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Full Time Remote Utilization Review Jobs Near Me

Manulife

Suitability Review Specialist

Delaware, OH · Remote

$73K - $122K/yr

The Suitability Review Specialist is responsible for reviewing new business submissions and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Sheakley

RN Case Manager

Columbus, OH · On-site

Two years full-time equivalent of direct clinical care to the consumer and * Prefer a minimum of ... Work closely with Utilization Review team in coordinating C-9 (treatment plan)/vocational rehab ...

Sheakley

RN Case Manager

Columbus, OH · On-site

Two years full-time equivalent of direct clinical care to the consumer and * Prefer a minimum of ... Work closely with Utilization Review team in coordinating C-9 (treatment plan)/vocational rehab ...

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How much do full time remote utilization review jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for full time remote utilization review 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.

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Full Time Remote Utilization Review jobs near you
A map of the United States highlighting the number of Full Time Remote Utilization Review job openings by state according to ZipRecruiter. The image is accompanied by a detailed chart listing the number of Full Time Remote Utilization Review job openings in each state, with California having the most at 2 and Hawaii the least at 0.

UR Coordinator, Full Time

RiverVista Behavioral Hospital

Columbus, OH

$24 - $32/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 21 days ago

Job description

UR Coordinator
Pay Range: $24 - $32hr
Location: 1599 Alum Creek Dr, Columbus, OH 43209
About Sierra Vista
RiverVista is located in Columbus, Ohio and serves Franklin and surrounding counties. The focus is on behavioral health for inpatient and outpatient treatments. We serve the adults and older adult patients to guide them through their mental health struggles. We have been in this location since 2018 and have quickly gained a reputation for being a highly-sought behavioral health treatment center.

About the Role


RiverVista is seeking a detail-oriented and knowledgeable Utilization Review (UR) Coordinator to support clinical documentation, insurance authorization processes, and regulatory compliance. This role ensures appropriate level-of-care determinations, timely payer communication, and accurate clinical documentation to support resident care and reimbursement.

Key Responsibilities

  • Review patient charts to ensure medical necessity and appropriate level of care
  • Coordinate and submit insurance authorizations, continued stay reviews, and denials/appeals
  • Communicate with insurance providers, case managers, and clinical staff regarding coverage and updates
  • Monitor utilization of services to ensure compliance with payer guidelines and facility policies
  • Collaborate with nursing, admissions, and billing teams to support accurate documentation and reimbursement
  • Track authorization dates, renewals, and required clinical updates
  • Assist with audit preparation and regulatory compliance reviews
  • Maintain confidentiality and ensure adherence to HIPAA standards

Qualifications

  • High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred
  • Must be 21 or older
  • Experience in utilization review, case management, medical records, or healthcare billing strongly preferred
  • Strong understanding of insurance authorization processes (Medicare, Medicaid, and commercial payers)
  • Knowledge of medical terminology and clinical documentation standards

Why You’ll Love It Here (Full‑Time Benefits)

• Multiple medical plan options, Vista Wellness (physician/pharmacy), Dental, Vision

• Generous PTO and paid holidays

• 401(k) with company contribution; Life and disability coverage

• Tuition reimbursement up to $15,000 and student loan forgiveness programs

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