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Remote Utilization Review Manager Jobs in Houston, TX

Themesoft, Inc.

Remote Engagement Manager

Houston, TX · On-site +1

If you are interested in this opportunity, please review the and share your updated resume along with your contact details. Engagement Manager (EM) Location: Remote Experience-12+ Years Required ...

YO AI Labs

Criminal Lawyer - Remote

Houston, TX · Remote

$140 - $400/hr

Review and analyze legal documents, court filings, and case materials to support AI system ... Collaborate remotely with project managers and technical teams to clarify requirements and ...

Emerson

Customer Project Execution Manager

Houston, TX · Remote

$84K - $108K/yr

Lead customer kickoffs, progress reviews, technical and commercial alignment meetings, executive ... Experience working across global delivery organizations and coordinating execution between remote ...

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All JobsUtilization Review JobsRemote Utilization Review Manager JobsRemote Utilization Review Manager Jobs in Houston, TX

Remote Utilization Review Manager information

See Houston, TX salary details

$37.2K

$86.9K

$160K

How much do remote utilization review manager jobs pay per year?

As of Sep 3, 2026, the average yearly pay for remote utilization review manager in Houston, TX is $86,913.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,800.00 and $104,600.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are the most commonly searched types of Remote Utilization Review jobs in Houston, TX?

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

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

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

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

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

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

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

Remote Utilization Review Manager jobs near you

AI Training Specialist (Data Annotation)

Remote Talent Cloud

Houston, TX • Remote

$20/hr

Full-time, Part-time

Re-posted 27 days ago

Job description

As an AI Training Specialist (Data Annotation), you’ll play a key role in helping train and improve artificial intelligence (AI) systems. Your work will directly support how AI models learn to recognize text, images, and other data accurately.

Your main responsibilities will include:

  • Labeling and categorizing data (such as text, images, or short videos) according to detailed project guidelines
  • Reviewing and verifying data for accuracy, consistency, and completeness
  • Identifying and flagging any errors, inconsistencies, or unclear data
  • Following clear annotation instructions to ensure high-quality results
  • Meeting productivity and accuracy goals within project timelines
  • Maintaining confidentiality and adhering to all data security standards

Requirements

We’re looking for detail-oriented individuals who are comfortable working independently and enjoy structured, accuracy-focused tasks. The ideal candidate will have:

  • This is a fully remote position, but you must be located within the United States
  • Excellent attention to detail and strong organizational skills
  • A reliable Internet connection and computer
  • The ability to focus for extended periods and follow detailed written instructions
  • Strong written communication skills in English
  • Previous data annotation, labeling, or transcription experience is a plus, but not required

Benefits

  • Fully remote: work from anywhere within the United States
  • Full-time and part-time available
  • Competitive hourly pay from $20/hr
  • Training provided for all annotation tools and workflows
  • Gain hands-on experience supporting real-world AI training projects
  • Be part of a growing remote team working on cutting-edge technology