ZipRecruiter

Log In

2

Seasonal Remote Utilization Review Jobs (NOW HIRING)

KYYBA

Remote Utilization Review RN

Detroit, MI · Remote

$35 - $39/hr

Utilization Review RN Contract Duration: 12+ months Job Location: 100% REMOTE License Requirements: MI Registered Nurse License Mandatory Requirements to Apply * Active, unrestricted Michigan ...

Sentara Healthcare

UTILIZATION REVIEW NURSE

Norfolk, VA · On-site +1

The Utilization Review Nurse is responsible for utilization management services within the scope of ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Silver Cross Hospital

Utilization Review Nurse

New Lenox, IL · On-site +1

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

silvercross

Utilization Review Nurse

$34.73 - $45.15/hr

BSN preferred. 2-5 years previous Utilization Review experience preferred. * Current CPR * Relevant ... Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site ...

next page

Showing results 1-20

All Jobsremote Jobstmp JobsHealthcare JobsNursing JobsNurse Case Manager JobsSeasonal Remote Utilization Review Jobs

Seasonal Remote Utilization Review information

See salary details

$21

$42

$68

How much do seasonal remote utilization review jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for seasonal remote utilization review in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.

What is the difference between Seasonal Remote Utilization Review vs Physical Therapist?

AspectSeasonal Remote Utilization ReviewPhysical Therapist
CredentialsLicensing, certification in utilization review or case managementState licensure, Doctor of Physical Therapy (DPT) or equivalent
Work EnvironmentRemote, healthcare insurance companies, case management settingsClinics, hospitals, outpatient settings, some remote options
Industry UsageHealthcare insurance, utilization managementRehabilitation, patient care, musculoskeletal health

Seasonal Remote Utilization Review professionals focus on evaluating medical necessity and optimizing healthcare resource use remotely, often within insurance companies. Physical Therapists provide direct patient care, focusing on rehabilitation and mobility improvement. While both roles require healthcare knowledge, they differ in work environment, credentials, and daily responsibilities.

More about Seasonal Remote Utilization Review jobs

What cities are hiring for Seasonal Remote Utilization Review jobs?

Cities with the most Seasonal Remote Utilization Review job openings:

What states have the most Seasonal Remote Utilization Review jobs?

States with the most job openings for Seasonal Remote Utilization Review jobs include:

What job categories do people searching Seasonal Remote Utilization Review jobs look for?

The top searched job categories for Seasonal Remote Utilization Review jobs are:

Seasonal Remote Utilization Review jobs near you
Infographic showing various Seasonal Remote Utilization Review job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $87,946 per year, or $42.3 per hour.

Remote: Utilization Review Specialist

Treatment Center Management LLC

Los Angeles, CA • Remote

$80K - $90K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 4 days ago

Job description

Be part of a soul-hearted approach to healing

Alsana is a national leader in eating disorder treatment, offering a holistic, soul-hearted approach to recovery for adults and adolescents of all genders.

We exist to be a source of hope and healing, creating safe, nurturing spaces where individuals can cultivate the roots of their own recovery story.

As a Utilization Review Specialist at Alsana, you will support utilization management activities including medical necessity reviews, clinical documentation, and patient status determination. You will work closely with clinical teams and leadership to help ensure appropriate levels of care, accurate documentation, and compliance with payer and regulatory requirements.

Key Responsibilities
  • Perform utilization review, including preauthorization, concurrent, and retrospective reviews for inpatient and/or outpatient services.
  • Maintain current knowledge of payer requirements, LOCUS criteria, regulatory standards, accreditation expectations, and evidencebased documentation practices.
  • Use clinical expertise and payer knowledge to act as a liaison to treatment team members through ongoing communication.
  • Attend weekly Treatment Team Meetings, providing updates on new authorizations and atrisk cases.
  • Maintain timely, accurate records of review determinations, information requests, and recommendations within the electronic medical record (EMR).
  • Inspect documentation to confirm compliance with payer requirements, regulatory standards, accreditation expectations, and evidencebased documentation practices.
  • Assist with appeals, denials management, and corrective actions related to utilization review findings.
  • Participate in case conferences and provide training and education related to documentation standards and utilization review.
    • Qualifications
  • One or more of the following credentials: LPC, LCSW, LMFT, RD, RN, LVN, LPN, or PsyD
  • Experience in utilization review or case management preferred
  • Experience in a business/corporate setting or similar environment preferred
  • Experience in eating disorders preferred
    • Benefits That Support You

    At Alsana, we believe in caring for the people who make our mission possible. Eligible team members enjoy a supportive benefits package designed to support your health, well-being, and growth, including:

  • Medical, Dental, and Vision insurance with multiple plan options

    • (Cigna nationwide; Kaiser available in CA)

  • HSA plans with employer contributions
  • FSA Healthcare and Dependent Care plan options
  • Generous PTO, sick time, Covid Time, and 6 paid holidays
  • Companypaid Basic Life and AD&D insurance
  • Shortterm disability (companypaid for nonCA; CA uses state plan)
  • Continuing education stipend for eligible roles
  • Voluntary benefits including Supplemental Life, LongTerm Disability, Accident, and Hospital Indemnity
  • LifeMart employee discount program