Remote Utilization Management Jobs in Spring, TX

Are you an experienced Registered Nurse looking to transition from bedside care into a role focused on care coordination, member advocacy, and improving health outcomes? This fully remote opportunity allows you to support high-risk populations while maintaining a strong work-life balance.

• Active, unrestricted Texas RN license in good standing
• Must reside in Texas
• 3+ years of experience in community health, public health, chronic disease management, community nursing, or case management
• 1+ year of experience in care coordination and disease management/patient education
• 3+ years coordinating care with primary care providers
• Outpatient case management experience within a health insurance, payer, or managed care environment

• Medicaid Managed Care experience (STAR, CHIP)
• Marketplace or Commercial Health Plan experience
• Knowledge of NCQA, HEDIS, HHSC, and TDI standards
• CCM or other healthcare certifications
• Experience with Epic or other EHR systems

• Conduct telephonic assessments for high-risk members
• Develop individualized care plans and measurable health goals
• Coordinate services between providers, behavioral health teams, community resources, and members
• Educate members on chronic disease management, preventive care, medications, nutrition, and healthy lifestyle choices
• Support transitions of care and remove barriers to treatment
• Maintain accurate documentation and ensure regulatory compliance

• 100% remote schedule (Monday-Friday, 8 AM-5 PM)
• Opportunity to move away from bedside nursing
• Focus on member advocacy and relationship-building
• Exposure to population health and managed care initiatives
• Collaborative team environment with strong growth potential
• Make a meaningful impact on Medicaid and underserved populations

The ideal candidate is an experienced RN with a managed care, health plan, or Medicaid background who enjoys helping members navigate the healthcare system, coordinating complex care needs, and improving long-term health outcomes.

This is a Contract to Hire position based out of Houston, TX.

The pay range for this position is $36.00 - $40.00/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully remote position.

This position is anticipated to close on Aug 21, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.