Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Insurance operations * Medical office environments * Managed care settings * Experience handling ...
Quick apply
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Insurance operations * Medical office environments * Managed care settings * Experience handling ...
Quick apply
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Insurance operations * Medical office environments * Managed care settings * Experience handling ...
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Insurance operations * Medical office environments * Managed care settings * Experience handling ...
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Insurance operations * Medical office environments * Managed care settings * Experience handling ...
Houston, TX · Remote
$95K - $110K/yr
Hands-on experience credentialing and licensing providers (MDs, DOs, NPs, PAs, RNs), including CAQH ... Fully remote * Unlimited PTO
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Houston, TX · Remote
$95K - $110K/yr
Hands-on experience credentialing and licensing providers (MDs, DOs, NPs, PAs, RNs), including CAQH ... Fully remote * Unlimited PTO
Houston, TX · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
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Houston, TX · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Scribe Pay Structure: $11/hour - No scribe experience $12/hour - 6+ months scribe ...
Houston, TX · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...
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Houston, TX · Remote
$14 - $17/hr
Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a medical scribe first! Summary of Position Description: The Scribe-X medical scribe is a critical member ...
Galveston, TX · Remote
$90K - $105K/yr
Work Environment In this fully remote position, you will have the flexibility to manage your ... Life insurance policy. * 401(k) with company match and flex spending account options.
New
Galveston, TX · Remote
$90K - $105K/yr
Work Environment In this fully remote position, you will have the flexibility to manage your ... Life insurance policy. * 401(k) with company match and flex spending account options.
New
Houston, TX · Remote
$55 - $65/hr
Provide high-quality remote supervision, mentorship, and support to our on-the-ground Registered ... rigorous insurance billing requirements and compliance guidelines. What We Offer: * Highly ...
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Houston, TX · Remote
$55 - $65/hr
Provide high-quality remote supervision, mentorship, and support to our on-the-ground Registered ... rigorous insurance billing requirements and compliance guidelines. What We Offer: * Highly ...
Houston, TX · Remote
$55K - $76K/yr
Work Environment This position will be remote, allowing for flexibility while maintaining a ... Malpractice insurance coverage. * Access to an established client referral network, enhancing your ...
New
Houston, TX · Remote
$55K - $76K/yr
Work Environment This position will be remote, allowing for flexibility while maintaining a ... Malpractice insurance coverage. * Access to an established client referral network, enhancing your ...
New
Houston, TX · Remote
$16.50 - $22/hr
Deliver direct patient care under the supervision of a Registered Nurse and according to the Aide ... Reliable transportation, current auto insurance, and a valid driver's license required Working ...
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Houston, TX · Remote
$16.50 - $22/hr
Deliver direct patient care under the supervision of a Registered Nurse and according to the Aide ... Reliable transportation, current auto insurance, and a valid driver's license required Working ...
Houston, TX · Remote
$32 - $43/hr
The Opportunity We're hiring Registered Dietitians who want to focus on what matters most ... Fully Remote: Work from anywhere in the U.S. * Malpractice Insurance: Comprehensive coverage ...
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Houston, TX · Remote
$32 - $43/hr
The Opportunity We're hiring Registered Dietitians who want to focus on what matters most ... Fully Remote: Work from anywhere in the U.S. * Malpractice Insurance: Comprehensive coverage ...
Conroe, TX · On-site +1
$95K - $130K/yr
Setting: Hybrid/Remote setting for patients with CKD or ESRD * Schedule: M-F, 8am-4:30pm, No ... Benefits (Health, Dental, Vision) if eligible * 100% malpractice insurance covered Call or text at ...
Conroe, TX · On-site +1
$95K - $130K/yr
Setting: Hybrid/Remote setting for patients with CKD or ESRD * Schedule: M-F, 8am-4:30pm, No ... Benefits (Health, Dental, Vision) if eligible * 100% malpractice insurance covered Call or text at ...
Houston, TX · Remote
$20 - $25/hr
Remote LPN Care Advocate -- $20-$25/hr | 20-40 hrs/week | U.S.-based Remote work without the ... with insurance, and connect to resources like food, housing, and transportation. This is non ...
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Houston, TX · Remote
$20 - $25/hr
Remote LPN Care Advocate -- $20-$25/hr | 20-40 hrs/week | U.S.-based Remote work without the ... with insurance, and connect to resources like food, housing, and transportation. This is non ...
Houston, TX · Remote
Registered Nurse or Paramedic qualification. * Minimum 5 years of experience in emergency medicine ... Previous experience in travel insurance, medical assistance, or international healthcare ...
Houston, TX · Remote
Registered Nurse or Paramedic qualification. * Minimum 5 years of experience in emergency medicine ... Previous experience in travel insurance, medical assistance, or international healthcare ...
Houston, TX · Remote
$32 - $43/hr
The Opportunity We're hiring Registered Dietitians who want to focus on what matters most ... Fully Remote: Work from anywhere in the U.S. * Malpractice Insurance: Comprehensive coverage ...
Quick apply
Houston, TX · Remote
$32 - $43/hr
The Opportunity We're hiring Registered Dietitians who want to focus on what matters most ... Fully Remote: Work from anywhere in the U.S. * Malpractice Insurance: Comprehensive coverage ...
*Fully Remote* Base Salary + Uncapped Commission Must be located in TX Health insurance Inside Sales ... Completes pre-calls to responsible parties for nursing home residents to inform them of the benefit ...
*Fully Remote* Base Salary + Uncapped Commission Must be located in TX Health insurance Inside Sales ... Completes pre-calls to responsible parties for nursing home residents to inform them of the benefit ...
Overview *Fully Remote* Base Salary + Uncapped Commission Must be located in TX Health insurance ... Completes pre-calls to responsible parties for nursing home residents to inform them of the benefit ...
Overview *Fully Remote* Base Salary + Uncapped Commission Must be located in TX Health insurance ... Completes pre-calls to responsible parties for nursing home residents to inform them of the benefit ...
Life insurance to provide financial protection for employees and their families. * A 401(k) plan ... Flex spending accounts for medical and dependent care expenses. * Reimbursement for licensure ...
New
Life insurance to provide financial protection for employees and their families. * A 401(k) plan ... Flex spending accounts for medical and dependent care expenses. * Reimbursement for licensure ...
New
Houston, TX · Remote
$65K/yr
Fully remote within the U.S. Your Impact * Analyze intake assessments, including medical history ... Malpractice Insurance: Comprehensive coverage provided at no cost to you * Mission-Driven Work:
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Houston, TX · Remote
$65K/yr
Fully remote within the U.S. Your Impact * Analyze intake assessments, including medical history ... Malpractice Insurance: Comprehensive coverage provided at no cost to you * Mission-Driven Work:
The majority of our clients are self-pay and commercial insurance clients, and we are dedicated to ... Remote (United States) - Conduct virtual psychiatric assessments and evaluations to determine ...
The majority of our clients are self-pay and commercial insurance clients, and we are dedicated to ... Remote (United States) - Conduct virtual psychiatric assessments and evaluations to determine ...
Houston, TX · Remote
$70K - $86K/yr
You will partner with families and supervise RBTs (Registered Behavior Technicians) who provide ... Professional liability insurance (required for independent contractors). * Experience working in ...
Houston, TX · Remote
$70K - $86K/yr
You will partner with families and supervise RBTs (Registered Behavior Technicians) who provide ... Professional liability insurance (required for independent contractors). * Experience working in ...
$22.4K - $28.9K
4% of jobs
$28.9K - $35.3K
12% of jobs
$39K is the 25th percentile. Wages below this are outliers.
$35.3K - $41.7K
16% of jobs
$41.7K - $48.1K
15% of jobs
The median wage is $50K / yr.
$48.1K - $54.6K
13% of jobs
$54.6K - $61K
9% of jobs
$61K - $67.4K
6% of jobs
$67.8K is the 75th percentile. Wages above this are outliers.
$67.4K - $73.8K
4% of jobs
$73.8K - $80.3K
6% of jobs
$80.3K - $86.7K
7% of jobs
$86.7K - $93.1K
7% of jobs
$22.4K
$56.4K
$93.1K
| Aspect | Flex Remote Rn Insurance | Flex Remote Rn Claims Adjuster |
|---|---|---|
| Required Credentials | RN license, insurance knowledge | Adjuster certification, insurance knowledge |
| Work Environment | Remote healthcare and insurance support | Remote claims assessment and investigation |
| Industry Usage | Healthcare insurance companies, providers | Insurance carriers, claims departments |
Flex Remote Rn Insurance and Flex Remote Rn Claims Adjuster both work remotely within the insurance industry, but the RN Insurance role focuses on healthcare support and insurance policy interpretation, while the Claims Adjuster handles claims investigation and settlement. Both require insurance knowledge, but RN Insurance emphasizes healthcare credentials, whereas Claims Adjusters need adjuster certifications. Choose based on your background in healthcare or claims processing.

Full-time
Medical, Dental, Vision, Retirement
Re-posted 22 days ago
Job Title: Utilization Management Representative (UMR)
Work Location: 11511 Shadow Creek Parkway
Schedule: Monday – Friday | 8:00 AM – 5:00 PM | 24–40 hours per week
Interview Process: Virtual interview via camera
Dress Code: Business Casual
Pay Rate: 13/hr (Paid Weekly)
Allmed Benefits: Vision, Health, Dental Insurance & 401(k)
Position Overview
The Utilization Management Representative (UMR) plays a critical role in supporting Utilization Management operations by ensuring the timely and accurate processing of authorization requests and communicating authorization determinations to providers and members. This role directly supports regulatory compliance, operational efficiency, and quality patient care by facilitating appropriate utilization of healthcare services.
The UMR serves as a key point of contact between providers, members, and the clinical review team while supporting overall care management strategies through efficient workflow management and effective communication.
Team Environment
The selected candidate will join a collaborative Utilization Management team consisting of approximately 20 Utilization Management Representatives (UMRs) working alongside clinical reviewers, including Registered Nurses (RNs), LVNs, and Medical Directors.
The team operates in a fast-paced, production-driven environment where accuracy, efficiency, and teamwork are critical to success. Team culture emphasizes:
Team members regularly collaborate with internal departments including clinical review teams, provider relations, claims, and appeals teams.
Key Responsibilities
Required Qualifications
Preferred Qualifications
Sourced by ZipRecruiter
Recruiting and staffing services
11 - 50 Employees
Chicago, IL, US
1991