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

Brainlab

National Technical Support

Chicago, IL · On-site +1

$38K - $48K/yr

... and utilization of engineering expertise; manages team schedule to ensure efficient resource ... out Remote Performance Reviews; responsible for escalated case support which includes ...

Arsenault Inc

Customer Service Representative

Chicago, IL · Remote

$16.50 - $22.50/hr

Perk Of This Role * Fully remote position, where you can work from home. Rotational shifts ... reviews and process. * Answers the Beneficiary Helpline through the utilization of the hunt group ...

STOW Group

Structural Engineer

Romeoville, IL · On-site +1

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

STOW Group

Structural Engineer

Romeoville, IL · On-site +1

Our customers benefit from much better utilization of their warehouses (up to 70% more pallet ... If remote, occasional travel to our Romeoville, IL office (average 3 days at a time; approx. 6 ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. Responsibilities * Assist in the planning and tactical execution of ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. Responsibilities * Assist in the planning and tactical execution of ...

Shure

Internal Audit Intern

Niles, IL · On-site +1

$23 - $43/hr

Applications will be collected, reviewed, and selected candidates will be contacted in late fall ... This Internship is 100% Remote. * Assist in the planning and tactical execution of financial ...

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Remote Utilization Review information

See Wheaton, IL salary details

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$66

How much do remote utilization review jobs pay per hour?

As of Sep 5, 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:

Remote Utilization Review jobs near you
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.

Account Manager - Employee Benefits

allianthcm

Chicago, IL • Remote

Full-time

Posted 16 days ago

Job description


SUMMARY
Responsible for providing customer service and overall service of assigned customers and/or policies, soliciting of new business on existing accounts and support of Producer-led new business efforts.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Fosters and manages overall relationship with clients ensuring retention of mid market book of business and high satisfaction;
Reviews client team’s RFPs;
Selects markets for solicitation;
Analyzes market proposals for verification of benefits, premiums, and competitiveness;
Reviews coverage contracts for accuracy of policy provisions;
Meets with clients for pre-renewal strategy, proposal delivery and explanation;
Conducts client open enrollment meetings and answers questions regarding benefit coverage;
Negotiates with markets for benefits premium concessions;
Ensures that client team handles client benefit inquiries and manages team to effectively service clients; resolves escalated service issues;
Manages new carrier and plan implementations for book of business;
Ensures team prepares claims experience and utilization reports and reviews for accuracy;
Reacts, processes, and follows up on new business;
Meets with clients as needed or directed by Producer;
Collection of fees, reconciliation and resolution of any outstanding balances within 60 days of invoicing date;
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
Other duties as assigned.
QUALIFICATIONS 
EDUCATION / EXPERIENCE
Associate's Degree or equivalent combination of education and experience
Bachelor's Degree or equivalent combination of education and experience
Six (6) or more years related work experience
Encouraged to complete Career Path requirements as communicated by supervisor
Valid Insurance License
Must continue to meet Continuing Education requirements for license renewal
SKILLS
Excellent verbal and written communication skills
Ability to work within a team and to foster teamwork
Excellent customer service skills, including telephone and listening skills
Good leadership, problem solving and time management skills
Ability to prioritize work for multiple projects and deadlines
Proficient in Microsoft Office Suite
#LI-MH1

#LI-REMOTE

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