ZipRecruiter

Log In

2

Remote Utilization Management Jobs in Spring, TX

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · 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 ...

SUN Behavioral Houston

Remote Intake Coordinator

Houston, TX · 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 ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · 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 ...

WNS Global Services

Sr Nurse - Clin. Education

Houston, TX · On-site +1

$80K - $95K/yr

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

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

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

Aprio

Senior Director, Resource Management

Houston, TX · On-site +1

$225K - $300K/yr

Analyze trends in utilization, availability, backlog, pipeline, and seasonal demand to drive timely ... remote and hybrid options What's in it for you: - Working with an industry leader : Be part of a ...

DealerBuilt

Performance Manager

Houston, TX · On-site +1

Our portfolio includes Enterprise Retail Cloud DMS, Document Management, CRM, Desking, F&I Menus ... Host utilization sessions (remote/onsite) to improve the use of the solution, employee satisfaction ...

next page

Showing results 1-20

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

Remote Utilization Management information

See Spring, TX salary details

$19

$37

$61

How much do remote utilization management jobs pay per hour?

As of Jul 11, 2026, the average hourly pay for remote utilization management in Spring, TX is $37.63, according to ZipRecruiter salary data. Most workers in this role earn between $29.71 and $43.22 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

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.

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 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 Spring, TX? The most popular types of Utilization Management jobs in Spring, TX are:
What are popular job titles related to Remote Utilization Management jobs in Spring, TX? For Remote Utilization Management jobs in Spring, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management jobs in Spring, TX look for? The top searched job categories for Remote Utilization Management jobs in Spring, TX are:
What cities near Spring, TX are hiring for Remote Utilization Management jobs? Cities near Spring, TX with the most Remote Utilization Management job openings:
Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Spring, TX as of July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $78,263 per year, or $37.6 per hour.

Behavioral Health Medical Director-Remote

TEEMA Group

Houston, TX • Remote

$137 - $145/hr

Full-time

Re-posted 19 days ago

Job description

Behavioral Health Medical Director (Psychiatrist) – Remote

Remote | Temp-to-Perm | $137–$145/hr W2

A nationally recognized managed care organization is seeking an experienced Behavioral Health Medical Director for a fully remote temp-to-perm opportunity.

This role is ideal for a physician leader with strong psychiatry and managed care experience who can provide clinical oversight, utilization management support, and behavioral health leadership within a collaborative healthcare environment.

What You’ll Be Doing

  • Provide behavioral health clinical oversight and leadership

  • Support Utilization Management (UM), Quality Management (QM), Case Management, and Disease Management programs

  • Conduct medical necessity reviews and peer-to-peer consultations

  • Collaborate with care management and executive leadership teams

  • Participate in quality improvement and operational initiatives

REQUIRED TO APPLY

Please only apply if you meet ALL of the following requirements:

  • MD (Doctor of Medicine)

  • Board Certified in Psychiatry REQUIRED

  • Active unrestricted U.S. medical license

  • Minimum 5 years of clinical practice experience

  • Minimum 5 years of medical management experience within managed care

  • Strong experience with:

    • Utilization Management (UM)

    • Quality Management (QM)

    • Case Management

    • Disease Management

  • U.S. Citizenship REQUIRED

  • Ability to obtain Department of Defense (DoD) security clearance

Preferred Experience

  • TRICARE experience

  • VA healthcare experience

  • Government healthcare plan experience

  • Medical Director leadership background

Compensation

  • $137–$145/hour W2

  • Full-time remote schedule

  • Temp-to-perm opportunity

Apply today for immediate consideration.