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Assistant Remote Utilization Review Jobs in Forney, TX

... Utilization Review. The Impact You Will Have: CorroHealth is led by like-minded clinicians who ... Fully remote, synchronous training will occur Monday-Friday 9A-5P ET, which also includes a one ...

Sr. Quality of Care Review Nurse

Dallas, TX ยท Remote

$83K - $109K/yr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas ... Health plan utilization management experience or case management experience. * Experience in health ...

... Utilization Review. The Impact You Will Have: CorroHealth is led by like-minded clinicians who ... Quality of life with a remote predictable, full-time schedule * Comprehensive training and ...

Senior Solution Advisor, Payment Integrity

Plano, TX ยท Remote

$130K - $131K/yr

... Review and Claims Editing) and its design, configuration, implementation, and utilization. Partner ... Assist with organization and prioritization of sales pipelines. Provide expertise on Payment ...

Showing results 21-40

Assistant Remote Utilization Review information

See Forney, TX salary details

$10

$21

$30

How much do assistant remote utilization review jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for assistant remote utilization review in Forney, TX is $21.98, according to ZipRecruiter salary data. Most workers in this role earn between $18.41 and $24.66 per hour, depending on experience, location, and employer.

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.

What are popular job titles related to Assistant Remote Utilization Review jobs in Forney, TX? For Assistant Remote Utilization Review jobs in Forney, TX, the most frequently searched job titles are:
What job categories do people searching Assistant Remote Utilization Review jobs in Forney, TX look for? The top searched job categories for Assistant Remote Utilization Review jobs in Forney, TX are:
What cities near Forney, TX are hiring for Assistant Remote Utilization Review jobs? Cities near Forney, TX with the most Assistant Remote Utilization Review job openings:

Physician / Other / Texas / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Jo

eviCore healthcare

Dallas, TX โ€ข Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired 1 day ago.ย Applications are no longer accepted.


Job description

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with collaborative cultureeviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of PTO(starting) per year plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSAPaid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation