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Remote Utilization Review Rn Jobs in Georgetown, TX

Scribe-X

Remote Medical Scribe

Austin, TX · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

LOGIC Health Management

Chronic Care Coordinator

Austin, TX · On-site +1

$19 - $25.75/hr

Active credential or licensure as an MA, CNA, CMA, LPN/LVN, or RN preferred Benefits Contract Details * Contract-based position with potential for renewal or expansion * Remote position * Training ...

LOGIC Health Management

Chronic Care Coordinator

Austin, TX · Remote

$19.75 - $26.50/hr

Active credential or licensure as an MA, CNA, CMA, LPN/LVN, or RN preferred Benefits Contract Details * Contract-based position with potential for renewal or expansion * Remote position * Training ...

Curative HR LLC

Specialty UM Pharmacist

Austin, TX · Remote

This is a REMOTE Position with RPh Licensure required in the state of residence. ESSENTIAL DUTIES ... review from Adverse Determination, Appeals and IRO * Supports and manages utilization management ...

Curative HR LLC

Specialty UM Pharmacist

Austin, TX · On-site +1

$130K - $150K/yr

This is a REMOTE Position with RPh Licensure required in the state of residence. ESSENTIAL DUTIES ... review from Adverse Determination, Appeals and IRO * Supports and manages utilization management ...

Curative HR LLC

Specialty UM Pharmacist

Austin, TX · Remote

This is a REMOTE Position with RPh Licensure required in the state of residence. ESSENTIAL DUTIES ... review from Adverse Determination, Appeals and IRO * Supports and manages utilization management ...

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Georgetown, TX

Remote Utilization Review Rn information

See Georgetown, TX salary details

$19

$39

$64

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

As of Jun 8, 2026, the average hourly pay for remote utilization review rn in Georgetown, TX is $39.29, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.10 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 popular job titles related to Remote Utilization Review Rn jobs in Georgetown, TX? For Remote Utilization Review Rn jobs in Georgetown, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Georgetown, TX look for? The top searched job categories for Remote Utilization Review Rn jobs in Georgetown, TX are:
What cities near Georgetown, TX are hiring for Remote Utilization Review Rn jobs? Cities near Georgetown, TX with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics

Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics

Modern Pediatrics of Austin

Austin, TX • On-site, Remote

Part-time

PTO

Posted 26 days ago

Job description

Note: We recently made a hire for this position, but we'll be hiring additional providers soon. If you're a qualified candidate, we encourage you to apply now so we can fast-track you when we're ready to bring on our next provider! Also, we're open to other relevant professionals, such as licensed vocational nurses (LVNs). Finally, we're open to remote providers who don't live in Austin, TX.
About Us
Modern Pediatrics (MP) is a primary care pediatrics practice that was founded on the singular goal of creating the very best possible experience imaginable for children and their families. Following this goal as our North Star, we developed a unique care model that includes the following:
  • All well-child and illness care occurs in the patient's home
  • 24/7 accessibility through virtual care (text message, phone, video visit)
  • High-quality, evidence-based care, using the most up to date research available
  • Thoughtful, empathic relationship building, which creates a profound depth of connection with our families
  • Membership pricing which makes this service available to the broadest range of families possible, not just the wealthy
  • Tech-forward approach to everything we do for our patients and families

Since our 2020 launch in Austin, we've found that families absolutely love this model of care! You can find some of our patient reviews here to get a better feel.
At the end of the day, Modern Pediatrics is simply about amazing medical professionals providing truly exceptional care to children and their families. Our job is to hire the very best people (that's you!), and give them everything they need to do their jobs beautifully.
This Role
  • Hours: Evening & Weekend (~10-15 hours within these windows)
    • Weekdays: 5:00pm - 8:00pm
    • Weekends: 8:00am - 8:00pm
    • These hours aren't set in stone - let's talk!
  • Clinical
    • Triaging text messages and calls from caregivers and providing clinical guidance.
    • The bulk will be responding to non-urgent and urgent text messages/pictures/videos/phone calls from parents regarding their clinical questions, and providing them the appropriate assessment and plan for their child.
    • You and the on-call PCP on call will manage these messages together, communicating and learning from one another.
    • More brains are better than one!
  • Administrative
    • Documenting vaccine records for new patients
    • Creating vaccine catch-up schedules for new patients who are behind
    • Uploading test results and clinic notes from referral partners
    • Other administrative items as needed
Why Join MP?
  • Competitive hourly pay
  • Amazing colleagues
  • Very happy patients
  • PTO
About You
  • Must have experience in a pediatrics practice as a triage nurse or MA.
  • High level of emotional intelligence and an empathy-first approach to working with your patients' parents and caregivers
    • The depth of connection with our families is the core of our success as an organization
  • Thrive in a team-centered environment. Willingness to ask for help from your team members when you need it
  • Driven in your pursuit of professional growth and life-long learning
  • Confidence in your abilities, but not afraid to admit your weaknesses in the pursuit of learning
  • Willingness to go above and beyond for the needs of our patients/families and the organization as a whole

Apply