ZipRecruiter

Log In

2

Utilization Review Coordinator Remote Jobs (NOW HIRING)

The Meadows

Utilization Review Coordinator

Phoenix, AZ · On-site +1

As the Utilization Review Coordinator, you will develop and implement systems for authorizations for Inpatient, RTC, PHP and IOP Services. You will conduct pre-certs, concurrent and extended reviews.

Dragonfly Recruiting

Be Seen First

Utilization Management Inpatient Coordinator

Orange, CA · Remote

$23 - $26/hr

Utilization Management Coordinator - Inpatient Review (Health Plan) Remote | Contract-to-Permanent Hire | Medicare Advantage We are seeking an experienced Utilization Management Coordinator ...

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

***REMOTE - Candidates must be based in Texas: Austin area - Travis/Williamson Counties or Richardson ... care coordination for determining efficiency, effectiveness, and quality of medical/surgical ...

next page

Showing results 1-20

All JobsUtilization Review Coordinator Remote Jobs

Utilization Review Coordinator Remote information

See salary details

$15

$29

$46

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

As of Jun 16, 2026, the average hourly pay for utilization review coordinator remote in the United States is $29.61, according to ZipRecruiter salary data. Most workers in this role earn between $21.39 and $34.62 per hour, depending on experience, location, and employer.

What does a Utilization Review Coordinator do when working remotely?

A Utilization Review Coordinator working remotely is responsible for evaluating the necessity, appropriateness, and efficiency of healthcare services and procedures. They review medical records, treatment plans, and insurance policies to ensure compliance with regulations and that patients receive proper care without unnecessary costs. Remote UR Coordinators collaborate with healthcare providers, payers, and patients primarily through electronic records and virtual communication, maintaining strong organizational and analytical skills. Their goal is to optimize patient outcomes while managing healthcare resources effectively.

What are the key skills and qualifications needed to thrive as a Utilization Review Coordinator Remote, and why are they important?

To thrive as a Utilization Review Coordinator Remote, you need a strong background in healthcare, knowledge of medical terminology, and often an active RN or LPN license. Familiarity with utilization management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating medical necessity and collaborating with providers. These skills ensure accurate, efficient case reviews and compliance with regulations, which are vital for optimizing patient care and managing healthcare costs.

How does a remote Utilization Review Coordinator typically collaborate with healthcare providers and insurance companies?

As a remote Utilization Review Coordinator, you will regularly communicate with healthcare providers and insurance representatives via phone, email, and secure digital platforms. Your main responsibilities include reviewing patient records, making coverage determinations, and ensuring compliance with regulatory guidelines. Collaboration often involves clarifying medical necessity, gathering additional documentation, and participating in virtual team meetings to discuss complex cases. Strong communication skills and comfort with digital tools are essential for seamless coordination across remote teams.
More about Utilization Review Coordinator Remote jobs
What cities are hiring for Utilization Review Coordinator Remote jobs? Cities with the most Utilization Review Coordinator Remote job openings:
What states have the most Utilization Review Coordinator Remote jobs? States with the most job openings for Utilization Review Coordinator Remote jobs include:
What job categories do people searching Utilization Review Coordinator Remote jobs look for? The top searched job categories for Utilization Review Coordinator Remote jobs are:
Utilization Review Coordinator Remote jobs near you
Infographic showing various Utilization Review Coordinator Remote job openings in the United States as of June 2026, with employment types broken down into 46% Full Time, 47% Part Time, 1% Temporary, and 6% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $61,585 per year, or $29.6 per hour.

Utilization Review Coordinator (Remote)

Your Behavioral Health

Torrance, CA • Remote

$21 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 21 days ago

Job description

About Us:

Your Behavioral Health is dedicated to providing exceptional, evidence-based mental health and addiction treatment through Clear Behavioral Health and Neuro Wellness Spa. Our UR team plays a vital role in ensuring clients receive timely and medically necessary care.

Position Overview:

We are seeking a detail-oriented, proactive Utilization Review (UR) Coordinator to support insurance authorization processes across all levels of care including Detox, Residential, PHP, IOP as well as Transcranial Magnetic Stimulation (TMS) services. The UR Coordinator will collaborate closely with clinical teams and payors to advocate for clients, secure appropriate insurance authorizations, and support a smooth treatment experience.

Key Responsibilities:

Insurance Authorizations:

  • Obtain initial and concurrent authorizations for Detox, Residential, PHP, and IOP programs
  • Obtain TMS service authorizations for Neuro Wellness Spa
  • Conduct clinical reviews and advocate with commercial health plans to support medically necessary care
  • Track authorization timelines and follow up promptly on outstanding requests

Documentation & Systems:

  • Maintain accurate, real-time records of authorization activity
  • Gather and review clinical documentation to support authorization requests
  • Document all communications with payors clearly and thoroughly

Collaboration & Communication:

  • Communicate regularly with insurance representatives, clinical teams, and leadership about authorization status and updates
  • Work collaboratively with the UR team to improve processes and enhance coordination of care

Denials & Appeals Support:

  • Assist with denial management, support appeal efforts with case summaries and clinical data
  • Help identify trends in authorization delays or denials and provide input to leadership

Other Duties:

  • Perform other responsibilities as assigned to support team goals and company needs

Qualifications:

  • 12 years of utilization review experience, preferably in behavioral health or mental health settings
  • Experience obtaining Detox, Residential, PHP, and IOP authorizations with commercial payors
  • Familiarity with TMS treatment and authorization processes(preferred)
  • Experience with commercial health plans and payor authorization protocols
  • Proficiency with EMR systems, Microsoft Word, and Excel
  • Strong written and verbal communication skills
  • Ability to multitask, prioritize, and work efficiently in a fast-paced environment
  • Professional, collaborative, and passionate about patient advocacy

Schedule:

M-F(hybrid schedule).

Pay:

$21-$26 per hour depending on experience.

Benefits:

  • Medical, dental, and vision insurance
  • Life and disability coverage
  • Retirement plan
  • Paid sick, time off, and holidays
  • Employee Assistance Program
  • Professional development opportunities
  • Other company - sponsored wellness or support programs