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Remote Utilization Management Jobs in Spring, TX

Huntington

Commercial Services Manager

Houston, TX · On-site +1

Provides leadership, oversight, and day-to-day management of teams performance through utilization ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

Huntington

CRE Portfolio Manager I

Houston, TX · On-site +1

... management, and commercial cards. * Technology: Effective utilization of IT systems that support ... Remote roles will also have the opportunity to come together in our offices for moments that matter.

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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 Aug 21, 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.

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 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 August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $78,263 per year, or $37.6 per hour.

Board-Certified Toxicologist

Dane Street, LLC

Houston, TX • Remote

Full-time

Re-posted 9 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Toxicologist to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to accept or decline cases based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations, medical record reviews, and peer review services, trusted by insurance carriers and organizations nationwide for objective, high-quality medical evaluations.

Key Responsibilities:
  • Thorough review and analysis of prepared medical records
  • Provide expert, advisory-only opinions regarding the claimant's current condition and potential future medical needs
  • Respond to clinical questions to support claims management
  • Deliver clear, well-supported written reports within an expected turnaround time of 5 days
  • No face-to-face interaction with claimants; this is a record-review-only role

Requirements

  • Board certification in (Specialty) required
  • Prior experience with medical record reviews, IMEs, or peer reviews preferred
  • Strong analytical skills and excellent written communication abilities

Benefits

    • Robust opportunity for supplemental income
    • Fully remote assignments with flexible, predictable work hours
    • No doctor/patient relationship is established, and no treatment is provided
    • Enhanced industry expertise in medical necessity, utilization review, and claims support
    • Expanded credentials as an expert medical reviewer
    • Fully prepped cases, streamlined workflow, transcription services at no cost, and a user-friendly online portal

If you are a dedicated Toxicologist seeking a flexible, remote opportunity to apply your clinical expertise in an independent medical record review capacity, we encourage you to apply.

Apply