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Remote Utilization Review Jobs in Temecula, CA (NOW HIRING)

Lead Performance Reviews, including ride-alongs/co-travel to provide expertise and coaching: in ... policy, utilization management criteria, prior authorization processes and appeal requirements.

Lead Performance Reviews, including ride-alongs/co-travel to provide expertise and coaching: in ... policy, utilization management criteria, prior authorization processes and appeal requirements.

Utility Sales Support

Carlsbad, CA · Remote

$17.75 - $23.25/hr

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Remote Utilization Review information

See Temecula, CA salary details

$21

$42

$68

How much do remote utilization review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote utilization review in Temecula, CA is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 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 Temecula, CA?

The most popular types of Utilization Review jobs in Temecula, CA are:

What are popular job titles related to Remote Utilization Review jobs in Temecula, CA?

For Remote Utilization Review jobs in Temecula, CA, the most frequently searched job titles are:

What cities near Temecula, CA are hiring for Remote Utilization Review jobs?

Cities near Temecula, CA with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Temecula, CA as of August 2026, with employment types broken down into 50% Full Time, and 50% Contract. Highlights an 100% Remote job distribution, with an average salary of $87,375 per year, or $42 per hour.

Clinical Social Worker - Remote Opportunities at Support Wellness Healthcare Services

Support Wellness Healthcare Services, LLC

Escondido, CA • Remote

$120K - $130K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 5 days ago


Job description

Position Overview

Support Wellness Healthcare Services, LLC is seeking a dedicated and experienced Licensed Clinical Social Worker (LCSW) to join our remote team. This full-time position plays a crucial role in providing high-quality mental health support to clients within a community health clinic setting, emphasizing patient safety, therapeutic intervention, and continuity of care.

About the Organization

Support Wellness Healthcare Services, LLC is committed to enhancing the well-being of individuals in Escondido, California, and surrounding areas. We operate with a holistic approach, prioritizing mental health and wellness through our innovative programs. Our community health clinic is dedicated to creating an inclusive environment that fosters mental health awareness and provides resources for our diverse client base.

Work Environment

This position is fully remote, allowing for flexibility and work-life balance. You will collaborate closely with fellow clinicians, support staff, and management teams through teleconferencing and electronic communications, ensuring seamless patient care and case management. Our clinical team values open communication and teamwork, making remote collaboration efficient and effective.

Key Responsibilities

As a Licensed Clinical Social Worker at Support Wellness Healthcare Services, your responsibilities will include:

  • Conducting comprehensive clinical evaluations to assess clients’ mental health needs upon admission.
  • Leading individual and group therapy sessions that include psychoeducational and process-oriented interventions tailored to patient needs.
  • Completing discharge sessions that focus on reinforcing coping skills, outlining transition plans, and ensuring that patients and their families understand available resources.
  • Coordinating with referral sources and outpatient providers throughout the patient journey to maintain continuity of care.
  • Facilitating patient transfers to higher levels of care when necessary and ensuring a smooth transition.
  • Engaging in crisis management within therapy sessions and providing guidance to staff during challenging interactions with patients.
  • Beginning discharge planning on the day of admission to enhance the quality of care and expedite the transition process.
  • Working collaboratively with multidisciplinary teams to ensure exceptional clinical standards are maintained.
  • Documenting interactions and maintaining accurate records in compliance with organizational policies, including initial assessments, treatment plans, and case notes.
  • Communicating effectively with the Utilization Review and Business Departments regarding authorization and billing processes.
Patient Population / Client Focus

Our clients represent a diverse demographic, facing various mental health challenges. As an LCSW, you will handle complex cases, providing personalized care that acknowledges cultural, socioeconomic, and personal factors influencing their mental health. You will employ evidence-based practices to support clients effectively, addressing issues such as anxiety, depression, trauma, and life transitions.

Qualifications

To be considered for this role, candidates must meet the following requirements:

  • A Master’s degree in Social Work, Psychology, Counseling, or a related mental health discipline is required.
  • Current and unrestricted licensure as a Licensed Clinical Social Worker (LCSW).
  • Proven ability to establish and model appropriate boundaries with individuals and families.
  • Strong organizational skills with a commitment to timely documentation of services.
  • Experience working with a culturally diverse population.
  • Proficient in Office 365 and Electronic Health Record systems to facilitate efficient documentation and communication.
  • Excellent verbal and written communication skills to ensure clear interactions with clients and team members.
Preferred Experience

While not required, the following experiences are preferred:

  • Demonstrated ability to engage in community outreach and program promotion.
  • Previous experience in crisis intervention and management within a therapeutic environment.
  • Familiarity with telehealth practices and remote counseling techniques.
  • Experience with developing individualized treatment plans and SMART goals.
Compensation and Benefits

At Support Wellness Healthcare Services, we value our employees and offer a competitive compensation package:

  • Annual salary ranging from $120,000 to $130,000 for full-time employment.
  • Access to an employee assistance program that offers mental health support resources.
  • Comprehensive insurance packages, including health, dental, and vision coverages.
  • Retirement plan options to support your future financial security.
  • A full caseload that ensures a fulfilling work schedule while promoting professional growth.
Career Growth Opportunities

This position is not only rewarding but also presents opportunities for personal and professional growth within the organization. We support continuous learning through professional development initiatives and encourage our staff to pursue additional certifications relevant to their roles.

Why Join Our Team

By joining Support Wellness Healthcare Services, you will become part of a dedicated team focused on making a positive impact on the mental health and wellness of our community. We pride ourselves on fostering a supportive and inclusive atmosphere where every team member is valued and encouraged to grow. Together, we can achieve excellent patient outcomes and promote mental health awareness across Escondido and beyond.

Application Information

If you are passionate about providing quality mental health services and meet the qualifications outlined above, we invite you to apply now! Your journey towards making a meaningful difference in the lives of others starts here at Support Wellness Healthcare Services, LLC.