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Remote Utilization Review Jobs in Washington, DC

BCBA (Part-time)

Fairfax, VA · On-site +1

$80 - $110/hr

... Hybrid (Remote + In-person) A rare opportunity to join a growing ABA practice as an early team ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

BCBA (Part-time)

Fairfax, VA · On-site +1

$80 - $110/hr

BCBA (Board Certified Behavior Analyst) - Part-time $80-110/hr Flexible Schedule Hybrid (Remote ... Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ...

BCBA

Fairfax, VA · On-site +1

$90K - $110K/yr

Own documentation quality , utilization reviews, and oversight of treatment plans * Supervise RBTs ... Remote and in-clinic Job Types: Full-time

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

... variances, utilization, forecast changes, material issues, and risks. * Monitor cloud budgets ... for review and disposition. * Participate in Agile or program-management ceremonies, including ...

Senior Network Security Engineer

Suitland, MD · Remote

$63 - $82.50/hr

... reviews, recertification, cleanup, and decommissioning. * Install, configure, maintain, patch ... remote users, certificates, authentication policies, availability, utilization, and user access ...

Manage margins, utilization, and key operational KPIs. * Lead external relationships and review ... Flexible work schedule and remote working option. Additional information Our Core Values: Caring ...

Showing results 21-40

Remote Utilization Review information

See Washington, DC salary details

$24

$47

$78

How much do remote utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote utilization review in Washington, DC is $47.89, according to ZipRecruiter salary data. Most workers in this role earn between $37.84 and $55.00 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 Washington, DC?

The most popular types of Utilization Review jobs in Washington, DC are:

What are popular job titles related to Remote Utilization Review jobs in Washington, DC?

For Remote Utilization Review jobs in Washington, DC, the most frequently searched job titles are:

Infographic showing various Remote Utilization Review job openings in Washington, DC as of August 2026, with employment types broken down into 93% Full Time, and 7% Part Time. Highlights an 100% Remote job distribution, with an average salary of $99,608 per year, or $47.9 per hour.

BCBA (Part-time)

Centerbrite Health

Fairfax, VA • On-site, Remote

$80 - $110/hr

Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


Job description

BCBA (Board Certified Behavior Analyst) - Part-time
$80-110/hr • Flexible Schedule • Hybrid (Remote + In-person)
A rare opportunity to join a growing ABA practice as an early team member, with a real voice in shaping how we care for children and families - and the culture we build together.
The role is flexible from the start: come in part-time and grow into full-time if and when it works for you. You'll work closely with experienced clinical advisors, backed by a leadership team that's built and run ABA organizations before - real mentorship and support, not autonomy without a net.
What you'll do:
  • Carry and manage a client caseload, serving as the clinical standard-bearer for the organization
  • Own documentation quality, utilization reviews, and oversight of treatment plans
  • Supervise RBTs across active cases, ensuring treatment fidelity and consistent skill-building

What's different here:
  • Mentorship: work directly alongside our Clinical Team - you'll be supported, not thrown in the deep end
  • Flexibility: start at 10-20 hours/week and grow into full-time if and when it works for you
  • Reasonable workload: proper caseload sizing and RBT ratios from day one - no heroics required
  • Mission: serve families who've been let down by fragmented, impersonal care

Compensation & Growth:
  • Base compensation ranges from $80-110 per hour, plus quarterly performance bonuses
  • $5,000 sign-on bonus

What you bring:
  • Active BCBA certification in good standing (Required)
  • Virginia BCBA licensure (Required)

Benefits:
  • Health, dental, and vision from day one
  • 401(k) with matching
  • PTO that you'll actually use
  • Referral bonuses when you bring great people in
  • CEU support - staying current matters here
  • Parental leave
  • Monday-Friday daytime hours, no weekends

Work Location (Hybrid)
Job Types: Part-time