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Remote Utilization Review Jobs in Wheaton, IL (NOW HIRING)

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Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for remote utilization review in Wheaton, IL is $40.87, according to ZipRecruiter salary data. Most workers in this role earn between $32.31 and $46.92 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 Wheaton, IL?

For Remote Utilization Review jobs in Wheaton, IL, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Wheaton, IL look for?

The top searched job categories for Remote Utilization Review jobs in Wheaton, IL are:

What cities near Wheaton, IL are hiring for Remote Utilization Review jobs?

Cities near Wheaton, IL with the most Remote Utilization Review job openings:

Infographic showing various Remote Utilization Review job openings in Wheaton, IL as of August 2026, with employment types broken down into 88% Full Time, and 12% Part Time. Highlights an 100% Remote job distribution, with an average salary of $85,001 per year, or $40.9 per hour.

Remote Licensed Clinical Social Worker (LCSW) - Community Health Focus

High Point Family and Marriage Counseling

Cicero, IL โ€ข Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

New


Job description

Position Overview

High Point Family and Marriage Counseling seeks a dedicated Licensed Clinical Social Worker (LCSW) to join our team in delivering high-quality mental health and substance use counseling services. This full-time remote position embodies an opportunity to play an essential role in enhancing the lives of those struggling with co-occurring disorders. You will leverage your skills to assess, plan, and implement individualized treatment approaches that facilitate long-term recovery.

About the Organization

At High Point Family and Marriage Counseling, we are a leading provider of addiction treatment services with an unwavering commitment to transforming individuals' and families' lives across the United States. We impact over 25,000 patients daily, fostering an environment where recovery is not just a goal, but a reality. Our mission centers on dismantling barriers to recovery and implementing effective treatment tailored to each individual's journey. We pride ourselves on cultivating a compassionate workplace, where our dedication to comprehensive treatment paves the way for sustained community healing.

Work Environment

This role is entirely remote, allowing for flexibility while maintaining the professional responsibilities associated with a Community Health Clinic. You will work collaboratively with a dynamic, multidisciplinary team focused on delivering exceptional care. As part of a supportive organization that values professional growth, you will have access to ongoing training and certification opportunities designed to elevate your practice and skills.

Key Responsibilities
  • Conduct thorough assessments of clients' counseling needs, focusing on mental health and substance abuse. Utilize diagnostic tools such as the DSM (Diagnostic and Statistical Manual) to diagnose clients accurately based on their unique situations.
  • Prepare comprehensive treatment plans for clients with a focus on substance use disorders, employing criteria established by ASAM (American Society of Addiction Medicine).
  • Collaborate with clients to develop individualized discharge and continuum of care plans to support their transition to appropriate levels of care.
  • Document all therapy sessions and assessments diligently in the clientโ€™s clinical record, ensuring compliance with ethical and legal standards.
  • Manage a caseload effectively, which includes regular updates for case management and utilization review, providing high-quality and timely care.
  • Coordinate and facilitate necessary support services for clients and their families, recording interactions and outcomes in clinical documentation.
  • Act as a liaison between clients and external referral sources, which may include legal, educational, and employment entities, to support clients' holistic recovery processes.
  • Engage in crisis intervention, utilizing a multi-disciplinary team approach to address emergent client needs.
Patient Population / Client Focus

Your primary focus will be on patients experiencing co-occurring diagnoses, combining both mental health disorders and substance use issues. You will engage with diverse populations, tailoring your approach to meet individual cultural and therapeutic needs, thereby fostering an inclusive and respectful therapy environment.

Qualifications
  • A Bachelorโ€™s Degree in Social Work or a related field is required; an LCSW license is mandatory for this position.
  • Demonstrated professionalism and an ability to maintain strong therapeutic boundaries while connecting with clients.
  • Cultural competency and adaptability in working within a diverse client population.
  • Self-motivated and organized, with effective time management skills.
Preferred Experience
  • Experience in co-occurring counseling, particularly with clients facing simultaneous mental health and substance use disorders.
  • Familiarity with ASAM criteria and experience engaging directly with treatment planning and documentation.
  • Strong background in providing crisis intervention services.
Compensation and Benefits

We are proud to offer a competitive salary that ranges from USD 70,000 to 100,000 annually, commensurate with experience. Our comprehensive benefits package includes medical, dental, vision insurance, short- and long-term disability, and accident insurance. Additionally, you will receive:

  • 18 days of Paid Time Off (PTO) annually.
  • A 401k plan with company match to secure your financial future.
  • Ongoing training and professional development through company-sponsored programs.
  • Access to the Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP) for eligible candidates.
  • Discounted tuition and scholarship opportunities through Capella University to help you further your education.
Career Growth Opportunities

At High Point Family and Marriage Counseling, we are committed to fostering the professional development of our team members. You will have numerous opportunities for career advancement, with paths leading into leadership roles or specialized counseling areas as you enhance your skills and qualifications. We encourage continued education and professional growth, ensuring you are equipped to meet the evolving needs of our clients.

Why Join Our Team

By joining High Point Family and Marriage Counseling, you become part of a transformative organization dedicated to making a meaningful difference in the lives of individuals and families impacted by addiction and mental health challenges. You will collaborate with compassionate professionals who share your commitment to improving patient outcomes through comprehensive, evidence-based treatment. Your contributions are vital in shaping a better world where recovery and healing are within reach for everyone.

Application Information

If you are passionate about fostering recovery and facilitating positive change for clients in need, we invite you to apply for the Licensed Clinical Social Worker position. Please submit your resume and a cover letter outlining your relevant experience and commitment to our mission. Together, letโ€™s make a lasting impact on the lives of those we serve.