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

Meds

Director of Recruiting

Austin, TX · Remote

Proven track record scaling remote clinical teams (specifically Nurse Practitioners and RNs) in high-volume, multi-state environments. * Deep understanding of medical licensing and regulatory ...

Meds

Clinical Lead Recruiter

Austin, TX · Remote

Proven track record scaling remote clinical teams (specifically Nurse Practitioners and RNs) in high-volume, multi-state environments. * Deep understanding of medical licensing and regulatory ...

Amergis Healthcare Staffing

Clinic LPN/LVN

Austin, TX · Remote

In this fully remote role, LVNs work closely with providers and multidisciplinary healthcare teams to support care coordination, manage clinical documentation, review patient information, and assist ...

New

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 ...

Oshi Health

Registered Dietitian

Austin, TX · Remote

$75K - $80K/yr

Collaborate with a multidisciplinary team of GI physicians, NP/PAs, and psychologists to ensure a ... Remote-first flexibility -- work from home anywhere within our accepted states * Growth:

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 ...

YO AI Labs

Pharmacovigilance Expert - Remote

Austin, TX · Remote

$70 - $80/hr

Author and review evaluation tasks based on DSURs, PSURs/PBRERs, safety data, and case-level ... Advanced degree in life sciences, pharmacy, nursing, medicine, or related fields (PharmD, MD, MSc ...

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Showing results 21-40

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

Remote Utilization Review Rn information

See Kyle, TX salary details

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

As of Aug 12, 2026, the average hourly pay for remote utilization review rn in Kyle, TX is $40.57, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 per hour, depending on experience, location, and employer.

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 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 Kyle, TX? For Remote Utilization Review Rn jobs in Kyle, TX, the most frequently searched job titles are:
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What cities near Kyle, TX are hiring for Remote Utilization Review Rn jobs? Cities near Kyle, 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 Kyle, TX as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,389 per year, or $40.6 per hour.

Clinical Care Manager, RN - Home Health

VitalCaring Group

Austin, TX • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Clinical Care Manager (RN) - Home Health

VitalCaring - Where Your Leadership Drives Patient Outcomes

At VitalCaring, we don't just deliver care - we create meaningful connections that change lives. As a Clinical Care Manager (RN), you are at the center of that impact - leading coordination of care, guiding clinical decisions, and ensuring every patient receives the quality and attention they deserve.

This is a role for a strong clinician who thrives in ownership, collaboration, and a fast-paced environment - someone who can connect the dots across patients, providers, and teams to deliver exceptional outcomes.

If you have a passion for home health and want to lead care that truly makes a difference, this is where you belong.

Why Join VitalCaring?

  • Lead the patient journey - Serve as the clinical quarterback, ensuring care is coordinated, compliant, and aligned to patient needs
  • Autonomy with support - Manage your day independently with strong leadership and clear processes behind you
  • Meaningful impact - Your decisions directly influence patient outcomes, experience, and quality of care
  • Work-life balance that's real - Full-time salaried role with flexibility and generous PTO
  • Growth-focused culture - Be part of a team that invests in your development and success

What You'll Do

Lead and coordinate care across the full patient journey:

  • Coordinate and integrate patient care across clinicians, caregivers, and providers
  • Manage physician orders, documentation, and workflows within the EMR
  • Partner with Intake to support timely admissions and reduce referral delays
  • Conduct ongoing patient assessments and ensure plan-of-care alignment
  • Review clinical reports (occurrences, infection control, on-call) and take appropriate action
  • Lead case conferences, recertifications, and discharge planning
  • Ensure compliance with clinical, state, and federal regulations
  • Serve as a key liaison between physicians, patients, families, and internal teams
  • Support care delivery through in-home visits as needed

What We're Looking For

We're seeking RNs who understand the pace, accountability, and impact of home health care:

  • Active RN license in state of practice 
  • Graduate of an accredited nursing program (BSN preferred)
  • Home Health experience strongly preferred
  • Experience in care coordination, case management, or clinical leadership preferred
  • Strong clinical judgment and ability to manage multiple priorities
  • Confident communicator with the ability to collaborate across disciplines
  • Comfortable working independently in a fast-paced, field-based environment

What Sets You Apart

  • Proven ability to manage complex patient cases and coordinate across teams
  • Confidence making clinical decisions and driving outcomes
  • Strong organizational skills with attention to detail in documentation and compliance
  • Ability to proactively identify issues and take action
  • A natural balance of accountability, leadership, and compassion

Benefits

Health & Wellness

Medical, Dental, and Vision coverage

Pharmacy benefits

Virtual care and mental health support

Flexible Spending Accounts (FSA) and Health Savings Account (HSA)

Supplemental health and life insurance

Financial & Protection

401(k) with company match

Employee referral program

Prepaid legal services

Identity theft protection

Work-Life Balance & Perks

Generous paid time off

Pet insurance

Tuition and continuing education reimbursement

At VitalCaring, our values - trustworthy, capable, compassionate, proactive, and called - guide how we care for our patients and support each other every day.

Apply today and lead care that truly matters.

All employment decisions are made without regard to race, color, religion, sex, gender identity or expression, sexual orientation, national origin, age, disability, veteran status, or any other protected characteristic. Candidates are evaluated based on job-related qualifications, skills, and business needs.

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