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Assistant Remote Utilization Review Jobs in Texas

Mercor

Registered Nurse - AI Trainer

Houston, TX · Remote

$55 - $65/hr

Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing ... Experience reviewing charts for quality improvement, utilization review, CDI, or clinical ...

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All JobsUtilization Review JobsAssistant Remote Utilization Review JobsAssistant Remote Utilization Review Jobs in Texas

Assistant Remote Utilization Review information

What is the difference between Assistant Remote Utilization Review vs Utilization Review Nurse?

AspectAssistant Remote Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certification in case management or utilization reviewRegistered Nurse (RN) license, often with additional certifications in case management or utilization review
Work EnvironmentRemote, administrative setting, telehealth or telecommutingRemote or hospital/clinic settings, primarily telehealth or administrative
Employer & IndustryHealth insurance companies, managed care organizations, healthcare providersHospitals, insurance companies, healthcare organizations

Both roles involve reviewing patient cases to determine appropriate care and resource utilization. The Assistant Remote Utilization Review typically supports the process with administrative tasks and basic review, while the Utilization Review Nurse performs more in-depth clinical assessments. Both require nursing credentials and often work remotely within healthcare or insurance industries.

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Assistant Remote Utilization Review jobs near you

Board-Certified Toxicologist

Dane Street, LLC

Houston, TX • Remote

Full-time

Re-posted 2 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to accept or decline cases based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations, medical record reviews, and peer review services, trusted by insurance carriers and organizations nationwide for objective, high-quality medical evaluations.

Key Responsibilities:
  • Thorough review and analysis of prepared medical records
  • Provide expert, advisory-only opinions regarding the claimant's current condition and potential future medical needs
  • Respond to clinical questions to support claims management
  • Deliver clear, well-supported written reports within an expected turnaround time of 5 days
  • No face-to-face interaction with claimants; this is a record-review-only role

Requirements

  • Board certification in (Specialty) required
  • Prior experience with medical record reviews, IMEs, or peer reviews preferred
  • Strong analytical skills and excellent written communication abilities

Benefits

    • Robust opportunity for supplemental income
    • Fully remote assignments with flexible, predictable work hours
    • No doctor/patient relationship is established, and no treatment is provided
    • Enhanced industry expertise in medical necessity, utilization review, and claims support
    • Expanded credentials as an expert medical reviewer
    • Fully prepped cases, streamlined workflow, transcription services at no cost, and a user-friendly online portal

If you are a dedicated Toxicologist seeking a flexible, remote opportunity to apply your clinical expertise in an independent medical record review capacity, we encourage you to apply.

Apply