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Remote Utilization Management Jobs in Houston, TX

Asset Living

Senior Accountant

Houston, TX · Remote

$65K - $95K/yr

Company Overview Asset Living is a third-party management firm and a proven partner in fostering ... Remote Pay Range $65,000--$95,000 USD

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Remote Utilization Management information

See Houston, TX salary details

$20

$40

$65

How much do remote utilization management jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for remote utilization management in Houston, TX is $40.38, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.39 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 Houston, TX?

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

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

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

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

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

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

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

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $83,986 per year, or $40.4 per hour.

Clinical Pharmacist - Cardiology / Value-Based Care

Seamless Assist

Houston, TX • Remote

$60 - $65/hr

Full-time

Posted yesterday

New

Job description

Clinical Pharmacist – Cardiology / Value-Based Care

A remote clinical pharmacist role optimizing cardiac medication therapy and titration in partnership with nurses and cardiology providers.

Sector

Healthcare — Value-Based Cardiology Care

Reports to

Care management / clinical leadership (title only — confirm exact reporting line)

Type

Full-Time, Contract · 40 hrs/week (Mon–Fri)

Hours

Business-hours overlap — CT

Rate

$60–$65 USD/hour

Location

Remote — anywhere in the US. Multi-state pharmacist licensure required (must include active Texas license).

Tools

Care management platform / EMR 

Role Overview

Our client is seeking a full-time, contract Clinical Pharmacist with strong cardiology experience to support value-based care programs. This role focuses on optimizing guideline-directed medical therapy (GDMT), supporting medication titration, improving medication adherence, and collaborating closely with nurses and cardiology providers to improve outcomes for high-risk cardiac patients. This is not a dispensing role — the pharmacist functions as a clinical partner embedded within the care team.

Key Responsibilities

Medication Review & GDMT Optimization

  • Review patient medication profiles for cardiology populations — heart failure, coronary artery disease, atrial fibrillation, hypertension, and overlapping chronic conditions such as CKD.
  • Evaluate appropriateness of GDMT based on ACC/AHA guidelines and payer quality programs.
  • Identify gaps in therapy, contraindications, drug interactions, and adherence barriers.
  • Make evidence-based recommendations for medication initiation, optimization, and titration, in collaboration with providers and nursing staff.

Patient Engagement

  • Conduct telephonic medication reviews and patient education.
  • Educate patients on purpose, benefits, side effects, and expectations of cardiac medications.
  • Reinforce adherence and lifestyle considerations; help patients recognize red-flag symptoms.

Care Team Collaboration

  • Work closely with RN Care Managers and Nurse Navigators to align medication plans with care goals.
  • Communicate recommendations clearly to cardiologists and advanced practice providers.
  • Participate in interdisciplinary case reviews and care planning.
  • Document recommendations and patient interactions promptly in the care management platform / EMR.

Quality & Value-Based Care

  • Contribute to performance on medication-related quality measures.
  • Help reduce medication-related adverse events and prevent avoidable utilization.
  • Apply sound clinical judgment within established clinical protocols.

Who Will Succeed

A clinically confident cardiology pharmacist who is comfortable working telephonically, communicates complex clinical information in a patient-friendly way, and thrives inside a nurse-led, interdisciplinary care model.

  • Strong cardiology clinical background and comfort with GDMT decision-making.
  • Confident, professional communicator with cardiology providers and APPs.
  • Patient-centered communication style — clear, empathetic, and clinically accurate.
  • Comfortable in a fully remote, telephonic, non-dispensing clinical role.

Experience & Skills

Required:

  • PharmD
  • Active Texas pharmacist license in good standing
  • Multi-state pharmacist licensure required (remote role, not restricted to Texas residency)
  • Minimum 3–5 years of clinical experience with a strong cardiology focus
  • Demonstrated working knowledge of GDMT and cardiac medication titration
  • Comfort working within a nurse-led care management model
  • Strong telephonic patient communication skills
  • Ability to interact professionally and confidently with cardiology providers
  • Experience engaging directly with patients
  • Experience collaborating with physicians and advanced practice providers
  • Time zone compatibility — must be able to work during the client's required business hours - CT
  • Strong written and verbal communication — exceptional written English; assessed at screening

Preferred:

  • Prior experience in heart failure or cardiology clinics
  • Experience working within clinically integrated networks or value-based care models
  • Familiarity with ACC and AHA guidelines and payer quality programs
  • Experience documenting in electronic medical records or care management platforms
  • Prior remote or telehealth patient engagement experience

Remote Work Requirements

  • Personal Windows/Mac laptop, 16 GB RAM minimum.
  • Windows 11+ or supported macOS with Google Chrome.
  • External monitor, mouse, and keyboard.
  • Working webcam, microphone, and headset/audio.
  • Reliable broadband: 100 Mbps download / 10 Mbps upload minimum.
  • Dedicated, private workspace suitable for handling PHI, including secure internet connection and ability to conduct confidential patient communications without risk of unauthorized disclosure. HIPAA and patient privacy compliance required at all times.