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

IQVIA

Flex Nurse Educator

Flower Mound, TX · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

IQVIA

Flex Nurse Educator

Dallas, TX · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

Oshi Health

GI- Nurse Practitioner

Dallas, TX · Remote

Preferred RN compact License Required Location: We are only hiring from the following states ... Remote-first -- work from home anywhere in the US within our approved states * Growth: Advanced ...

IQVIA

Flex Nurse Educator - Dallas W, TX

Dallas, TX · Remote

Deliver remote patient education, including medication administration training and adherence ... Active RN license in good standing (compact multi-state preferred); may be required to obtain ...

FCCI Insurance Group

Medical Case Manager

Richardson, TX · On-site +1

$62K - $96K/yr

We are seeking a licensed Registered Nurse to provide telephonic case management on assigned ... s) through utilization of established guidelines to determine appropriate medical treatment ...

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

Remote Utilization Review Rn information

See Plano, TX salary details

$20

$39

$64

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

As of Aug 19, 2026, the average hourly pay for remote utilization review rn in Plano, TX is $39.53, according to ZipRecruiter salary data. Most workers in this role earn between $31.25 and $45.38 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 Plano, TX?

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

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

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

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

Cities near Plano, 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 Plano, TX as of August 2026, with employment types broken down into 60% Full Time, 20% Part Time, and 20% Contract. Highlights an 100% Remote job distribution, with an average salary of $82,216 per year, or $39.5 per hour.

Flex Nurse Educator

IQVIA

Flower Mound, TX • Remote

Full-time

Posted 4 days ago

IQVIA rating

8.1

Company rating: 8.1 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

62nd of 224 rated it services

Job description

Flex Nurse Educator

IQVIA - Advancing Patient Support and Education. IQVIA, the world's premier provider of commercial healthcare solutions, is seeking licensed healthcare professionals for the position of Flex Nurse Educator. This role supports patient care through both remote and, when required, in-field coverage, ensuring continuity during staff absences and territory vacancies.

Job Responsibilities:
  • Deliver remote patient education, including medication administration training and adherence support, via telephonic, video, email, SMS, and secure messaging platforms.
  • This is an educational, non-clinical position. Nurse Educators do not provide medical advice but empower patients to manage their disease and improve treatment compliance. Join IQVIA's team of over 10,000 representatives and help deliver medical breakthroughs to those who need them most.
  • Provide in-person support and education exclusively during coverage of territory vacancies, such as home visits and other approved designated locations, maintaining privacy and high educational standards.
  • Facilitate connections to program-approved resources and encourage dialogue between patients and healthcare providers.
  • Maintain accurate documentation, follow approved protocols, and uphold KPIs and compliance standards.
  • Collaborate with District Managers and Field Leadership, participate in training sessions and strategic planning, and assist in onboarding and mentoring new team members as needed.
  • Coordinate and facilitate the connection between patients and program-approved, patient-based resources.
  • Provide educational training to patients on specific disease states and prescribed medication.
  • Provide patient-focused education to empower patients to adhere to specific treatment compliance as directed by their HCP.
  • Foster appropriate dialogue between patient and health care provider
  • Support patients throughout their treatment journey, addressing access barriers and promoting behavioral change for optimal health outcomes.
  • Participate in ongoing professional development, team meetings, and quality improvement initiatives.
  • Adhere strictly to program guidelines, ensuring non-clinical and educational interactions with patients.
  • Uphold territory-specific targets and compliance with company and regulatory standards.
Schedule
  • Ability to travel up to 50% for in-field assignments and coverage as needed.
  • Monday - Friday and flexibility to work weekends and evenings
Required Qualifications:
  • Active RN license in good standing (compact multi-state preferred); may be required to obtain additional licensure in multiple states.
  • Bachelor's degree
  • Must possess or be willing to obtain a California RN Licensure if residing in the Mountain or Pacific time zone
  • Must reside within the specific geography
  • At least 5 years clinical experience in hospital, home health, pharmaceutical, or biotech settings.
  • Exceptional communication, organization, and time management skills, including experience managing multiple territories and prioritizing projects and deadlines.
  • Proficient in virtual platforms, documentation, MS Office, and iPad technology
  • Private designated workspace at home required
  • Driving is required for this role. Candidates must possess a valid driver's license and will be subject to a review of their driving record prior to hire.
  • Must reside in country where the job is posted.
Preferred Qualifications:
  • Nurse educator background a plus
  • Bilingual in English/Spanish and prior Ambassador experience desirable.
  • BSN preferred

Compensation

  • Competitive annual salary

  • Bonus eligibility

This is an educational, non-clinical position. Nurse Educators do not provide medical advice but empower patients to manage their disease and improve treatment compliance.

Note: This role is not eligible for visa sponsorship. Candidates must have authorization to work in the US without the need for sponsorship.

#LI-CES

#LI-REMOTE

IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com

IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe

IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.

The potential base pay range for this role is $80,000-$85,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

What IQVIA employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About IQVIA

Sourced by ZipRecruiter

At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Durham, NC, US

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