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Remote Rn Utilization Review Nurse Jobs in Georgetown, TX

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

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Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

RN-Utilization Review

Austin, TX · Remote

$84K - $118K/yr

Remote Facility: Ascension Network Services Department: Utilization Management Schedule: Days l ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...

NCLEX-RN Tutor

Austin, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Description POSITION OVERVIEW Harbor Health is seeking a compassionate, detail-oriented, and clinically strong Registered Nurse to join our centralized clinical triage team. In this role, you will ...

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Remote Rn Utilization Review Nurse information

See Georgetown, TX salary details

$19

$39

$64

How much do remote rn utilization review nurse jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for remote rn utilization review nurse in Georgetown, TX is $39.29, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.10 per hour, depending on experience, location, and employer.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.

What is the difference between Remote Rn Utilization Review Nurse vs Remote Rn Case Manager?

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What are popular job titles related to Remote Rn Utilization Review Nurse jobs in Georgetown, TX?

For Remote Rn Utilization Review Nurse jobs in Georgetown, TX, the most frequently searched job titles are:

What job categories do people searching Remote Rn Utilization Review Nurse jobs in Georgetown, TX look for?

The top searched job categories for Remote Rn Utilization Review Nurse jobs in Georgetown, TX are:

What cities near Georgetown, TX are hiring for Remote Rn Utilization Review Nurse jobs?

Cities near Georgetown, TX with the most Remote Rn Utilization Review Nurse job openings:

Infographic showing various Remote Rn Utilization Review Nurse job openings in Georgetown, TX as of September 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $81,713 per year, or $39.3 per hour.

Registered Nurse Utilization Review

Austin, TX • Remote

Ascension
Health Care and Social Assistance • 10K+ employees

$84K/yr

Per diem

Retirement

This job post has expired today. Applications are no longer accepted.


Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,048 frontline employees who took The Breakroom Quiz


Job description

Your future role at a glance 

Location: Remote

Facility: Ascension Network Services

Department: Utilization Management

Schedule: Days l Full-Time

Salary range: $78,561.60 - $110,905.60 per year (Texas) | Pay ranges vary based on candidate geographic location


Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive
  • Retirement: 403(b) plan
  • Well-being support: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources


How you’ll make an impact in this role
  • Provide healthcare services related to admissions, case management, discharge planning, and utilization review.
  • Review admissions and service requests for medical necessity, reimbursement compliance, and utilization management criteria.
  • Support complex case management and assist staff with coding, documentation, precertification, reimbursement, and denial/appeal issues.
  • Coordinate discharge planning needs with patients, providers, and interdisciplinary healthcare teams.
  • Ensure compliance with federal regulations and third-party payer utilization management requirements while preparing reports and statistical analyses as needed.

What minimum requirements you’ll need

Licensure / Certification / Registration:

  • Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or job transfer date required.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.


What Ascension Healthcare employees say

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US