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Hybrid Rn Jobs in Rockwall, TX (NOW HIRING)

@Paradigm Inc.

Nurse Case Manager

Dallas, TX · On-site

$47 - $49/hr

... Qualifications RN License Driver's License Full Paradigm is an accountable specialty care ... A Field Nurse Case Manager is a hybrid position. The candidate must be located in the Dallas - Fort ...

New

@Paradigm Inc.

Nurse Case Manager

Dallas, TX · On-site

$47 - $49/hr

... Qualifications RN License Driver's License Full Paradigm is an accountable specialty care ... A Field Nurse Case Manager is a hybrid position. The candidate must be located in the Dallas - Fort ...

New

Centene

Senior LTSS Service Care Manager RN

Dallas, TX · On-site

$36.21 - $65.09/hr

This is a hybrid role performing in-home assessments. The service delivery area is South Dallas ... Registered Nurse - State Licensure and/or Compact State Licensure required or * NP - Nurse ...

Lantern

Oncology Nurse Navigator

Dallas, TX · On-site +1

$90K - $105K/yr

Dallas, TX & New York, NY- hybrid position. Candidates must be Dallas or New York City area based ... Active RN license in a compact state with unencumbered ability to be licensed in all 50 states

Lantern

Oncology Nurse Navigator

Dallas, TX · Hybrid

$90K - $105K/yr

Dallas, TX & New York, NY-- hybrid position. Candidates must be Dallas or New York City area based ... Active RN license in a compact state with unencumbered ability to be licensed in all 50 states

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Hybrid Rn information

See Rockwall, TX salary details

$965

$2.1K

$3.1K

How much do hybrid rn jobs pay per week?

As of Sep 6, 2026, the average weekly pay for hybrid rn in Rockwall, TX is $2,122.79, according to ZipRecruiter salary data. Most workers in this role earn between $1,751.92 and $2,467.31 per week, depending on experience, location, and employer.

What is a hybrid RN?

A Hybrid RN job combines both in-person and remote nursing responsibilities. Nurses in this role may provide direct patient care in a clinical setting while also handling telehealth services, patient education, or case management remotely. This allows for flexibility in work environments while maintaining high-quality patient care. Hybrid RNs often use technology to monitor patients, conduct virtual consultations, and collaborate with healthcare teams. The exact duties depend on the employer and healthcare setting.

What are the key skills and qualifications needed to thrive as a hybrid RN?

To excel as a Hybrid RN, you need a valid RN license, clinical nursing expertise, and the ability to navigate both in-person and remote patient care settings. Proficiency in telehealth platforms, electronic health records (EHRs), and secure communication tools is often required. Exceptional organizational skills, communication, and adaptability are critical soft skills for balancing on-site and virtual responsibilities. These abilities ensure effective patient care, strong team collaboration, and seamless transitions between hybrid work environments.

What type of work schedule and environment can I expect as a hybrid RN?

As a Hybrid RN, you will typically split your time between on-site patient care and remote work, such as conducting telehealth consultations or handling patient follow-ups from home. Your schedule may be a mix of set clinic hours and flexible remote shifts, depending on your employer's needs. The role often requires effective coordination with both in-person medical teams and remote colleagues to ensure continuity of patient care. This hybrid setup provides greater flexibility while maintaining direct patient interaction and collaboration with healthcare professionals.

What are popular job titles related to Hybrid Rn jobs in Rockwall, TX?

For Hybrid Rn jobs in Rockwall, TX, the most frequently searched job titles are:

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Hybrid Rn jobs near you
Infographic showing various Hybrid Rn job openings in Rockwall, TX as of August 2026, with employment types broken down into 3% As Needed, 59% Full Time, 13% Part Time, and 25% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $110,385 per year, or $53.1 per hour.

RN Utilization Review Coordinator, Full-time

Surgery Partners

Addison, TX • On-site

Full-time

Re-posted 28 days ago

Surgery Partners rating

7.7

Company rating: 7.7 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

163rd of 898 rated healthcare providers

Job description

Hiring Now for RN Utilization Review Coordinator
Department: Case Management
Shift: Full-time Hybrid
Job Summary:
The RN Case Manager/Utilization Review is responsible for performing prospective, concurrent, and post-discharge utilization reviews to ensure appropriate patient status, medical necessity, and compliance with hospital policy, payer requirements, and applicable local, state and federal regulations, including Centers for Medicare & Medicaid Services (CMS) guidelines. The role supports accurate admission status determinations, active denial management, and collaboration with physicians, case managers, and interdisciplinary team members to promote efficient patient progression through the episode of care. This position also assists with discharge planning activities and contributes to quarterly and annual utilization review reporting and performance improvement initiatives.
Utilization Review and Medical Necessity
  1. Conduct comprehensive medical record reviews using specific criteria and guidelines as approved and/or established by medical staff, CMS, and other state and federal agencies while ensuring physician and nurse documentation meets set standards.
  2. Perform prospective (pre-admission and pre-operative), concurrent, and post-discharge utilization reviews to verify medical necessity and appropriate level of care throughout the episode of care using the hospital-approved criteria software.
  3. Screen and determine appropriate admission status (inpatient, observation, outpatient, or outpatient in a bed) based on clinical documentation, hospital-approved medical-necessity guidelines, and payer requirements.
  4. Facilitate appropriate admission status determinations based on clinical documentation and payer requirements.
  5. Review clinical documentation for accuracy, completeness, and compliance with regulatory and payer standards.
  6. Collaborate with physicians and nursing staff to ensure timely, accurate orders and documentation supporting medical necessity.
  7. Communicate with physicians when cases do not meet admission or continued stay criteria and assist with resolution.
  8. Submit timely admission, continued stay, and discharge notification and appropriate clinicals to insurance companies as required.
  9. Complete admission status changes as needed in the hospital computer system.

Denial Management:
  1. Identify, track, and manage utilization review denials related to admission status, level of care, length of stay, and medical necessity.
  2. Draft, write, and submit denial appeal letters using clinical judgment, medical record review, applicable payer, CMS, and regulatory guidelines to support medical necessity determinations.
  3. Collaborate with physicians, case managers, physician advisors, and leadership to obtain supporting clinical documentation, physician statements, and peer-to-peer review input for appeals to support denial resolution.
  4. Monitor denial outcomes, appeal success rates, and payer trends; analyze root causes and provide feedback, education, and recommendations to reduce future denials.
  5. Maintain accurate documentation of denials and appeals in accordance with hospital policy and regulatory requirements.

Discharge Planning Support
  1. When needed, collaborate with the Case Management team to support timely and safe discharge planning.
  2. Serve as the patient advocates and enhances collaborative relationships with the healthcare team, physicians, patients, and families to maximize the patient's and family's ability to make informed healthcare decisions.
  3. When needed, assist in identifying and addressing barriers to discharge, including durable medical equipment (DME), home health services, medications, and therapy need.
  4. Reinforce patient and family education to promote successful transitions of care.
  5. When needed, transmit Continuity of Care Documents to appropriate post-acute providers to ensure follow-up care.

Reporting, Compliance & Quality
  1. Monitor, track, and analyze avoidable days and extended lengths of stay; identify contributing factors related to utilization, payer processes, discharge barriers, and system delays, and collaborate with Case Management, physicians, and interdisciplinary teams to support timely resolution.
  2. Assist the Case Management Manager and Quality Director with data collection and analysis for quarterly and annual utilization review reports.
  3. Participate in regulatory audits, surveys, and internal reviews related to utilization management.
  4. Investigate and report adverse occurrences and trends related to utilization, discharge planning, or resource management.
  5. Provide staff education related to utilization review processes, medical necessity, and resource utilization.

Professional Responsibilities:
Must demonstrate high attention to detail, the ability to multi-task, prioritize, and have strong critical thinking skills to address issues that arise unexpectedly.
  1. Must encompass the skill to follow through with tasks and situations while providing clear communication to others throughout the process.
  2. Maintain a high standard of professionalism and ethical conduct in accordance with hospital policies and the Methodist Hospital for Surgery Code of Conduct.
  3. Support and facilitate initiatives enhancing patient outcomes, patient satisfaction, and regulatory compliance.
  4. Communicate effectively, professionally, accurately, and timely with all staff and patients.
  5. Demonstrates the spirit of philosophy, mission, and values of the hospital through words and actions and implements them into departmental processes, programs, and the working environment
  6. Perform other duties as assigned or required.

Minimum Requirements:
Education: Bachelor of Science in Nursing preferred.
Certification, Licensure: Active RN license in Texas; current CPR certification. Case Management Certification(s) preferred.
Experience, Training, Knowledge: At least five years of experience with Case Management, Discharge Planning, and Utilization Review.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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