ZipRecruiter

Log In

2

Supervisor Utilization Review Remote Jobs in Illinois

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 ...

AltaStaff, LLC

UM Care Review Clinician

Chicago, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

AltaStaff, LLC

Care Review Clinician

Cherry Valley, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

AltaStaff, LLC

Care Review Clinician

Springfield, IL · Remote

$40 - $42/hr

This is a fully remote role but candidates must have a valid RN license in Illinois*** Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for ...

Ourhrconnect

Medical Review Supervisor

Tennessee, IL · On-site +1

Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review ... Supervises staff to include approval of time, leave, performance reviews, etc. Selects/trains ...

Ourhrconnect

Medical Review Supervisor

Virginia, IL · On-site +1

Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review ... Supervises staff to include approval of time, leave, performance reviews, etc. Selects/trains ...

Ourhrconnect

Medical Review Supervisor

Tennessee, IL · On-site +1

Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review ... Supervises staff to include approval of time, leave, performance reviews, etc. Selects/trains ...

Ourhrconnect

Medical Review Supervisor

Virginia, IL · On-site +1

Responsible for the supervision and maintenance of the daily functions of Utilization Review/Review ... Supervises staff to include approval of time, leave, performance reviews, etc. Selects/trains ...

YO AI Labs

Hospitalist Physician - Remote

Chicago, IL · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

next page

Showing results 1-20

All JobsSupervisor Utilization Review JobsSupervisor Utilization Review Remote JobsSupervisor Utilization Review Remote Jobs in Illinois

Supervisor Utilization Review Remote information

What does a supervisor utilization review remote do?

A Supervisor Utilization Review (Remote) oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients—often for insurance or healthcare organizations. This role ensures that utilization review processes comply with regulatory requirements and organizational standards, while also guiding and supporting staff in their daily activities. Working remotely, the supervisor collaborates with clinicians, case managers, and other stakeholders to facilitate quality patient care and manage healthcare costs. The supervisor may also handle escalated cases and ensure timely completion of reviews.

What are the key skills and qualifications needed to thrive as a supervisor utilization review remote?

To thrive as a Supervisor Utilization Review Remote, you need a solid background in clinical healthcare (often as an RN or similar), experience with utilization management, and knowledge of regulatory guidelines. Familiarity with utilization review software, electronic medical records (EMR), and certifications like CCM or URAC accreditation are typically required. Strong leadership, critical thinking, and effective communication skills help in managing teams and collaborating across departments. These skills ensure efficient review processes, compliance with regulations, and high-quality patient care management in a remote setting.

What are some common challenges faced by remote supervisor utilization review professionals, and how can they be effectively managed?

Remote Supervisor Utilization Review professionals often encounter challenges such as coordinating with distributed team members, ensuring consistent application of review criteria, and maintaining clear communication with both clinical staff and payers. To manage these, it's important to establish regular virtual meetings, utilize secure and efficient digital platforms for case tracking, and foster a culture of transparency and accountability. Additionally, investing time in ongoing training and encouraging peer collaboration can help supervisors stay updated on regulatory changes and best practices.

What is the difference between Supervisor Utilization Review Remote vs Utilization Review Nurse?

AspectSupervisor Utilization Review RemoteUtilization Review Nurse
CredentialsRN license, possibly supervisor certificationRN license, certification in utilization review often preferred
Work EnvironmentRemote, supervisory role overseeing review teamsRemote or onsite, performing case assessments
Employer & IndustryHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers

The Supervisor Utilization Review Remote typically oversees review teams and manages processes, requiring leadership skills and certifications. In contrast, Utilization Review Nurses focus on case assessments and approvals, often with similar certifications but less managerial responsibility. Both roles are essential in healthcare utilization management, often working remotely within the same industry.

What are popular job titles related to Supervisor Utilization Review Remote jobs in Illinois?

For Supervisor Utilization Review Remote jobs in Illinois, the most frequently searched job titles are:

What job categories do people searching Supervisor Utilization Review Remote jobs in Illinois look for?

The top searched job categories for Supervisor Utilization Review Remote jobs in Illinois are:

What cities in Illinois are hiring for Supervisor Utilization Review Remote jobs?

Cities in Illinois with the most Supervisor Utilization Review Remote job openings:

Supervisor Utilization Review Remote jobs near you
Infographic showing various Supervisor Utilization Review Remote job openings in Illinois as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Utilization Review Nurse

New Lenox, IL • On-site, Remote

Silver Cross Hospital
Health Care and Social Assistance • 1 - 5K employees

6.9

Company rating: 6.9 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

547th of 1,064 rated hospitals

People enjoy working here

Recommended by students

Good schedule notice

Learn more about Silver Cross Hospitalexternal

$34.73 - $45.15/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 days ago

Job description

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve...and for each other. Come join us! It's the way you want to be treated.
Position Summary: Performs medical record review for severity of illness and intensity of service; liaison function with external review agencies to ensure compliance with regulations affecting financial reimbursement; identifies variance from established pathways
Essential Duties and Responsibilities:
  • Collects information from clinical medical record for severity of illness and intensity of service and documents such in clinical database
  • Monitors all levels of care for appropriateness and communicates variance; evaluates plan of care to ensure it is based on accepted standards
  • Provides information to external review organizations, documents pertinent communications
  • Refers to designated physician advisor those patients not meeting criteria as well as quality of care concerns
  • Maintains knowledge and incorporates current standards into practice

Required Qualifications: Knowledge of clinical norms; excellent communication skills; critical thinking skills; organized and efficient time management skills
Education and Training:
  • Nurse, Registered (RN) licensure
  • BSN preferred. 2-5 years previous Utilization Review experience preferred.
  • Current CPR
  • Relevant hospital nursing; hospital case management; insurance case management or utilization management experience preferred

Work Shift Details:
Days, Primarily remote; onsite orientation requirement; weekend and holiday rotation; on site requirement for meetings and mandatory training
Department:
CONTINUUM OF CARE
Benefits for You
At Silver Cross Hospital, we care about your health and well-being and that is why we work hard to provide quality and affordable benefit options for you and your eligible family members.
Silver Cross Hospital and Silver Cross Medical Groups offer a comprehensive benefit package available for Full-time and Part-time employees which includes:
• Medical, Dental and Vision plans
• Life Insurance
• Flexible Spending Account
• Other voluntary benefit plans
• PTO and Sick time
• 401(k) plan with a match
• Wellness program
• Tuition Reimbursement
Registry employees who meet eligibility may participate in our 401(k) Savings plan with a potential match. However,registry employees are ineligible for Health and Welfare benefits.
The final pay rate offered may be more than the posted range based on several factors including but not limited to: licensure, certifications, work experience, education, knowledge, demonstrated abilities, internal equity, market data, and more.
The expected pay for this position is listed below:
$34.73 - $45.15
Silver Cross Hospital logo

About Silver Cross Hospital

Sourced by ZipRecruiter

At Silver Cross, we pride ourselves on delivering unrivaled care to every patient, every time. As a result, our focus on safety, quality and patient experience has earned us numerous national awards over the years. As the needs of our community have grown, so has Silver Cross—in both size and stature. Our many healthcare services rapidly expanded, evolved and increased in complexity. To serve you and your loved ones even better than before, we've proudly partnered with many of Chicago's leading academic medical centers, bringing extraordinarily advanced care close to home.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

New Lenox, IL, US

Year founded

1895

Social media

FacebookTwitter

View All Silver Cross Hospital Jobs

What Silver Cross Hospital employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply