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Utilization Review Substance Abuse 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 ... substance abuse screen. Meadows Behavioral Health is an equal opportunity employer committed to ...

R1

Utilization Review Author-Remote

$65K - $96K/yr

The Utilization Review Specialist will be part of our Physician Advisory Team providing first level initial admission and continued stay case reviews. The Utilization Review Specialist will determine ...

Dane Street, LLC

Utilization Review Physician

Perform utilization review for: * Preauthorization requests * Appeals (first and second level ... Remote work from home * Full-time, Monday-Friday * Availability for occasional weekends and holiday ...

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 ...

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Utilization Review Substance Abuse Remote information

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How much do utilization review substance abuse remote jobs pay per hour?

As of Jun 14, 2026, the average hourly pay for utilization review substance abuse remote 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 Utilization Review Substance Abuse Remote vs Utilization Review Nurse?

AspectUtilization Review Substance Abuse RemoteUtilization Review Nurse
CredentialsLicensed Substance Abuse Counselor or similar certificationRegistered Nurse (RN) license, often with case management or utilization review training
Work EnvironmentRemote, primarily telehealth and administrative settingsRemote or onsite, hospital or insurance company settings
Industry UsageFocused on substance abuse treatment and insurance authorizationBroader healthcare utilization review, including various medical conditions
Common Search IntentComparing remote substance abuse review rolesUnderstanding utilization review nursing roles in healthcare

Utilization Review Substance Abuse Remote specialists focus on evaluating substance abuse treatment cases remotely, often requiring counseling credentials. Utilization Review Nurses have a broader scope, reviewing various medical cases, including substance abuse, with nursing credentials. Both roles involve assessing medical necessity but differ in certification, work environment, and specific focus areas.

How does a Utilization Review Substance Abuse Remote professional typically collaborate with treatment teams while working remotely?

Utilization Review professionals specializing in substance abuse often collaborate closely with clinicians, case managers, and administrative staff through secure digital platforms. Despite working remotely, they participate in virtual case conferences, review patient progress notes electronically, and communicate treatment recommendations via email or video meetings. This remote setup requires strong communication skills and familiarity with electronic health records to ensure timely and accurate assessments, helping the team make informed decisions about patient care and insurance authorizations.

What is a Utilization Review Substance Abuse Remote position?

A Utilization Review Substance Abuse Remote position involves evaluating patient records and treatment plans related to substance abuse to ensure that care is medically necessary and meets insurance or regulatory guidelines. These professionals typically work from home, reviewing documentation submitted by treatment providers, and determining if services are appropriate, cost-effective, and compliant with policies. The role often requires collaboration with healthcare teams, insurance companies, and sometimes patients, to approve or deny coverage for specific treatments. Strong knowledge of substance abuse disorders, treatment modalities, and insurance criteria is essential.

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

To excel in a Utilization Review Substance Abuse Remote role, you need a background in behavioral health, strong clinical assessment abilities, and typically a relevant license (such as RN, LCSW, or LPC). Familiarity with medical record systems, utilization management software, and knowledge of insurance and regulatory guidelines is crucial. Excellent communication, critical thinking, and attention to detail enable effective collaboration with care teams and accurate documentation. These skills ensure appropriate care delivery, regulatory compliance, and optimal patient outcomes in a remote environment.
Utilization Review Coordinator

Utilization Review Coordinator

Meadows of Wickenburg Inc

Phoenix, AZ • On-site, Remote

Full-time

Posted 17 days ago

Job description

This is where you change your story...
At Meadows we understand that new directions to career advancing, and improvement can be scary, but we are excited to offer you a possible new rewarding chapter with us! Come join us in transforming lives!
Who are we?
Meadows Behavioral Healthcare is a leader in the behavioral health industry. Meadows Behavioral Healthcare offer a range of specialized programs including residential, outpatient and virtual treatment. We provide care for drug and alcohol addiction, trauma, sexual addiction, behavioral health conditions, and co-occurring disorders. We offer state-of-the-art care including neurofeedback and other services. Our evidence-based approach is rooted in decades of clinical experience, with more than 45 years in the field. Our approach is different and success stories from our patients are the proof.
Who are you?
Are you compassionate, innovative and have a passion to make an impact? Are you looking to get your foot in the door with a company that will believe in your abilities and train you to advance? 80% of our current top-level executive staff are organic internal promotions from within.
We might be a perfect fit for you!
Position Summary:
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. You will ensure quality documentation of patient care.
Responsibilities:
  • Utilization Review:
    • Provide professional and thorough communication with external representatives to obtain authorization for admission and continued stay.
    • Monitor each step of the authorization process to proactively identify potential problems and optimize outcome.
    • Minimize the number of cases that need to be referred for psychiatric peer/peer review.
    • Interact with patient care staff to assure patient assessment and treatment plan is accurately and consistently reflected in facility documentation.
    • Prioritize multiple and various types of case activity, coordinate with UM team to ensure all deadlines are met with highest possible quality of delivery.
    • Maintain cumulative documentation regarding action taken during the UR process.
    • Conduct reviews to ensure that services and documentation conform to the facility protocols, and the requirements of third-party payer sources.
  • Clinical Team Member
    • Interact with patient care staff as noted above.
    • Attend treatment staffing and other scheduled meetings to obtain and present information on patient status, care and stay.
    • Communicate authorization status, issues or problems to appropriate staff/departments.
  • Payer Management
    • Obtain and maintain authorization for each patient. Problem-solve issues relating to stay or service.
    • Respond quickly and effectively to requires for information.
    • Nurture positive and professional relationships with external (third-party payers) sources.

Education and Experience:
  • Bachelor's degree required
  • 3-5 years of experience in utilization review in a behavioral health setting
  • Strong communication skills
  • Ability to work in a fast-paced environment

We are a Drug Free Company. All positions are designated as Safety Sensitive positions and in light of our company mission, the Company does not employ medical marijuana cardholders. Following an offer of employment, and prior to reporting to work, all applicants will be required to submit to and pass a substance abuse screen.
Meadows Behavioral Health is an equal opportunity employer committed to diversity and inclusion in the workplace. Qualified candidates will receive consideration without regard to race, color, religion, sex, sexual orientation, age, national origin, disability, protected veteran status or any other factor protected by applicable federal, state or local laws. Meadows Behavioral Health provides reasonable accommodations to individuals with disabilities and if you need reasonable accommodation during any time of the employment process, please reach out.

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