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Remote Utilization Management Jobs in Austin, TX

Amergis Healthcare Staffing

Clinic LPN/LVN

Austin, TX · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Position Summary The Remote LVN supports digital health operations by reviewing and managing ... Prior experience with chart review, utilization management, or clinical documentation * Experience ...

TEKsystems

Case Manager

Austin, TX · Remote

$36 - $40/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Skills utilization, RN, Quality assurance, outpatient, case management, disease management ... remote position. Application Deadline This position is anticipated to close on Aug 18, 2026. About ...

PharmaCord LLC

Remote Registered Nurse (RN) Case Manager

Austin, TX · On-site +1

$50K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...

Valeris

Remote Registered Nurse (RN) Case Manager

Austin, TX · Remote

$50K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...

COMPASSUS

Insurance Specialist

Round Rock, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Utilization management experience and pre-certification helpful. * Customer service experience ...

COMPASSUS

Insurance Specialist

Austin, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Utilization management experience and pre-certification helpful. * Customer service experience ...

COMPASSUS

Insurance Specialist

Burnet, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Utilization management experience and pre-certification helpful. * Customer service experience ...

COMPASSUS

Insurance Specialist

Bastrop, TX · Remote

$20 - $35/hr

Compassus This is a remote position for candidates located in the Central Time Zone. Position ... Utilization management experience and pre-certification helpful. * Customer service experience ...

Braze

Account Manager, Commercial

Austin, TX · On-site +1

$68K - $94K/yr

WHAT WE'RE LOOKING FOR As part of the Braze Account Management Team, you will be the commercial ... Own the commercial relationship, empowering Braze utilization and value, resulting in achieving ...

McGarrah Jessee

Client Finance Manager

Austin, TX · Remote

$85K - $117K/yr

This role sits at the intersection of financial management and creative enablement, partnering with ... Deep understanding of agency economics including retainers, project work, production, utilization ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Austin, TX

Remote Utilization Management information

See Austin, TX salary details

$21

$41

$68

How much do remote utilization management jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for remote utilization management in Austin, TX is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

What are the most commonly searched types of Utilization Management jobs in Austin, TX?

The most popular types of Utilization Management jobs in Austin, TX are:

What are popular job titles related to Remote Utilization Management jobs in Austin, TX?

For Remote Utilization Management jobs in Austin, TX, the most frequently searched job titles are:

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

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

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

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

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Austin, TX as of August 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 100% Remote job distribution, with an average salary of $87,173 per year, or $41.9 per hour.

Clinic LPN/LVN

Amergis Healthcare Staffing

Austin, TX • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 9 days ago

Job description

Position Summary

The Remote LVN supports digital health operations by reviewing and managing clinical documentation within a telehealth environment. This role focuses on data accuracy, chart review, and escalation of clinical concerns rather than direct patient care. Ideal for detail-oriented LVNs who excel in behind-the-scenes clinical support and digital workflows.

Key Responsibilities
  • Audit and abstract patient data for accuracy and completeness
  • Review remote patient monitoring data (vitals, glucose levels, weight, etc.)
  • Document findings and escalate clinical concerns as appropriate
  • Collaborate with providers to ensure timely care plan updates
  • Maintain compliance with HIPAA, URAC, and NCQA standards
  • Participate in quality assurance and documentation improvement initiatives
Qualifications
  • Active LVN license (Compact license preferred)
  • 4 years of LVN experience required
  • Prior experience with chart review, utilization management, or clinical documentation
  • Experience with InterQual or Milliman Care Guidelines (preferred)
  • Strong critical thinking and clinical judgment
  • High level of comfort navigating multiple EHRs and digital platforms
Required Skills (Non-Negotiable)
  • Prior remote or telehealth experience
  • Strong medication dosing and calculation skills
  • Excellent technical proficiency
  • Ability to work independently with minimal supervision
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
  • Competitive pay & weekly paychecks
  • Health, dental, vision, and life insurance
  • 401(k) savings plan
  • Awards and recognition programs 
*Benefit eligibility is dependent on employment status. 

About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.  

Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

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