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

Dane Street, LLC

Certified Professional Coder

Houston, TX · Remote

$21.75 - $29/hr

Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...

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 ...

Tuesday Health

Clinical Supervisor (Texas)

Houston, TX · Remote

Active unrestricted Registered Nurse (RN) license in the State of Texas (multi-state compact ... Remote work with multiple onsite sessions each year to maximize collaboration and team building * A ...

Scribe-X

Remote Medical Scribe

Houston, 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 ...

Scribe-X

Remote Medical Scribe

Houston, 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 ...

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Showing results 21-40

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

Remote Utilization Review Rn information

See Katy, TX salary details

$19

$38

$63

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

As of Sep 14, 2026, the average hourly pay for remote utilization review rn in Katy, TX is $38.79, according to ZipRecruiter salary data. Most workers in this role earn between $30.67 and $44.57 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 popular job titles related to Remote Utilization Review Rn jobs in Katy, TX?

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

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

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

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

Cities near Katy, 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 Katy, TX as of September 2026, with employment types broken down into 79% Full Time, 11% Part Time, and 10% Contract. Highlights an 2% In-person, and 98% Remote job distribution, with an average salary of $80,689 per year, or $38.8 per hour.

Certified Professional Coder

Houston, TX • Remote

Dane Street, LLC
Insurance Actuarial and Claim Adjusting Services • 51 - 200 employees
Learn more about Dane Street, LLCexternal

$21.75 - $29/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Key responsibilities

  • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS).

  • Conduct utilization reviews to assess medical necessity and documentation compliance.

  • Review medical records and billing for payer disputes, recoupments, and appeals, and prepare detailed audit reports.

Job description

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES.

We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments.

Responsibilities:

Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)

Conduct utilization reviews to assess medical necessity and documentation compliance

Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases

Analyze medical records for payer disputes, recoupments, and appeals

Prepare detailed, defensible written audit reports

Provide expert review, affidavit support, deposition preparation, and testimony when required

Interpret CMS guidelines, LCD/NCD policies, and state-specific Medicaid and commercial payer rules

Review E/M services under 2021+ guidelines

Identify compliance risks and documentation deficiencies

Requirements

  • Active CPC certification through the American Academy of Professional Coders (AAPC)
  • CPMA strongly preferred
  • Minimum 5-7 years of professional coding experience
  • Documented experience performing audits or utilization reviews in multiple states
  • Strong knowledge of CMS regulations and state Medicaid variations
  • Experience with Medicare, Medicare Advantage, and commercial payer audits
  • Prior demand package review or litigation support experience required
  • Deposition and/or expert testimony history preferred
  • Excellent written reporting and analytical skills
  • Ability to work independently and meet strict deadlines
  • Preferred Experience:
  • RAC, UPIC, or commercial payer audit response
  • Multi-state Medicaid policy interpretation
  • Expert witness experience in civil litigation
  • Data analysis and audit trend reporting
  • This position may be structured as part time Candidates must be comfortable reviewing policies and payer rules across multiple jurisdictions and is able to do multiple types of reviews/audits

Benefits

Join our team at Dane Street and enjoy a comprehensive benefits package designed to support your well-being and peace of mind. We offer a range of benefits including medical, dental, and vision coverage for you and your family. Additionally, we offer voluntary life insurance options for you, your spouse, and your children. We also offer other voluntary benefits which include hospital indemnity, critical illness, accident indemnity, and pet insurance plans. Employees receive basic life insurance, short-term disability, and long-term disability coverage at no cost. Our generous paid time off policy ensures you have time to relax and recharge, while our 401k plan with a company match helps you plan for your future. Apple equipment and a media stipend are provided for remote workspace. 

ABOUT DANE STREET:

A fast-paced, Inc. 500 Company with a high-performance culture, is seeking insightful forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers' Compensation, Disability, Auto, and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers, and Pharmacy Benefit Managers. We provide customized Independent Medical Exams and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

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