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Remote Utilization Management Jobs in Frisco, TX

Facets Integration Developer

Plano, TX · Remote

$51.50 - $68.25/hr

Role: Facets Integration Developer Experience: - Min. 8+ Years Location: - USA Remote We are ... Management o Healthcare Benefits o Authorization & Utilization Management o Healthcare Payer ...

Manager - Resource Management (Tax)

Dallas, TX · On-site +1

$109K - $143K/yr

We are also open to the role being remote from TX or surrounding states. What it Means to Work for ... Monitor resources and their utilization, serving as the primary point of contact for local ...

... management, and escalation management through issue resolution for the Client Experience and ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...

Remote Type: On-site You belong at a company that treats you like an Owner! Sammons Industrial is ... Proven success managing fleet lifecycle strategy-capital planning, utilization targets, maintenance ...

... Delivery Management teams. The position manages, at the department level, all deadlines ... Assess financial reports (e.g., utilization, P&L) and maintain consistent profitability levels ...

Showing results 41-60

Remote Utilization Management information

See Frisco, TX salary details

$20

$39

$64

How much do remote utilization management jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for remote utilization management in Frisco, TX is $39.57, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.43 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 Frisco, TX?

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

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

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

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

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

Infographic showing various Remote Utilization Management job openings in Frisco, TX as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 85% Physical, 4% Hybrid, and 11% Remote job distribution, with an average salary of $82,312 per year, or $39.6 per hour.

Licensed Clinical Social Worker (LCSW) - Remote Position at Fresh Start Counseling Center

Fresh Start Counseling Center

Dallas, TX • Remote

$90K - $105K/yr

Full-time

Medical, Dental, Vision, Life, Retirement

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


Job description

Position Overview

Fresh Start Counseling Center is seeking a dedicated and compassionate Licensed Clinical Social Worker (LCSW) to join our team remotely. This full-time position offers an opportunity to provide essential mental health support while working from the comfort of your own home. With a focus on high-quality care that meets the diverse needs of our clients, your role will be pivotal in enhancing their journey toward healing and growth.

About the Organization

Fresh Start Counseling Center is a prominent provider of mental health services located in the heart of Dallas, Texas. We are committed to delivering exceptional care tailored to a variety of client needs, with a specialization in serving the older adult population. Our multidisciplinary team is comprised of seasoned professionals skilled in fostering a nurturing and safe environment, ensuring that each individual feels understood, respected, and properly supported on their path to wellness.

Work Environment

This position operates within a fully remote setting, providing flexibility and the convenience of working from home. The role will primarily focus on supporting clients within a Hospice Center framework, allowing you to impact those facing end-of-life transitions with dignity and compassion. This unique environment requires a tailored approach to mental health support that aligns with our mission of empowerment and healing.

Key Responsibilities
  • Serve as a key liaison between clients, their families, and outpatient service providers, facilitating seamless communication and coordination of care.
  • Engage actively with insurance companies for pre-certification processes and utilization management, ensuring clients receive the necessary support and resources.
  • Participate in discharge and aftercare planning by assessing individual needs and preferences, contributing to the overall care strategy for clientele.
  • Deliver therapeutic meal support, guiding clients in understanding and establishing a healthy relationship with food, which is crucial for their well-being.
  • Provide empathetic and affirming care, respecting the unique circumstances and diverse identities of each client to foster a sense of belonging and comfort.
Patient Population / Client Focus

In this role, you will primarily work with older adults who are experiencing life-limiting illnesses and their families. Your expertise in navigating complex emotional landscapes will play a crucial role in alleviating anxiety, fostering resilience, and improving the quality of life among clients facing significant transitions. Supporting clients’ mental health within this sensitive setting involves understanding their intersecting identities and ensuring that care is culturally competent and person-centered.

Qualifications
  • A Master’s degree in Social Work from an accredited institution is required.
  • Possession of a valid Licensed Clinical Social Worker (LCSW) license in Texas is mandatory.
  • Demonstrated experience working with older adults is essential to effectively meet our clients’ needs.
  • Strong clinical judgment and diagnostic skills, enabling you to assess and address complex emotional and mental health challenges.
  • Exceptional communication and interpersonal abilities, with a focus on building rapport and trust with clients and their families.
  • A capacity to work independently as well as collaboratively within a team environment, contributing to a positive and productive workplace culture.
Preferred Experience

While a minimum of two years of experience in a clinical setting is required, we value candidates who have a background in hospice care or similar environments, as this ensures a deep understanding of the unique challenges faced by our clientele and their families.

Compensation and Benefits

The salary range for this position is competitive, offering $90,000 to $105,000 annually, commensurate with experience and qualifications. In addition to a robust salary, we provide comprehensive benefits, including:

  • Medical, Dental, and Vision insurance for you and your family.
  • A 401(k) plan with employer match and flexible spending accounts.
  • Life Insurance coverage to provide peace of mind for you and your loved ones.
  • Short-term disability coverage for those unexpected times of need.
  • A positive work culture that values staff contributions and encourages personal and professional growth.
Career Growth Opportunities

At Fresh Start Counseling Center, we prioritize your professional development. Continuous training and learning opportunities are integral to our organization, ensuring that you stay at the forefront of best practices in the field. As part of a supportive network, you will have the chance to expand your skill set, pursue advanced certifications, and access mentorship programs that can facilitate your career progression.

Why Join Our Team

Joining Fresh Start Counseling Center means becoming part of a mission-driven organization that values empathy, integrity, and innovation in mental health care. We recognize that our greatest assets are our dedicated staff members, which is why we strive to create an enriching work environment where your insights are valued, your skills are honed, and your contributions have a lasting impact on the lives of those we serve.

Application Information

If you are passionate about making a difference in the lives of others and meet the qualifications outlined above, we encourage you to apply today. Please submit your resume and a cover letter detailing your relevant experience and why you believe you would be a great fit for our team. Your next opportunity for a fulfilling career in social work awaits!