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Remote Utilization Review Rn Jobs in Houston, TX

CareVitality Inc

Care Manager - Remote

Houston, TX · Remote

$60K - $77K/yr

Create, review, and update patient-centered care plans based on physical, mental, cognitive ... An active clinical license or credential (such as RN, BSN, LCSW, or equivalent) is required. * A ...

CommonSpirit Health

Care Transformation RN

Houston, TX · Remote

$41.14 - $67.88/hr

Job Summary and Responsibilities Thiis is a remote position requring travel to support enterprise ... Serve as a Virtual RN (VIC RN) for 50% of the role, providing direct patient care during ...

Insight Global

Telehealth RN

Texas City, TX · Remote

$32 - $39/hr

We are seeking Telehealth RNs and LPNs to support patients with chronic lung illnesses and ... These roles are 100% remote and involve conducting outbound calls to patients and receiving inbound ...

New

Varsity Tutors

NCLEX-RN Tutor

Missouri City, TX · Remote

$18 - $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

Sugar Land, TX · Remote

$18 - $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

Pearland, TX · Remote

$18 - $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

Houston, TX · Remote

$18 - $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 ...

86Borders

Remote Care Coordinator Nurse

Houston, TX · Remote

Active and unrestricted Licensed Vocational Nurse / License Practical Nurse (LVN/LPN) or Registered ... Dedicated home office for remote work * 1+ years of remote work experience * Experience working ...

Mercor

Case Management Leader - AI Trainer

Houston, TX · Remote

$100 - $150/hr

... (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities * Lead utilisation management and case management operations, including concurrent review ...

Mercor

Case Management Expert - AI Trainer

Houston, TX · Remote

$100 - $150/hr

... (RN/Physician-advisor) Type: Contract Compensation: $100-$150/hour Location: Remote Role Responsibilities * Lead utilisation management and case management operations, including concurrent review ...

New

Sedgwick

RN Field Case Manager

Houston, TX · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Houston, TX region and must live in ... remote work environment that allows face-to-face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Houston, TX · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Houston, TX region and must live in ... remote work environment that allows face-to-face interaction with injured workers and medical ...

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

Remote Utilization Review Rn information

See Houston, TX salary details

$18

$36

$59

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Houston, TX is $36.55, according to ZipRecruiter salary data. Most workers in this role earn between $28.89 and $41.97 per hour, depending on experience, location, and employer.

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

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 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 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 the most commonly searched types of Utilization Review Rn jobs in Houston, TX?

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

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

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

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

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

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

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

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $76,016 per year, or $36.5 per hour.

Oncology Telehealth Nurse - Remote

Avacend Inc

Houston, TX • Remote

$39/hr

Contractor

Re-posted 12 days ago

Job description

The Remote Oncology Triage Nurse provides telephonic triage services, assessing patient needs and collaborating with qualified staff to ensure appropriate care. This role involves documenting all care elements in the patient's medical record and accurately identifying high-risk conditions, providing patient education and directing additional care to appropriate resources if necessary. Under general supervision, the nurse delivers professional nursing care adhering to national and organizational standards and guidelines, as well as state licensing board scope of practice. The candidate must recognize the physical, psychological, and spiritual aspects of patient care and participate in company-wide quality initiatives. This pivotal role supports the US Oncology Compliance Program, including the Code of Ethics and Business Standards, to ensure patients receive timely and expert guidance, enhancing patient outcomes and satisfaction.

Required:

• Working hours of 7am-4pm Central time, Monday – Friday.

• Active and unrestricted Registered Nurse (RN) Texas or other compact state license (additional state licenses may be required).

• Oncology Certified Nurse (or required to obtain within 1 year).

• Minimum of 3 years of clinical nursing experience, with at least 2 recent years in oncology.

• Excellent communication and interpersonal skills.

• Strong critical thinking and problem-solving abilities.

• Proficiency in using electronic health record systems and telecommunication tools.

• Ability to work independently and manage time effectively in a remote environment.

• Compassionate, patient-centered approach to care.

• Attend all onsite meetings and trainings located in The Woodlands, Tx office.