year, or $41.4 per hour.

Licensed Clinical Social Worker - Remote (Full-Time) - Sutter Health Counseling

Sutter Health Counseling, LLC

State College, PA • On-site, Remote

Full-time

Medical, PTO

Posted 18 days ago


Key responsibilities

  • Conduct clinical social work evaluations to assess clients' psychological and emotional well-being, and develop tailored treatment plans.

  • Monitor clients' medication side effects in collaboration with psychiatrists, ensuring safety and efficacy in treatment.

  • Participate actively in case management and care coordination, contributing to treatment team meetings and utilization reviews.


Job description

Position Overview

As a Licensed Clinical Social Worker (LCSW) at Sutter Health Counseling, you will play a critical role in providing comprehensive clinical social work services remotely to our clients in State College, Pennsylvania. This full-time position focuses on evaluating clients' mental health and emotional needs, delivering counseling, managing medication-related side effects, and facilitating case management to guide clients toward successful recovery outcomes.

About the Organization

Sutter Health Counseling, LLC is dedicated to improving the quality of life for individuals facing mental health challenges. Based at our specialized Hospice Center, we offer an array of services designed to support clients through their journey towards healing. Our clinical team is dedicated to fostering a compassionate atmosphere that prioritizes our clients’ emotional and psychological well-being. We are proud to be a leader in the mental health field, focusing on innovative and evidence-based practices.

Work Environment

This position offers a fully remote work setting, allowing you to connect with clients from the comfort of your home while maintaining a flexible schedule. You will collaborate with multidisciplinary teams via virtual platforms, ensuring seamless communication and coordination of care. Our team environment emphasizes support, professional development, and mutual respect, making it an ideal place for dedicated professionals looking to make a difference.

Key Responsibilities
  • Conduct clinical social work evaluations to assess clients' psychological and emotional well-being, and develop tailored treatment plans.
  • Monitor clients' medication side effects in collaboration with psychiatrists, ensuring safety and efficacy in treatment.
  • Develop aftercare plans that enable clients to successfully transition from intensive care settings to independent living.
  • Document and maintain case records in compliance with company policies, including biopsychosocial assessments and progress notes.
  • Participate actively in case management and care coordination, contributing to treatment team meetings and utilization reviews.
  • Implement crisis intervention strategies to effectively address clients in immediate need of support.
  • Research and provide referrals for community resources, such as housing, healthcare, and social services to promote client well-being.
Patient Population / Client Focus

This role primarily serves individuals dealing with complex health challenges, particularly those at end-of-life stages, as well as their families. You will assist clients in navigating emotional distress, bereavement, and the psychological impact of chronic health conditions. Your expertise will foster resilience and coping strategies in a supportive environment aimed at enhancing overall quality of life.

Qualifications
  • A Master's Degree in Social Work from an accredited institution is required.
  • Valid and active Licensed Clinical Social Worker (LCSW) designation.
  • A minimum of 2 years’ experience in a behavioral health setting, with a history of effective case management.
  • Strong competencies in conducting psychosocial assessments and crisis interventions.
  • Excellent communication and interpersonal skills, with the ability to manage conflicts sensitively and effectively.
Preferred Experience
  • Prior clinical experience specifically in hospice or palliative care settings.
  • Familiarity with electronic health record (EHR) systems for managing client documentation and communication.
  • Experience in establishing community partnerships to facilitate client access to necessary resources.
Compensation and Benefits

This position offers a competitive annual salary ranging from USD 120,000 to 130,000, commensurate with experience and qualifications. In addition to competitive compensation, we provide a robust benefits package, including:

  • Flexible work hours to promote work-life balance.
  • Comprehensive health insurance coverage.
  • Generous paid time off and holiday leave.
  • A referral program encouraging team involvement in the hiring process.
Career Growth Opportunities

At Sutter Health Counseling, we believe in nurturing our employees' professional development. You will have access to ongoing training programs, mentorship opportunities, and pathways to ascend to leadership or specialized roles within the organization as you gain experience and expertise.

Why Join Our Team

By joining Sutter Health Counseling, you will be part of an inclusive team committed to transforming lives through innovative mental health services. We value compassion, collaboration, and the pursuit of excellence to support our clients and each other. If you are passionate about making a significant impact on individuals' lives and are looking for a fulfilling career in social work, we invite you to apply!

Application Information

If you meet the qualifications and are excited about this opportunity to contribute to our mission, please submit your application, including your resume and a cover letter detailing your experience and interest in the position. We look forward to reviewing your application and potentially welcoming you to our dedicated team!