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Work From Home Utilization Review Social Worker Jobs in Springfield, MA

The Jernigan Agency

WORK FROM HOME

Springfield, MA

$300 - $500/wk

Help each client to review their options and apply for that coverage. * See the application through ... Lead system for getting in front of clients If you are interested in learning more about working ...

The Semler Agency

Work From Home Sales

Hartford, CT · Remote

This role is designed for individuals looking to learn a new skill and work from home with support. Responsibilities: * Connect with individuals requesting information * Provide guidance on coverage ...

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Work From Home Utilization Review Social Worker information

See Springfield, MA salary details

$21

$42

$68

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

As of Sep 3, 2026, the average hourly pay for work from home utilization review social worker in Springfield, MA is $42.13, according to ZipRecruiter salary data. Most workers in this role earn between $33.32 and $48.37 per hour, depending on experience, location, and employer.

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.

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.

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

What job categories do people searching Work From Home Utilization Review Social Worker jobs in Springfield, MA look for?

The top searched job categories for Work From Home Utilization Review Social Worker jobs in Springfield, MA are:

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Cities near Springfield, MA with the most Work From Home Utilization Review Social Worker job openings:

Work From Home Utilization Review Social Worker jobs near you

WORK FROM HOME

The Jernigan Agency

Springfield, MA

$300 - $500/wk

Full-time

Re-posted 10 days ago

Job description

We are looking for individuals interested in working from home, remotely, as life insurance sales representatives. We are hiring coachable individuals comfortable with a 100% commission based income helping our clients who have asked for our help with life insurance backed products. Agents usually help 3 - 5 families each week, and average $300 - $500 for each family they help. You must be a US citizen to qualify for this position. SCHEDULE AN INTERVIEW TODAY!
As this is a commission based income, there is no cap on your earnings. We use data driven systems and cutting edge lead generation that gets you connected with interested clients quickly.
The candidate we are looking for is disciplined, honest, confident, and passionate about helping people achieve their financial goals. Occasional travel for work for in-person conferences. If you are not currently licensed but have a desire to learn this business, we will help guide you in that process.
Sales Job Description:
  • Call on our lead prospects to set up appointments.
  • Help each client to review their options and apply for that coverage.
  • See the application through the underwriting process and get our clients covered.

Requirements for Sales Position:
  • Must be licensed in life products or willing to get licensed.
  • Must have a computer and phone to service the clients.
  • This is all online so internet connection is a must.
  • We provide all of the training.
  • We have warm leads available who have contacted us first. No COLD calling.
  • Must be a US citizen.

We provide:
  • Training
  • Mentorship
  • Lead system for getting in front of clients

If you are interested in learning more about working with us, please SCHEDULE AN INTERVIEW TODAY!

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