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Remote Utilization Review Rn Jobs in Leander, TX

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Registered Nurse - AI Trainer

Austin, TX ยท Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

Remote Medical Scribe

Austin, TX ยท 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 ...

Chronic Care Coordinator

Austin, TX ยท 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 ...

Chronic Care Coordinator

Austin, TX ยท 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 ...

RN - AI Trainer

Round Rock, TX ยท Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

RN - AI Trainer

Austin, TX ยท Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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Showing results 1-20

Remote Utilization Review Rn information

See Leander, TX salary details

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$40

$65

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

As of Jul 13, 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 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 Leander, TX? For Remote Utilization Review Rn jobs in Leander, TX, the most frequently searched job titles 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:
Infographic showing various Remote Utilization Review Rn job openings in Leander, TX as of July 2026, with employment types broken down into 86% Full Time, 11% Part Time, and 3% Contract. Highlights an 40% Physical, 2% Hybrid, and 58% Remote job distribution, with an average salary of $84,033 per year, or $40.4 per hour.
Senior Product Manager - Medication Management (PharmD or RN Preferred)

Senior Product Manager - Medication Management (PharmD or RN Preferred)

Cantata Health Solutions, LLC

Austin, TX โ€ข Remote

$115K - $135K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Posted 7 days ago


Job description

This is a remote position.

We are hiring a Senior Product Manager to lead complex product initiatives across behavioral health EHR software, medication management solutions, and regulated healthcare workflows. This role is ideal for someone who can move quickly from insight to action, work across technical and clinical stakeholders, and guide product decisions in environments that balance evolving requirements, compliance needs, and delivery timelines.


Essential Duties and Responsibilities

  • Independently analyze customer requirements and workflows, industry trends, and technical standards to guide the direction of product development and ensure alignment with market needs, especially for complex product features and initiatives.
  • Document functional and technical specifications for sophisticated software enhancements, collaborating closely with engineering teams to translate advanced user needs into actionable features.
  • Benchmark company products against key competitors by evaluating capabilities, feature sets, and technical performance to identify high-impact improvement opportunities.
  • Develop, update, and maintain comprehensive technical documentation for internal teams, supporting implementation, support, and ongoing development efforts for complex solutions.
  • Contribute to all stages of the product lifecycle, including requirements gathering, technical planning, system design, testing, deployment, and post-release support, with a focus on independently managing complex projects.
  • Engage directly with stakeholders to elicit, clarify, and prioritize technical requirements for inclusion in the product roadmap, often handling the most challenging or critical initiatives.
  • Design software solutions that comply with relevant regulatory requirements (such as HIPAA, ONC) and interoperability protocols (such as HL7, FHIR), as well as OTP-specific regulatory frameworks (42 CFR Part 8, DEA Schedule II requirements), independently addressing complex compliance and integration scenarios.
  • Assist in maintaining and communicating a living technical product roadmap, ensuring alignment with organizational goals and timelines, and taking ownership of major roadmap elements.
  • Provide technical expertise and support to sales, customer success, and implementation teams, helping articulate product capabilities and solutions to customers, particularly for advanced or high-priority products and features.
  • Prepare and deliver clear technical reports, analyses, and forecasts for management, addressing topics such as product performance, reliability, and utilization, including those involving complex data or metrics.
  • Support software release cycles by coordinating with engineering to monitor production readiness and address deployment concerns, especially for major or technically challenging releases.
  • Lead or participate in technical assessments of proposed product features, including ROI analysis, feasibility studies, and schedule development in partnership with cross-functional teams, with a focus on complex or high-impact projects.
  • Collaborate across departments, including engineering, quality assurance, and deployment, to launch new technical features and product modules, independently driving cross-functional initiatives.
  • Recommend product pricing strategies based on detailed technical research, system resource requirements, and projected usage metrics, particularly for sophisticated or new product offerings.
  • Stay current with technological advancements and industry best practices by attending relevant workshops, reviewing technical literature, and participating in professional organizations, and proactively sharing insights with the team.
  • Generate regular and ad hoc technical reports for business and internal stakeholders, and support special technical projects as assigned, often leading the most complex or novel initiatives.


RequirementsMinimum Qualifications
  • Bachelor's degree in Business, Product Management, Nursing, Pharmacy, or related field (experience may substitute for education).
  • 7+ years' experience in a product manager role for an EHR, with a strong preference for experience in medication management; active or inactive RN or PharmD licensure strongly preferred, with hands-on clinical experience in medication management workflows.
  • Familiarity with acute care settings and their distinct medication administration workflows.
  • Demonstrated success leading and independently executing complex, customer-facing product initiatives that increase conversion and drive strategic outcomes.
  • Ability to quickly learn internal product processes, develop deep business expertise, and handle complex product management challenges independently.
  • Exceptional analytical, creative, and synthetic thinking skills, with the ability to solve advanced technical and business problems.
  • Excellent verbal, facilitation, and writing skills, including the ability to communicate complex concepts clearly to diverse audiences.
  • Effective customer service skills with prompt, professional issue resolution, especially in challenging or high-stakes situations.
  • Highly skilled at interacting with diverse groups across all organizational levels, with experience leading cross-functional teams.
  • Proven ability to work independently and as a leader within teams.


Preferred Qualifications
  • Masterโ€™s degree in Project Management, Business Management, or closely related field.
  • Pragmatic certification or similar credential.
  • Experience as a clinical or other behavioral healthcare provider.
  • Experience as an EHR administrator or other clinical software
  • Experience with OTP/MAT workflows and SAMHSA/DEA regulatory requirements for controlled substance dispensing.


Benefits

Fully Remote Workforce
As a virtual-first organization, we can attract the best talent no matter where we all live. This allows for added flexibility and a schedule that works for you.

Essential Benefits
We offer medical, dental, and vision insurance; 40l(k) with match; legal benefits; short-term and long-term disability coverage; life insurance; and paid time off.

Employee Recognition
Team members can reward each other with points to celebrate everyday wins and going above and beyond. Itโ€™s our way of saying โ€œnice jobโ€ in a way that really sticks.

Financial Incentives
Employees can benefit financially through the companyโ€™s success, referring top talent, and performance-based bonuses.


Salary: $115,000 - $135,000