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Remote Utilization Review Rn Jobs in Austin, TX (NOW HIRING)

RN - AI Trainer

Round Rock, TX · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Austin, TX · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Georgetown, TX · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Current, unencumbered NP/PA/RN license in Texas * Aesthetic Training Certification (or willingness ... Review monthly updates and company communications * Treat a minimum of 4 patients per month Ideal ...

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Remote Utilization Review Rn information

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How much do remote utilization review rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for remote utilization review rn in Austin, TX is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are the most commonly searched types of Utilization Review Rn jobs in Austin, TX? The most popular types of Utilization Review Rn jobs in Austin, TX are:
What cities near Austin, TX are hiring for Remote Utilization Review Rn jobs? Cities near Austin, TX with the most Remote Utilization Review Rn job openings:
Psychiatric Mental Health Nurse Practitioner (PMHNP) -- Part-Time, Full-Time, Remote (Utah, USA)

Psychiatric Mental Health Nurse Practitioner (PMHNP) -- Part-Time, Full-Time, Remote (Utah, USA)

Legion Health

Austin, TX • Remote

$190K - $220K/yr

Full-time

Re-posted 10 days ago


Job description

[We show compassion to heal minds.]
About Legion Health:

Legion is a tech-enabled psychiatry network delivering world-class outpatient care and expanding access for patients using insurance. As we continue expanding in Utah, we’re hiring PMHNPs who want to practice evidence-based psychiatry with the time, support, and autonomy required to do it well.

Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.

Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional PMHNPs operate with clinical autonomy, supported by experienced psychiatrists through consults and peer case reviews.

Our vision is to pioneer a new era of mental health by delivering world-class psychiatry. We believe in a future where every patient can access the compassionate psychiatric care they need, regardless of the insurance they have.

About the role:

We are looking for a clinically excellent and patient-centered psychiatric-mental health nurse practitioner. Ideal candidates will embrace our vision of expanding access to world-class psychiatric care by embracing technology and serving patients across all insurance types.

Benefits:

Flexibility: Set your own schedule for optimal work-life balance.

Work from Home: See patients from the comfort of your home via telehealth.

Significant Administrative Support: Focus on patient care, not on patient scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

Clinical Autonomy: We hire the most skilled providers and trust them to do what’s best for patients.

Patient Acquisition: Unlike with a private practice, we’ll work to fill your schedule, so you don’t have to do your own marketing.

Psychiatrist Consultation & Peer Case Review: Access to psychiatrists for clinical consultation, escalations, and peer learning (no supervision requirement).

Competitive Pay: We compensate our providers at market-leading rates, reflecting your experience and performance.

Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease.

Legal Protection: We provide full malpractice insurance coverage.

Technical Support: We cover the costs for you to have best-in-class EHR and e-Prescribe tools.

Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.

Commitment to Quality Care: Psychiatric intakes are 1 hour, and follow-ups are 30 minutes (as they should be).

Tools for Responsible Prescribing: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.

Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our current PMHNPs have trained at prestigious institutions, including Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston.

Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers.

Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.

Licensure Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.

Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

Responsibilities

Excellent Patient Care: Evaluate and treat patients with conditions like depression, anxiety, ADHD, insomnia, PTSD, and bipolar disorder. Perform comprehensive psychiatric assessments, including mental health, medical history, and risk analysis. Use novel evidence-based treatments.

Compassionate Care Culture: Promote an environment of compassion, respect, and empathy in patient interactions and care approaches.

Holistic Treatment: Create and execute tailored treatment plans, combining medication and brief psychotherapy, in teamwork with other mental health and medical professionals.

Innovation in Treatment: Explore and integrate new therapeutic techniques and technologies to enhance patient outcomes and care efficiency.

Professional Growth: Participate in case reviews with peers and physicians to enhance clinical skills and foster ongoing learning.

Qualifications
  • Active, unrestricted license as a PMHNP in Utah (Utah APRN / PMHNP).

  • Board certification as a PMHNP (ANCC) (or equivalent PMHNP national certification).

  • Active DEA registration (required if prescribing controlled substances).

  • Eligible for Utah controlled substance privileges through DOPL as required for prescribing (as applicable to your role/panel).

  • At least 1 year of professional experience practicing as a PMHNP.

  • Commitment to a minimum 1-year tenure with our team.

  • Comfort providing care remotely via telehealth.

  • Strong clinical assessment, diagnostic, and medication management skills.

  • Excellent communication and interpersonal skills.

  • Comfort using technology and electronic health record systems.

  • Commitment to providing patient-centered, compassionate care.

Additional Information

Location:

This role is predominantly remote, with the potential for future in-person consultations.

Job type:

Part-time and full-time positions are available.

Members of our clinical and business advisory board include:

  • Madhukar Trivedi, M.D. [Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern]

  • Alexander Ruvalcaba, M.D. [Psychiatrist; Physician Executive at MultiCare Behavioral Health Network]

  • Jon Kole, M.D. [Psychiatrist; Medical Director at Headspace]

  • Liberty Eberly, D.O. [Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry]

  • John Lusins, M.D. [Psychiatrist; Founder and President at South Texas Mental Health Associates]

  • Samir Malik [ex-Founder at Genoa Telepsychiatry, Founder at firsthand]

  • Andrew Thompson [National COO at Pediatric Associates]

Compensation Range: $190K - $220K