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

Varsity Tutors

NCLEX-RN Tutor

Mckinney, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Carrollton, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Allen, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Grand Prairie, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Plano, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Irving, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Dallas, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Fort Worth, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Vytwo

Epic Tapestry UM Analyst

Prosper, TX · Remote

$50/hr

^Remote Work **Must be authorized to work in USA. We are seeking an experienced Epic Tapestry ... Clinical background (e.g., RN) or strong experience partnering with clinical reviewers and Medical ...

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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 Jun 13, 2026, the average hourly pay for remote utilization review rn in Dallas, TX is $41.84, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Dallas, TX? The most popular types of Utilization Review Rn jobs in Dallas, TX are:
What are popular job titles related to Remote Utilization Review Rn jobs in Dallas, TX? For Remote Utilization Review Rn jobs in Dallas, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Dallas, TX look for? The top searched job categories for Remote Utilization Review Rn jobs in Dallas, TX are:
What cities near Dallas, TX are hiring for Remote Utilization Review Rn jobs? Cities near Dallas, TX with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Verification Specialist PAIC I - Billing and Initiatives - Fulltime, Days

Verification Specialist PAIC I - Billing and Initiatives - Fulltime, Days

Texas Health Resources

Arlington, TX • On-site, Remote

$15.25 - $19/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 4 days ago

Texas Health Resources rating

7.7

Company rating: 7.7 out of 10

Based on 335 frontline employees who took The Breakroom Quiz

160th of 872 rated healthcare providers

Job description

Verification Specialist

Fast-paced, high-volume clinic looking for a top skilled Verification Specialist

Office location:  500 East Border Street   Arlington, Texas 76011

Work environment:  Remote within the Dallas/Fort Worth area

Work hours:  Full-time, 40 hours weekly; Monday thru Friday, (10am - 630pm)

Department Highlights:

       Promotional Opportunities

       Departmental Bonus Opportunities

       Working Remote Opportunity

What You Will Need:

       High School Diploma or equivalent (REQUIRED)

       One year of experience in a healthcare field, customer service, telemarketing, or call center environment (REQUIRED)

       Working knowledge of medical terminology (REQUIRED)

       Insurance Verification experience (PREFERRED)

What You Will Do:

       Complete verification and pre-certification processes for pre-admitted/admitted/discharged patient accounts in compliance with productivity and accuracy requirements set forth by Patient Access leadership

       Communicate with patients, Utilization Review, Financial Counselors, etc. regarding out of network coverage, inactive benefits, or items requiring special attention

       Utilize tools such as VoiCert, PixCert, Monitored Call, NEBO, ECARE, etc. to complete verifications, precertifications, and notifications as required and ensure the system maxims revenue for the account

Additional perks of being a Texas Health employee

       Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.

       Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.

       Strong Unit Based Council (UBC).

       A supportive, team environment with outstanding opportunities for growth.

Entity Highlights:

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.  It has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals.

At Texas Health, we strive to create an atmosphere of respect, integrity, compassion, and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.         

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What Texas Health Resources employees say

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Benefits

Hours and flexibility

Workplace

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About Texas Health Resources

Sourced by ZipRecruiter

Texas Health Resources is a major player in the healthcare industry, located in Arlington, TX, US. With its roots dating back to 1922, and an amalgamation of multiple area hospitals in 1982, the organization has since evolved into one of the largest faith-based, nonprofit health systems in the United States, taking care and improving the health of people in the communities it serves. Staying aligned with its aim to enhance public health, the company's core services encompass a wide range of medical treatments, general wellness programs, fitness, and rehabilitation, continually expanding its healthcare infrastructure, and establishing collaborations for advanced medical research.

Industry

Outpatient health care

Company size

10,000+ Employees

Headquarters location

Arlington, TX, US

Year founded

1997

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