ZipRecruiter

Log In

2

Remote Rn Utilization Review Nurse Jobs in Georgetown, TX

YO AI Labs

Hospitalist Physician - Remote

Austin, 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 ...

TEKsystems

Case Manager

Austin, TX · Remote

$36 - $40/hr

Skills utilization, RN, Quality assurance, outpatient, case management, disease management ... reviewed using AI tools.

Gentell

Certified Wound Care Clinician/Nurse

Austin, TX · On-site +1

... utilization of wound care products - Understanding Medicare documentation and reimbursement ... (RN, LPN, PT, OTR-L, DPM or similar) preferred but could be certified in the first year of hire ...

Tuesday Health

Clinical Supervisor (Texas)

Austin, TX · Remote

Active unrestricted Registered Nurse (RN) license in the State of Texas (multi-state compact ... Remote work with multiple onsite sessions each year to maximize collaboration and team building * A ...

previous pagenext page

Showing results 21-40

All JobsRn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse JobsRemote Rn Utilization Review Nurse Jobs in Georgetown, TX

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:

Remote Rn Utilization Review Nurse jobs near you
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.

Hospitalist Physician - Remote

Austin, TX • Remote

YO AI Labs
See more jobs at YO AI Labsexternal

$70 - $100/hr

Full-time

Posted 21 days ago

Job description

Hospitalist Physician

Job Type: Contractor
Location: Remote

Job Overview

We are seeking experienced Hospitalist Physicians to contribute their medical expertise to a project focused on inpatient care, clinical documentation, and medical record quality. In this role, you will review clinical records, evaluate documentation for accuracy and completeness, and apply your clinical expertise to support high-quality medical data and AI training.

The ideal candidate has recent inpatient or hospitalist experience, strong clinical documentation knowledge, and the ability to consistently apply established review standards.

Key Responsibilities
  • Review medical records, including FHIR data and clinical notes, for AI training and quality evaluation.
  • Verify that clinical information, findings, and claims are supported by the available medical record.
  • Review inpatient documentation, including History of Present Illness (HPI), Past Medical History (PMH), assessments, and treatment plans.
  • Evaluate clinical documentation for accuracy, completeness, and consistency.
  • Identify missing, incorrect, conflicting, or unsupported information in medical records.
  • Apply established rubrics, guidelines, and review criteria consistently across cases.
  • Provide clear and concise feedback on clinical documentation and data quality.
  • Support quality assurance processes by identifying potential issues and inconsistencies.
  • Communicate effectively with the project team regarding findings, questions, and complex cases.
  • Maintain high standards of accuracy, consistency, and attention to detail throughout the review process.
Required Qualifications
  • MD or DO degree.
  • Board certification in Internal Medicine, Pediatrics, or Hospital Medicine.
  • Current or recent inpatient/hospitalist experience within the last 2 years.
  • Strong understanding of inpatient documentation and hospital workflows.
  • Experience reviewing clinical notes and medical records.
  • Ability to interpret FHIR-based clinical data and structured medical records.
  • Strong understanding of HPI, PMH, assessments, plans, and other inpatient documentation.
  • Excellent attention to detail and ability to identify discrepancies in clinical information.
  • Ability to follow defined rubrics and quality standards consistently.
  • Strong written and verbal communication skills.
Preferred Qualifications
  • Experience with chart review or clinical documentation review.
  • Experience with clinical documentation improvement (CDI).
  • Experience with utilization review, medical coding, or healthcare quality assurance.
  • Familiarity with electronic health records and structured clinical data.
  • Experience working across multiple inpatient services or specialties.
  • Previous experience reviewing healthcare data for quality, accuracy, or compliance.
  • Comfortable working independently in a remote environment.
Core Skills
  • FHIR Records
  • History of Present Illness (HPI)
  • Past Medical History (PMH)
  • Clinical Documentation Review
  • Inpatient / Hospitalist Experience
  • Quality Assurance
  • Medical Record Review
  • Clinical Judgment
  • Healthcare Data Quality
  • Rubric-Based Evaluation
  • Attention to Detail
  • Written and Verbal Communication