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Remote Case Reviewer Jobs in Houston, TX (NOW HIRING)

Mercor

Case Management Expert - AI Trainer

Houston, TX · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. * Evaluate AI ...

Mercor

Case Management Leader - AI Trainer

Houston, TX · Remote

$100 - $150/hr

Remote Role Responsibilities * Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination. * Evaluate AI ...

YO AI Labs

Criminal Lawyer - Remote

Houston, TX · Remote

$140 - $400/hr

Review and analyze legal documents, court filings, and case materials to support AI system ... Remote Collaboration * Digital Platform Adaptability * Knowledge of Current Statutes & Case Law

YO AI Labs

Family Law Attorney - Remote

Houston, TX · Remote

$150 - $400/hr

Remote (United States Only) Job Overview We are seeking experienced Family Law Attorneys to ... Draft accurate summaries of case law, statutes, legal procedures, and family law concepts. * Review ...

YO AI Labs

Immigration Attorney - Remote

Houston, TX · Remote

$140 - $400/hr

Remote (United States Only) Job Overview We are seeking experienced Immigration Attorneys to ... Draft, review, and refine immigration-related legal documents, correspondence, and case summaries.

YO AI Labs

Pharmacovigilance Expert - Remote

Houston, TX · Remote

$70 - $80/hr

Remote Job Overview We are seeking experienced Pharmacovigilance Experts to contribute their drug ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ...

YO AI Labs

Civil Rights Attorney - Remote

Houston, TX · Remote

$140 - $400/hr

Remote (United States Only) Job Overview We are seeking experienced Civil Rights Attorneys to ... Review, analyze, and annotate legal documents, case studies, and materials related to civil rights ...

Beacon Talent

Remote Psychiatrist

Houston, TX · Remote

$150 - $200/hr

Document within our behavioral health EMR to the standard required for payer review * Escalate ... Full admissions and assessment support on every case * Average of [XX] encounters per shift, with ...

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Remote Case Reviewer information

See Houston, TX salary details

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How much do remote case reviewer jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for remote case reviewer in Houston, TX is $45.39, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $54.86 per hour, depending on experience, location, and employer.

What is a remote case reviewer?

Remote case reviewers are professionals who assess and evaluate cases, such as medical, legal, or insurance files, from a remote location rather than working on-site. Their responsibilities typically include reviewing documentation, ensuring compliance with policies and regulations, and providing recommendations or decisions based on their findings. Remote case reviewers use secure digital platforms to access and analyze case materials, enabling flexibility and efficiency in their work. This role can be found in industries like healthcare, law, insurance, and finance. Strong attention to detail and analytical skills are essential for success in this position.

What are the key skills and qualifications needed to thrive as a remote case reviewer?

To thrive as a Remote Case Reviewer, you need strong analytical skills, attention to detail, and relevant professional credentials, often in fields like healthcare, insurance, or law. Familiarity with case management software, electronic documentation systems, and industry regulations (such as HIPAA for healthcare) is typically required. Excellent written communication, time management, and independent decision-making are standout soft skills for this role. These abilities ensure accurate, compliant, and efficient case evaluations while maintaining high-quality standards in a remote work environment.

What are some common challenges remote case reviewers face, and how can they effectively manage them?

Remote Case Reviewers often encounter challenges such as managing a high volume of cases, staying organized with digital documentation, and maintaining clear communication with team members across different locations. To address these, it's important to develop strong time management skills, utilize standardized review checklists, and take advantage of collaboration tools like secure messaging platforms. Regular virtual meetings and clear protocols help ensure consistency and quality, while ongoing training can keep reviewers up to date on best practices.

What is the difference between Remote Case Reviewer vs Remote Claims Processor?

AspectRemote Case ReviewerRemote Claims Processor
Required CredentialsHigh school diploma or equivalent; healthcare or legal background often preferredHigh school diploma or equivalent; experience in insurance or claims processing beneficial
Work EnvironmentHome-based, independent review settingHome-based, processing insurance claims
Industry UsageHealthcare, legal, insurance sectorsInsurance companies, third-party administrators
Common Search/ComparisonRemote Case Reviewer vs Remote Claims Processor

While both roles are remote and involve handling cases or claims, Remote Case Reviewers primarily evaluate and assess cases, often requiring specialized knowledge in healthcare or legal fields. Remote Claims Processors focus on processing insurance claims, verifying information, and ensuring accurate payment. Understanding these differences helps job seekers identify the role that best matches their skills and career goals.

What are the most commonly searched types of Case Reviewer jobs in Houston, TX?

The most popular types of Case Reviewer jobs in Houston, TX are:

What are popular job titles related to Remote Case Reviewer jobs in Houston, TX?

For Remote Case Reviewer jobs in Houston, TX, the most frequently searched job titles are:

What job categories do people searching Remote Case Reviewer jobs in Houston, TX look for?

The top searched job categories for Remote Case Reviewer jobs in Houston, TX are:

What cities near Houston, TX are hiring for Remote Case Reviewer jobs?

Cities near Houston, TX with the most Remote Case Reviewer job openings:

Remote Case Reviewer jobs near you
Infographic showing various Remote Case Reviewer job openings in Houston, TX as of August 2026, with employment types broken down into 43% Full Time, 43% Part Time, and 14% Contract. Highlights an 100% Remote job distribution, with an average salary of $94,417 per year, or $45.4 per hour.

Case Management Expert - AI Trainer

Houston, TX • Remote

Mercor
See more jobs at Mercorexternal

$100 - $150/hr

Full-time

Posted 11 days ago

Job description

About the job

Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.

Position: Utilisation Management / Case Management leader (RN/Physician-advisor)
Type: Contract
Compensation: $100–$150/hour
Location: Remote

Role Responsibilities

  • Lead utilisation management and case management operations, including concurrent review, retrospective review, discharge planning, and care coordination.
  • Evaluate AI-generated medical necessity determinations, clinical review outputs, and UM decision-support recommendations for accuracy and clinical appropriateness.
  • Conduct and oversee clinical reviews against InterQual, MCG, or Milliman care guidelines to support admission, continued stay, and level-of-care determinations.
  • Manage the physician advisor program to support complex UM cases, peer-to-peer review requests, and denial appeals.
  • Coordinate with clinical teams, payers, and post-acute providers to facilitate appropriate care transitions and discharge planning.
  • Annotate AI outputs and provide structured clinical feedback to support AI training datasets.

Qualifications

Must-Have

  • 5+ years of experience in utilisation management, case management, or clinical review, with at least 2 years in a leadership role.
  • Active clinical licensure (RN required; physician advisor/MD preferred) with strong medical necessity review expertise.
  • Deep knowledge of InterQual, MCG, or Milliman clinical review criteria.
  • Expertise in CMS Two-Midnight Rule, observation status regulations, and inpatient criteria.
  • Experience managing physician advisor programs and peer-to-peer review processes with payers.
  • Exceptional written and verbal English communication skills.
  • High attention to detail with the ability to critically evaluate clinical documentation and AI-generated UM outputs.

Preferred

  • CPUR (Certified Professional in Utilisation Review), ACM (Accredited Case Manager), or CCM (Certified Case Manager) credential.
  • MD or DO with UM/physician advisor experience preferred for physician advisor roles.
  • Experience with UM software platforms (Allscripts, Utilisation Management software, or equivalent).
  • Familiarity with AI tools and comfort evaluating AI-generated clinical review content.
  • Background in health system, ACO, or value-based care organisation UM programs.

Application Process (Takes 20–30 mins to complete)

  • Upload resume
  • AI interview based on your resume
  • Submit form

Resources & Support

  • For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
  • For any help or support, reach out to: support@mercor.com

PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.


#hiringmercor