This full-time remote position embodies an opportunity to play an essential role in enhancing the ... and utilization review, providing high-quality and timely care. * Coordinate and facilitate ...
New
This full-time remote position embodies an opportunity to play an essential role in enhancing the ... and utilization review, providing high-quality and timely care. * Coordinate and facilitate ...
New
This full-time remote position embodies an opportunity to play an essential role in enhancing the ... and utilization review, providing high-quality and timely care. * Coordinate and facilitate ...
New
Joliet, IL ยท Remote
Work Environment This position is primarily remote, allowing for flexible working hours while ... utilization review standards. * Coordinating support services for clients and their families ...
Joliet, IL ยท Remote
Work Environment This position is primarily remote, allowing for flexible working hours while ... utilization review standards. * Coordinating support services for clients and their families ...
Joliet, IL ยท Remote
Work Environment This position is primarily remote, allowing for flexible working hours while ... utilization review standards. * Coordinating support services for clients and their families ...
Joliet, IL ยท Remote
Work Environment This position is primarily remote, allowing for flexible working hours while ... utilization review standards. * Coordinating support services for clients and their families ...
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Quick apply
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Chicago, IL ยท On-site +1
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Chicago, IL ยท On-site +1
Join our team and maximize client savings by reviewing medical bills from a nurse perspective, including appropriate billing, coding and treatment, fee schedule compliance, over-utilization, and ...
Saint Charles, IL ยท On-site +1
Performs Utilization Review tasks with third party payors if necessary * Assigns Urine Drug Screens ... Remote Requirements * Ensuring a world-class therapeutic experience for our clients is critical.
Saint Charles, IL ยท On-site +1
Performs Utilization Review tasks with third party payors if necessary * Assigns Urine Drug Screens ... Remote Requirements * Ensuring a world-class therapeutic experience for our clients is critical.
Schaumburg, IL ยท Remote
... utilization reviews. * Facilitating group therapy sessions and family therapy to support clients in ... Previous experience in a remote work setting or telehealth services. * Experience with crisis ...
New
Schaumburg, IL ยท Remote
... utilization reviews. * Facilitating group therapy sessions and family therapy to support clients in ... Previous experience in a remote work setting or telehealth services. * Experience with crisis ...
New
Schaumburg, IL ยท Remote
... utilization reviews. * Facilitating group therapy sessions and family therapy to support clients in ... Previous experience in a remote work setting or telehealth services. * Experience with crisis ...
New
Schaumburg, IL ยท Remote
... utilization reviews. * Facilitating group therapy sessions and family therapy to support clients in ... Previous experience in a remote work setting or telehealth services. * Experience with crisis ...
New
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
This full-time remote position offers a unique opportunity to make a positive impact on the lives ... Manage a caseload efficiently, including conducting regular case management and utilization reviews ...
Work Environment This role offers the convenience of a remote work setting, allowing you to ... and manage utilization reviews, facilitating patient access to the services they need.
New
Work Environment This role offers the convenience of a remote work setting, allowing you to ... and manage utilization reviews, facilitating patient access to the services they need.
New
Chicago, IL ยท Remote
$85K - $100K/yr
About the Role 100% remote opportunity for an insurance professional knowledgeable with group ... Review current programs, evaluate claims and utilization data * Take proposals to market to help ...
Quick apply
Chicago, IL ยท Remote
$85K - $100K/yr
About the Role 100% remote opportunity for an insurance professional knowledgeable with group ... Review current programs, evaluate claims and utilization data * Take proposals to market to help ...
Work Environment This role offers the convenience of a remote work setting, allowing you to ... and manage utilization reviews, facilitating patient access to the services they need.
New
Work Environment This role offers the convenience of a remote work setting, allowing you to ... and manage utilization reviews, facilitating patient access to the services they need.
New
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
... reviews, and fostering a culture of accountability, collaboration, and continuous improvement ... Own department operational performance, including utilization, backlog management, staffing ...
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Quick apply
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท On-site +1
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท On-site +1
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท Remote
$99K - $128K/yr
... utilization. The NAM is expected to interact routinely and collaboratively with multiple ... Conducts Quarterly Business Reviews. * Proficiency with sales support technology - example ...
Chicago, IL ยท Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
Posted today
Quick apply
Chicago, IL ยท Remote
$60 - $65/hr
Clinical Pharmacist - Cardiology / Value-Based Care A remote clinical pharmacist role optimizing ... Review patient medication profiles for cardiology populations -- heart failure, coronary artery ...
Posted today
$20.68 - $24.86
2% of jobs
$24.86 - $29.04
9% of jobs
$31.90 is the 25th percentile. Wages below this are outliers.
$29.04 - $33.22
21% of jobs
The median wage is $36.61 / hr.
$33.22 - $37.41
23% of jobs
$37.41 - $41.59
13% of jobs
$44.84 is the 75th percentile. Wages above this are outliers.
$41.59 - $45.77
10% of jobs
$45.77 - $49.95
8% of jobs
$49.95 - $54.13
5% of jobs
$54.13 - $58.32
5% of jobs
$58.32 - $62.50
2% of jobs
$62.50 - $66.68
2% of jobs
$20
$40
$66
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.
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.
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.
For Remote Utilization Review jobs in Wheaton, IL, the most frequently searched job titles are:
The top searched job categories for Remote Utilization Review jobs in Wheaton, IL are:
Cities near Wheaton, IL with the most Remote Utilization Review job openings:

Cicero, IL โข Remote
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 2 days ago
New
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 OrganizationAt 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 EnvironmentThis 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 ResponsibilitiesYour 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.
QualificationsWe 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:
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 TeamBy 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 InformationIf 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, letโs make a lasting impact on the lives of those we serve.