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Full Time Remote Utilization Review Jobs in Houston, TX

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

S. • Minimum of one (1) year experience in utilization review, or utilization management • ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

S. • Minimum of two (2) years experience in utilization review, case management, or clinical ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...

Allmed Staffing Inc

Clinical Admin Coordinator

Pearland, TX · Remote

$13.50/hr

Referral Navigator Representative Job Type: Full-Time / Remote Work Location: Remote Schedule: 8:00 ... Review referral and authorization documentation for completeness and accuracy. * Process and route ...

New

Allmed Staffing Inc

Clinical Admin Coordinator

Pearland, TX · Remote

$13.50/hr

Referral Navigator Representative Job Type: Full-Time / Remote Work Location: Remote Schedule: 8:00 ... Review referral and authorization documentation for completeness and accuracy. * Process and route ...

New

Allmed Staffing Inc

Clinical Admin Coordinator

Pearland, TX · Remote

$13.50/hr

Referral Navigator Representative Job Type: Full-Time / Remote Work Location: Remote Schedule: 8:00 ... Review referral and authorization documentation for completeness and accuracy. * Process and route ...

New

YO AI Labs

Hospitalist Physician - Remote

Houston, TX · Remote

$70 - $100/hr

Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...

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 ...

MD Anderson

Financial Clearance Coordinator

Houston, TX · Remote

$42.79 - $53.37/hr

Remote but must be able to come onsite as needed. Why Us. At UT MD Anderson, this role directly ... Support peer-to-peer engagement activities related to authorization and utilization review ...

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All JobsUtilization Review JobsFull Time Remote Utilization Review JobsFull Time Remote Utilization Review Jobs in Houston, TX

Full Time Remote Utilization Review information

See Houston, TX salary details

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$65

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

As of Aug 28, 2026, the average hourly pay for full time remote utilization review in Houston, TX is $40.38, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.39 per hour, depending on experience, location, and employer.

What is the difference between Full Time Remote Utilization Review vs Part Time Remote Utilization Review?

AspectFull Time Remote Utilization ReviewPart Time Remote Utilization Review
Work HoursTypically 40 hours/weekFewer hours, often less than 20/week
CertificationsRequired certifications like AAHAM or URAC often neededSame certifications as full-time, but may vary by employer
Work EnvironmentRemote, full-time employmentRemote, part-time engagement
Job ResponsibilitiesComplete utilization reviews, documentation, complianceSimilar responsibilities but on a reduced schedule

Full Time Remote Utilization Review involves working 40 hours weekly with comprehensive responsibilities, while Part Time Remote Utilization Review offers flexible, reduced hours with similar duties. Both roles require relevant certifications and are performed remotely, but differ mainly in hours and workload.

What are the most commonly searched types of Remote Utilization Review jobs in Houston, TX?

The most popular types of Remote Utilization Review jobs in Houston, TX are:

What are popular job titles related to Full Time Remote Utilization Review jobs in Houston, TX?

For Full Time Remote Utilization Review jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Full Time Remote Utilization Review jobs in Houston, TX look for?

The top searched job categories for Full Time Remote Utilization Review jobs in Houston, TX are:

What cities near Houston, TX are hiring for Full Time Remote Utilization Review jobs?

Cities near Houston, TX with the most Full Time Remote Utilization Review job openings:

Full Time Remote Utilization Review jobs near you

Registered Nurse - Utilization Review - RNUR 26-10215

Compu-Vision - South

Houston, TX • Remote

$1.9K - $2.1K/wk

Full-time

Posted 2 days ago

New

Job description

Job Title: Registered Nurse – Utilization Review

Job Location: Fort Myers, FL

Work Arrangement: Remote

Duration: 13 Weeks

Compensation: $1,900–$2,100 Gross Weekly (Based on Experience)

Shift: Day Shift

Schedule:

  • Monday–Friday
  • 8:00 AM – 4:30 PM
  • 40 Hours Per Week

Position Type: Contract

Work Setting: Remote

Position Overview

We are seeking an experienced Registered Nurse (RN) – Utilization Review/Utilization Management for a 13-week remote contract assignment. The RN will review clinical information and medical records to support appropriate levels of care, medical necessity, resource utilization, and positive patient outcomes.

The ideal candidate will have provider-side utilization management experience, strong clinical judgment, excellent computer skills, and hands-on experience with Epic and DragonFly. Candidates must be comfortable working independently in a remote environment while maintaining productivity, accuracy, and quality standards.

Responsibilities
  • Perform utilization review and utilization management activities.
  • Review patient medical records, clinical documentation, and treatment information.
  • Assess medical necessity and appropriateness of level of care.
  • Collaborate with healthcare providers regarding patient care and utilization needs.
  • Communicate effectively with providers and members of the interdisciplinary care team.
  • Utilize DragonFly as the primary utilization management platform.
  • Accurately and promptly document utilization reviews and clinical determinations.
  • Navigate and document within the Epic EMR.
  • Support appropriate resource utilization and optimal patient outcomes.
  • Work independently in a remote environment while meeting productivity and quality expectations.
  • Float to other affiliated campuses as required based on staffing needs; travelers may be expected to float first when coverage is needed.
  • Perform other utilization management duties as assigned.
Required Qualifications Licensure
  • Active Registered Nurse (RN) license required.
Experience
  • Minimum 2 years of relevant nursing experience.
  • Provider-side utilization management experience required.
  • Candidates with exclusively payer-side utilization management experience do not meet the requirement.
  • Previous remote-work experience preferred.
  • Prior travel nursing experience highly preferred.
Technical Skills
  • DragonFly experience required.
  • Epic EMR experience required.
  • Strong computer literacy and clinical documentation skills.
  • Ability to efficiently navigate multiple electronic systems while working remotely.
Certifications
  • CCM or CMCN certification required.
Education
  • Degree accreditation must be verified, or candidate must have at least 5 years of relevant experience.