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Work From Home Utilization Review Social Worker Jobs in Rochester, MN

HMG Careers

Work From Home Sales Specialist

Elgin, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Laptop or desktop computer with a working camera * Insurance license required or willingness to ...

HMG Careers

Work From Home Sales Specialist

Eyota, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Laptop or desktop computer with a working camera * Insurance license required or willingness to ...

HMG Careers

Work From Home Sales Specialist

Dexter, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Laptop or desktop computer with a working camera * Insurance license required or willingness to ...

HMG Careers

Work From Home Sales Specialist

Oronoco, MN · Remote

$69K/yr

What We Offer * Remote, work-from-home career * Average first-year earnings of $69K through ... Laptop or desktop computer with a working camera * Insurance license required or willingness to ...

Headway

Licensed Clinical Social Worker

Rochester, MN · On-site +1

$146/hr

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $146/hour Licensed Clinical Social Worker -- Are ... Stay compliant from day one with audit support and ongoing resources. - Expansive coverage: Work ...

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All JobsUtilization Review Social Worker JobsWork From Home Utilization Review Social Worker JobsWork From Home Utilization Review Social Worker Jobs in Rochester, MN

Work From Home Utilization Review Social Worker information

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How much do work from home utilization review social worker jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for work from home utilization review social worker in Rochester, MN is $42.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $49.38 per hour, depending on experience, location, and employer.

What is the difference between Work From Home Utilization Review Social Worker vs Utilization Review Nurse?

AspectWork From Home Utilization Review Social WorkerUtilization Review Nurse
CredentialsSocial Work degree, LCSW or similar licenseRegistered Nurse (RN) license, BSN or higher
Work EnvironmentRemote, primarily administrative reviewRemote or onsite, clinical assessment involved
Industry UsageHealthcare, insurance, managed careHealthcare, insurance, managed care
Job FocusAssessing social and mental health needs for coverageReviewing medical necessity based on clinical data

Both roles involve remote work within healthcare and insurance sectors, but the Social Worker focuses on social and mental health assessments, while the Nurse emphasizes clinical medical reviews. Understanding these differences helps job seekers find the right fit based on credentials and job responsibilities.

What is a work from home utilization review social worker?

A Work From Home Utilization Review Social Worker is a licensed social worker who evaluates the necessity, appropriateness, and efficiency of healthcare services from a remote location. They review patient records, coordinate with healthcare providers, and ensure that care meets established guidelines and insurance requirements. Their work helps manage healthcare costs and promotes quality patient care, all while allowing them to perform their duties from home.

What are the key skills and qualifications needed to thrive as a work from home utilization review social worker?

To thrive as a Work From Home Utilization Review Social Worker, you need a background in social work (often with an MSW and state licensure), strong clinical assessment skills, and familiarity with healthcare regulations. Experience with utilization management software, electronic health records (EHRs), and knowledge of insurance authorization processes are typically required. Excellent communication, organization, and critical thinking skills set outstanding professionals apart in this remote environment. These competencies ensure accurate case reviews, compliance with policies, and effective advocacy for patient care while working independently.

What are some common challenges faced by work from home utilization review social workers, and how can they be managed?

Work From Home Utilization Review Social Workers often encounter challenges such as managing high caseloads, ensuring clear communication with healthcare teams remotely, and staying updated on constantly changing insurance and healthcare regulations. To address these, it's important to develop strong organizational skills, utilize collaborative technology platforms, and participate in ongoing training sessions. Regular virtual meetings and proactive communication with colleagues and providers also help maintain effective teamwork and high-quality patient care.

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For Work From Home Utilization Review Social Worker jobs in Rochester, MN, the most frequently searched job titles are:

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Work From Home Utilization Review Social Worker jobs near you

Work From Home Sales Specialist

HMG Careers

Spring Valley, MN • Remote

$69K/yr

Full-time

Re-posted 5 days ago

Job description

Remote Insurance Sales Representative | Flexible Schedule | Commission-Based

This position offers flexible work hours and clear paths for advancement into leadership and management. You will work remotely, serving clients by providing guidance and protection solutions for individuals and families.

What We Offer

  • Remote, work-from-home career
  • Average first-year earnings of $69K through commissions and bonuses
  • Increased earning potential in later years through performance and renewals
  • Residual income opportunities through client renewals
  • Unionized position with stock options
  • Comprehensive benefits package including medical, dental, and prescription coverage
  • Ongoing training and mentorship from experienced managers
  • High-quality leads provided with no cold calling friends or family
  • Flexible scheduling within a career-focused structure
  • Advancement and recognition opportunities with promotion from within
  • Supportive and collaborative virtual team environment

Qualities We Value

  • Willingness to learn and be coached through structured training
  • Friendly, outgoing, and professional communication style
  • Genuine desire to help others by providing guidance and solutions
  • Strong verbal communication and relationship-building skills
  • Sales or customer service experience is helpful but not required

Qualifications

  • Laptop or desktop computer with a working camera
  • Insurance license required or willingness to obtain one
  • Basic computer skills
  • Must reside in North America including the United States or Canada
  • We do not hire candidates residing outside North America

Responsibilities

  • Contact provided leads to schedule virtual meetings with clients
  • Present benefit programs and assist clients with enrollment
  • Build and maintain strong client relationships
  • Work closely with your manager to set goals and achieve them