This remote role involves active communication with families, outpatient providers, and insurance ... Proficiency in case management, including utilization review and care transitions. * Familiarity ...
This remote role involves active communication with families, outpatient providers, and insurance ... Proficiency in case management, including utilization review and care transitions. * Familiarity ...
Board Certified Behavior Analyst (BCBA) - Remote
Tucson, AZ · Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
Quick apply
Board Certified Behavior Analyst (BCBA) - Remote
Tucson, AZ · Remote
$43 - $56/hr
Participate in utilization review and authorization processes in coordination with ACT's billing and operations teams. Family & Caregiver Collaboration * Provide caregiver training and coaching to ...
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 ...
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 ...
Utility Sales Support
Tucson, AZ · 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
Utility Sales Support
Tucson, AZ · 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
Registered Nurse Virtual Nurse - Med Surg
Tucson, AZ · On-site +1
A virtual registered nurse (RN) is responsible for the remote patient management and care in the ... Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all ...
Registered Nurse Virtual Nurse - Med Surg
Tucson, AZ · On-site +1
A virtual registered nurse (RN) is responsible for the remote patient management and care in the ... Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all ...
Registered Nurse Virtual Nurse - Med Surg
Tucson, AZ · On-site +1
A virtual registered nurse (RN) is responsible for the remote patient management and care in the ... Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all ...
Registered Nurse Virtual Nurse - Med Surg
Tucson, AZ · On-site +1
A virtual registered nurse (RN) is responsible for the remote patient management and care in the ... Receives and reviews preceding shift reports and floor nurse reports; makes complete rounds of all ...
Case Manager RN
Tucson, AZ · Remote
$60K - $107K/yr
... utilization. This role includes high-volume telephonic outreach, patient education, and ... reviews, scheduling timely follow up appointments, and providing education on discharge ...
Case Manager RN
Tucson, AZ · Remote
$60K - $107K/yr
... utilization. This role includes high-volume telephonic outreach, patient education, and ... reviews, scheduling timely follow up appointments, and providing education on discharge ...
Remote Utilization Review information
See Tucson, AZ salary details
$20.23 - $24.32
2% of jobs
$24.32 - $28.41
9% of jobs
$31.21 is the 25th percentile. Wages below this are outliers.
$28.41 - $32.50
21% of jobs
The median wage is $35.81 / hr.
$32.50 - $36.59
23% of jobs
$36.59 - $40.68
13% of jobs
$43.86 is the 75th percentile. Wages above this are outliers.
$40.68 - $44.77
10% of jobs
$44.77 - $48.86
8% of jobs
$48.86 - $52.96
5% of jobs
$52.96 - $57.05
5% of jobs
$57.05 - $61.14
2% of jobs
$61.14 - $65.23
2% of jobs
$20
$39
$65
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 Tucson, AZ?
The most popular types of Utilization Review jobs in Tucson, AZ are:
What are popular job titles related to Remote Utilization Review jobs in Tucson, AZ?
For Remote Utilization Review jobs in Tucson, AZ, the most frequently searched job titles are:
- Home Based Utilization Review Nurse
- Part Time Utilization Review Nurse
- Freelance Utilization Review Nurse
- Full Time Remote Utilization Review Nurse
- Remote Prior Authorization Nurse
- Non Exempt No Experience Utilization Management Nurse
- Seasonal Remote Hedis Review Nurse
- Evening Utilization Review Nurse
- Per Diem Remote Chart Review Nurse
- Remote Per Diem Utilization Review Nurse
What job categories do people searching Remote Utilization Review jobs in Tucson, AZ look for?
The top searched job categories for Remote Utilization Review jobs in Tucson, AZ are:
- Utilization Review
- Aetna Utilization Review Nurse
- Insurance Utilization Review
- Full Time Navihealth Utilization Review
- Case Manager Utilization Review Nurse
- Optum Utilization Review Nurse
- Fulltime Cigna Utilization Review Nurse
- Remote Navihealth Utilization Review
- Seasonal Remote Utilization Review
- Remote Hca Utilization Review
What cities near Tucson, AZ are hiring for Remote Utilization Review jobs?
Cities near Tucson, AZ with the most Remote Utilization Review job openings:

Senior Licensed Clinical Social Worker - Remote Opportunity
Tucson, AZ • Remote
Full-time
Medical, Dental, Vision, Life, Retirement
This job post has expired 4 days ago. Applications are no longer accepted.
Job description
Interface Mental Healthcare is seeking a dedicated and compassionate Senior Licensed Clinical Social Worker (LCSW) to join our team in a remote capacity. This full-time role offers the chance to provide vital mental health services to a diverse patient population, with a focus on empowering individuals through therapeutic support and community engagement. The ideal candidate will bring a wealth of experience and expertise in clinical social work, contributing to both individual client success and the broader organizational mission.
About the OrganizationAt Interface Mental Healthcare based in Tucson, Arizona, we are committed to offering exceptional mental health support tailored to a broad spectrum of client needs. Our organization's culture is rooted in compassion and inclusivity, fostering a nurturing environment where each member of our team collaborates to promote personal growth, healing, and empowerment for our clients. Our comprehensive approach to mental health integrates clinical best practices with community involvement, making us a cornerstone resource within the Tucson community.
Work EnvironmentThis position is designed for a remote work setting, allowing flexibility while ensuring continuous support for our clients and team members. The cohort operates from a community health clinic framework, emphasizing accessibility and collaboration with local healthcare providers. This remote role involves active communication with families, outpatient providers, and insurance companies, ensuring cohesive and effective patient care management.
Key Responsibilities- Act as a liaison between clients, their families, and outpatient service providers to coordinate care effectively.
- Engage with insurance companies to facilitate pre-certification processes and manage utilization and treatment plans, ensuring clients receive the necessary support.
- Participate actively in discharge planning and aftercare coordination to promote sustained recovery and long-term wellbeing for clients.
- Provide therapeutic meal support, guiding clients in developing a healthy relationship with food and body image.
- Deliver empathetic, affirming, and culturally competent care tailored to meet the unique needs of each client, respecting their diverse identities and experiences.
This role focuses on serving a varied population, including individuals grappling with mental health conditions related to trauma, anxiety, depression, and those in need of support for significant life changes. The LCSW will work closely with older adults, addressing their specific challenges and facilitating pathways to community resources, ensuring they receive the attention and care they require.
Qualifications- A Master's degree in Social Work from an accredited institution is required.
- A valid LCSW license in the state of Arizona is mandatory to practice.
- Proven experience working with older adults and familiarity with the unique challenges they face in mental health care.
- Strong clinical and diagnostic skills are essential to assess and develop effective treatment plans.
- Exceptional communication and interpersonal skills are required to build rapport with clients and collaborate with interdisciplinary teams.
- Ability to work independently, demonstrating initiative while also being an integral part of a collaborative team environment.
- Experience in community health settings or outpatient clinics.
- Proficiency in case management, including utilization review and care transitions.
- Familiarity with therapeutic modalities, particularly those focused on trauma-informed care and cultural competence.
The salary for this position ranges from USD 90,000 to 105,000 annually, commensurate with experience and qualifications. In addition to competitive pay rates, we offer a comprehensive benefits package, including medical, dental, and vision insurance, a 401(k) plan with employer matching, flexible spending accounts, life insurance, and accident and short-term disability coverage.
Career Growth OpportunitiesJoining Interface Mental Healthcare not only allows you to contribute to meaningful change in the lives of clients but also positions you within an organization that values professional development. Opportunities for continuing education, training in new therapeutic techniques, and potential career advancement within the organization are readily available, enabling you to grow both personally and professionally as you further your career in social work.
Why Join Our TeamYour input is vital to our collective mission of fostering a supportive environment where growth and healing thrive. By becoming a part of our dedicated team at Interface Mental Healthcare, you will engage with a group of passionate professionals who value collaboration, creativity, and innovative solutions to modern mental health challenges. Here, your contributions will directly impact the well-being of individuals and families within our community.
Application InformationIf you are a qualified and passionate candidate eager to make a difference in the lives of those we serve, we encourage you to apply today. Join us in our mission to transform mental healthcare and enrich the lives of our clients at Interface Mental Healthcare!