ZipRecruiter

Log In

2

Remote Utilization Review Rn Jobs in Pflugerville, TX

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 ...

My Face Lady

Austin Aesthetic Injector

Austin, TX · Remote

$102K - $138K/yr

Current, unencumbered NP/PA/RN license in Texas * Aesthetic Training Certification (or willingness ... Review monthly updates and company communications * Treat a minimum of 4 patients per month Ideal ...

Varsity Tutors

NCLEX-PN Tutor

Austin, TX · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

previous page

Showing results 41-60

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

Remote Utilization Review Rn information

See Pflugerville, TX salary details

$20

$39

$64

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

As of Sep 2, 2026, the average hourly pay for remote utilization review rn in Pflugerville, TX is $39.77, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $45.67 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 Pflugerville, TX?

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

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

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

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

Cities near Pflugerville, 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 Pflugerville, TX as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 2% Contract, and 2% Nights. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $82,726 per year, or $39.8 per hour.

Chronic Care Coordinator

LOGIC Health Management

Austin, TX • Remote

$19.75 - $26.50/hr

Full-time

Re-posted 10 days ago

Job description

Position Summary
We are seeking a detail-oriented and compassionate Personal Care Coordinator to support patients across multiple care management programs, including CCM, PCM, RPM, RTM, APCM, TCM, BHI, CHI, and PIN. This role supports clinical and operational workflows, ensuring patients receive timely, personalized, and compliant support across care transitions, chronic condition management, behavioral health, and preventive care pathways.

We are a fast-growing organization building scalable, patient-centered care management operations. This is an opportunity for a self-starter who wants to do meaningful work in a remote environment and grow with the company over time. For the right person, this role can develop into a broader and more impactful position as our programs, team, and clinical operations continue to expand.

We believe care should be compassionate, accountable, and patient-centered. This role is part of a broader mission to deliver high-quality, equitable care that improves patient outcomes and access. Personal Care Coordinators are expected to reflect these values in every patient interaction, team collaboration, and operational decision. Visit logichm.com to learn more.

Key Responsibilities

  • Conduct structured outreach, engagement, and follow-up across assigned patient panels
  • Document patient interactions and coordinate next steps using standardized workflows and documentation protocols
  • Coordinate care transitions, medication reconciliation, and patient needs assessments for TCM and PIN populations
  • Monitor biometric data and symptom trends for RPM/RTM patients, escalating concerns in accordance with established clinical protocols
  • Support behavioral health integration (BHI/CHI) through screening, referral coordination, and care plan updates
  • Facilitate care team coordination and task routing across assigned workflows
  • Maintain audit-ready documentation and contribute to dashboard inputs for operational tracking
  • Collaborate with interdisciplinary teams to ensure equity, compliance, and patient-centered outcomes
  • Support a whole-person approach to care that recognizes patients’ physical, emotional, and social needs

Requirements

Qualifications

  • Experience in care coordination, case management, health navigation, or a similar patient-support role preferred
  • Familiarity with CMS care models and care management documentation and billing requirements preferred
  • Strong communication, documentation, organization, and time management skills
  • Comfort with digital platforms, dashboards, EMRs, and remote engagement tools
  • Commitment to equitable, patient-centered, and scalable care delivery
  • 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 provided on internal workflows, escalation protocols, and documentation standards
  • Opportunity for growth and expanded responsibility as the organization continues to scale