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Remote Supervisor Utilization Management Jobs in Houston, TX

Ability to work independently in a remote environment. Preferred Qualifications * Experience working with managed care organizations, health plans, or provider offices. * Familiarity with utilization ...

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Sr Nurse - Clin. Education

Houston, TX ยท Remote

$80K - $95K/yr

... Utilization Management, Case Management, or Clinical Care Coordination, required Remote education/training experience a plus Ability to flex work hours based on business needs Excellent listening ...

Remote Intake Coordinator

Houston, TX ยท On-site +1

$17.25 - $23.50/hr

... the Utilization Management team for concurrent reviews. * Demonstrates an ability to be flexible, organized and function well in stressful situations. * Treats patients and their families with ...

Nurse - Clinical Review

Houston, TX ยท Remote

$65K - $75K/yr

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

Remote (must be located in Texas), Travel required up to 30% Who We Are: Tuesday Health is a value ... Manage staff scheduling to ensure appropriate coverage and continuity of care across assigned ...

Sales Manager Remote

Houston, TX ยท Remote

$80K - $120K/yr

Proven experience in sales leadership, team management, or a comparable supervisory role; experience in remote team management is preferred. * Demonstrated ability to coach and develop sales ...

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Remote Supervisor Utilization Management information

See Houston, TX salary details

$37.2K

$86.9K

$160K

How much do remote supervisor utilization management jobs pay per year?

As of Aug 30, 2026, the average yearly pay for remote supervisor utilization management in Houston, TX is $86,913.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,800.00 and $104,600.00 per year, depending on experience, location, and employer.

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What job categories do people searching Remote Supervisor Utilization Management jobs in Houston, TX look for?

The top searched job categories for Remote Supervisor Utilization Management jobs in Houston, TX are:

What cities near Houston, TX are hiring for Remote Supervisor Utilization Management jobs?

Cities near Houston, TX with the most Remote Supervisor Utilization Management job openings:

Registered Nurse - Utilization Review - RNUR 26-10215

Houston, TX โ€ข Remote

$1.9K - $2.1K/wk

Full-time

Posted 4 days ago


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.