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Remote Utilization Review Rn Jobs in Leander, TX

Ascension

Utilization Management Coordinator

Austin, TX · Remote

$23.60 - $31.92/hr

Austin, TX - Partially Remote Facility: Ascension and Texas Administrative Office Department ... nurse review. What You Will Need Education: * High School diploma equivalency OR 1 year of ...

Varsity Tutors

NCLEX-RN Tutor

Round Rock, 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

Austin, 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 ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Leander, TX

Remote Utilization Review Rn information

See Leander, TX salary details

$20

$40

$65

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

As of Jun 21, 2026, the average hourly pay for remote utilization review rn in Leander, TX is $40.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $46.39 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 popular job titles related to Remote Utilization Review Rn jobs in Leander, TX? For Remote Utilization Review Rn jobs in Leander, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Leander, TX look for? The top searched job categories for Remote Utilization Review Rn jobs in Leander, TX are:
What cities near Leander, TX are hiring for Remote Utilization Review Rn jobs? Cities near Leander, 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 Leander, TX as of June 2026, with employment types broken down into 76% Full Time, 12% Part Time, 6% Temporary, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $84,033 per year, or $40.4 per hour.
Registered Nurse, Utilization Review

Registered Nurse, Utilization Review

MMC Group

Austin, TX • Remote

Other

Medical, Dental, Vision, Life

Posted 3 days ago

Job description

Registered Nurse, Utilization Review (Remote)
Local Candidates in the Austin, TX Area Only
Long Term Opportunity | High Potential for Extension
Use Your Clinical Expertise to Improve Healthcare Outcomes, Without Providing Direct Patient Care
Are you an experienced Registered Nurse looking to transition away from bedside care while continuing to make a meaningful impact on patients' healthcare journeys? If you have a strong clinical background and experience evaluating medical necessity, this is an excellent opportunity to utilize your nursing expertise in a remote, collaborative environment.
Join a team dedicated to ensuring members receive medically appropriate, high quality, and cost-effective healthcare services while working alongside physicians, healthcare providers, and interdisciplinary teams.
Why You'll Love This Opportunity
  • Remote position for candidates living in the Austin, Texas area
  • No direct patient care
  • Long term contract with a high likelihood of extension
  • Monday through Friday schedule with occasional approved overtime
  • Opportunity to use your clinical knowledge to improve healthcare quality and outcomes
  • Collaborative and supportive team environment
  • Work with leading healthcare professionals and providers across Texas
Schedule
  • Must be available to work any 8-hour shift between 7:00 AM and 7:00 PM
  • Required shift availability includes 10:00 AM to 7:00 PM
  • Occasional overtime may be required and approved based on business needs
What You'll Do
As a Utilization Review Registered Nurse, you will use your clinical judgment to evaluate medical services and ensure members receive appropriate, medically necessary care.
Your responsibilities will include:
  • Conduct pre-service, concurrent, and retrospective utilization reviews
  • Evaluate medical necessity for outpatient services and out-of-network care
  • Assess the appropriateness of treatment settings using evidence based clinical guidelines
  • Collaborate with physicians, healthcare providers, and interdisciplinary teams
  • Promote high-quality, cost-effective healthcare outcomes
  • Optimize member benefits while ensuring compliance with Medicaid requirements
  • Apply Texas Administrative Code (TAC) guidelines and medical necessity criteria
  • Document review decisions accurately and thoroughly
  • Maintain productivity, quality, and compliance standards
  • Participate in team meetings, training, and continuous improvement initiatives
Qualifications
We're looking for professionals who have:
  • Current Registered Nurse (RN) license in good standing
  • Experience performing Utilization Review, Case Management, Care Management, or Medical Necessity reviews
  • Knowledge of Medicaid programs and utilization management principles
  • Experience applying medical necessity criteria
  • Understanding of the Texas Administrative Code (TAC)
  • Strong clinical assessment and critical thinking skills
  • Excellent written and verbal communication abilities
  • Strong organizational and time management skills
  • Ability to work independently in a remote environment
Technical Skills
  • Microsoft Word
  • Microsoft Excel
  • Electronic documentation systems
  • Ability to navigate multiple computer applications simultaneously
Ideal Candidate
You'll thrive in this role if you:
  • Enjoy using clinical expertise to improve healthcare outcomes
  • Have exceptional analytical and critical thinking skills
  • Are detail oriented and able to make sound clinical decisions
  • Communicate professionally with providers and interdisciplinary teams
  • Can manage multiple priorities in a fast-paced environment
  • Work independently while remaining engaged with a collaborative remote team
Apply Today!
If you're ready to leverage your nursing experience in a rewarding remote role that supports quality healthcare delivery, we'd love to hear from you.
This is an outstanding opportunity for an experienced Registered Nurse seeking a professional, non-bedside position with long term potential and meaningful impact!
Job Requirements
Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
We have built our reputation on partnering with our clients and candidates to achieve the desired results. Our recruiting professionals have extensive experience matching the right candidate, to the right client, for the right position. We provide the best opportunities to the most talented candidates in a multitude of industries.
MMC is a privately owned business with corporate headquarters in Irving, Texas. With 2,000+ employees, working in 40+ states, MMC is able to support all United States locations, and some international locations.
We appreciate your interest in reviewing this particular position and we encourage you to visit our website where you can always search and apply for opportunities at www.mmcgrp.com
Benefits with MMC Group
MMC offers health insurance plans for our active candidates on assignment, including:
  • Medical, dental, and vision coverage
  • Life and disability insurance
  • Additional voluntary benefits

Join MMC and enjoy the support of a team that values your well-being, both on and off the job!
MMC strives to ensure all job postings confirm details of the position, the rate of pay, and acknowledge that medical benefits are offered.
Get started on your career journey today! Apply to become a part of the MMC Team!
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

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