2

Remote Utilization Review Rn Jobs in Rosenberg, TX

Coder I - Remote

Houston, TX · Remote

$18.17 - $29.04/hr

Experience coding for physicians, CRNA, CAA, NP, SRNA, and residents required. NCCI bundling ... The ability to review and determine start and end times, care team, and medical direction is ...

Remote Medical Scribe

Houston, TX · 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 ...

Remote Medical Scribe

Houston, TX · 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 ...

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 ...

Showing results 41-60

Remote Utilization Review Rn information

See Rosenberg, TX salary details

$19

$37

$61

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 Rosenberg, TX is $37.73, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $43.32 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 Rosenberg, TX?

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

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

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

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

Cities near Rosenberg, TX with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Rosenberg, TX as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $78,473 per year, or $37.7 per hour.

$18.17 - $29.04/hr

Full-time

This job post has expired today. Applications are no longer accepted.


U.S. Anesthesia Partners rating

8.3

Company rating: 8.3 out of 10

Based on 7 frontline employees who took The Breakroom Quiz


Job description

This is a day shift position working remotely. Coders abstract data from the anesthesia record into the MD Cloud Practice Solutions platform, and may also work with other charge capture platforms, including Medaxion, PC7, as well as multiple facility EMR’s based on assigned location.

Medical records are abstracted for CPT codes and cross walked into the appropriate ASA code; therefore, this position requires a minimum of 2 years’ experience with complex surgical CPT and ICD10, with one year of anesthesia coding strongly preferred. In addition to excellent CPT coding, a high level of competence in ICD10 coding and coding guidelines is required.

Experience coding for physicians, CRNA, CAA, NP, SRNA, and residents required. NCCI bundling, familiarity with LCD/NCD, and experience with CMS guidelines for coding required. The ability to review and determine start and end times, care team, and medical direction is required for this position. The ability to follow pre-established departmental playbooks and pathways is required.

At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.

The base pay estimate for this role is $18.17 - $29.04 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.


ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

  • Reviews anesthesia documentation, and other forms of documentation for appropriate required elements, such as attestations, signatures, dates, etc.
  • The ability to abstract and code surgical procedures from all sections of CPT and cross walk surgical codes to ASA.
  • Comprehensive understanding of applicable modifiers.
  • Proficient in ICD10 coding guidelines.
  • Abstracts anesthesia times and events.
  • Identifies and assigns care team providers.
  • Reviews for medical direction.
  • Meets team KPIs including daily production and quarterly coding audit score requirements.
  • Performs other duties as assigned.
  • Adheres to all company policies and procedures – especially HIPAA and confidentiality.

KNOWLEDGE/SKILLS/ABILITIES (KSAs):
  • Highschool graduate or equivalent.
  • Current CPC required, CANPC a plus.
  • 2+ years of experience in surgical coding minimum, anesthesia a plus.
  • Experience with multiple EMR’s and documentation types and templates, including handwritten paper documentation, and electronic medical records.
  • Basic charge capture platform experience.
  • Intermediate knowledge and working experience with Microsoft Word, Excel, and Adobe PDF.
  • Intermediate Outlook skills.
  • Ten key proficiencies.
  • Communicate well with all levels of USAP employees.
  • Excellent organizational and time management skills required to complete daily assignments in a timely manner.
  • Ability to read, write, and speak English.
  • Excellent computer skills.
  • Ability to work independently.
  • Ability to self-motivate new projects.
*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Occasional Standing
  • Occasional Walking
  • Frequent Sitting
  • Frequent hand, finger movement
  • Use office equipment (in office or remote)
  • Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.



What U.S. Anesthesia Partners employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom