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

LPN Intake Specialist Remote

Paris, TX ยท On-site +1

$13.50 - $18/hr

Description LVN Intake Specialist Full-Time | Remote - Must live near one of these locations ... Perform review and approval of face-to-face encounters. * Coordinates daily as needed with all ...

Remote Utilization Review Rn information

See Paris, TX salary details

$16

$32

$52

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

As of Jun 29, 2026, the average hourly pay for remote utilization review rn in Paris, TX is $32.16, according to ZipRecruiter salary data. Most workers in this role earn between $25.43 and $36.92 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 Paris, TX? For Remote Utilization Review Rn jobs in Paris, TX, the most frequently searched job titles are:
What cities near Paris, TX are hiring for Remote Utilization Review Rn jobs? Cities near Paris, TX with the most Remote Utilization Review Rn job openings:
LPN Intake Specialist Remote

LPN Intake Specialist Remote

Mays Plus

Paris, TX โ€ข On-site, Remote

$13.50 - $18/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 10 hours ago


Key responsibilities

  • Process and manage client referrals accurately and efficiently.

  • Perform referral entry and ensure all referrals have appropriate documentation, including Face-to-Face encounter reviews and approvals.

  • Coordinate with Admission Coordinators and office DON to assist in admitting pending referrals and ensure compliance with guidelines.


Job description

Description
LVN Intake Specialist
Full-Time | Remote - Must live near one of these locations - Lubbock, TX / Norman, OK / Paris, TX / McKinney, TX
Full Time Benefits available, but not limited to:
  • Medical - We offer 3 options including PHCS PPO Plan, PHCS HSA Plan, or Preventive Plus.
  • Dental and Vision - Take advantage of our Dental and VSP plans!
  • 401k Match - We offer a very generous 401k match!
  • Paid Time Off - You will begin earning paid time off from day one!
  • AFLAC - You can access short term disability, accident, and cancer policies through AFLAC.

Part-Time & PRN Benefits
  • Medical - Part-time and prn staff are offered Preventive Plus Plan coverage.
  • 401k Match - If you average over 1000 hours per year, we offer a very generous 401k match!
  • AFLAC -You can access short term disability, accident, cancer policies through AFLAC.

MINIMUM QUALIFICATIONS
  • LVN/LPN in good standing with a compact or multi-state license.
  • Strongly prefer a minimum of 2 years of Home Health experience.
  • Has previous computer experience, preferably in home health or similar operation. Able to use a variety of software applications.
  • Prefer ability to type at least 50 words per minute. Has ability to use personal computer, copier, scanner and facsimile machine.
  • Knowledge of medical terminology and ICD-10 coding preferred.
  • Highly attentive to details and accuracy.
  • Able to be assertive with authority figures, e.g. physician's offices.
  • Has excellent observation and communication skills.
    Is flexible and cooperative in fulfilling all obligations.
    Positive attitude.
  • Willing to be part of a team.
  • Excellent interpersonal and phone skills.
  • Possesses good organizational skills.
  • Assertive and quick. Able to multitask.

SUMMARY OF JOB RESPONSIBILITIES
The Intake Specialist is responsible for ensuring that all client referrals are processed and managed in an accurate, timely, coordinated and efficient manner. The Intake Specialist will also be responsible for the Face-to-Face review and approval for the referrals processed.
RESPONSIBILITIES AND DUTIES
  • Promotes a positive work environment by consistently interpreting agency philosophy, mission, values, and standards of care.
  • Performs Referral entry into HCHB.
  • Ensures all Referrals have appropriate documentation including ensuring all Face to Face Encounters meet Medicare guidelines coordinating as needed with office DON.
  • Runs required daily reports, ensuring correct documentation on all referrals.
  • Perform review and approval of face-to-face encounters.
  • Coordinates daily as needed with all Admission Coordinators in HCHB to assist in coordinating admit for any pending referrals.
  • Ensures that back up Intake person is aware and competent to process any pending patients if not in office.
  • Assists personnel with other duties as assigned by Director of Intake Services.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.
Our agency is an Equal Opportunity Employer and does not discriminate based on race, color, national origin, sex, religion, age or disability in employment or the provision of services.

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About Mays Plus

Sourced by ZipRecruiter

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Oklahoma City, OK, US

Year founded

1997