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

Elara Caring

Senior Compliance Auditor - RN

Houston, TX · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

Elara Caring

Senior Compliance Auditor - RN

Houston, TX · Remote

Senior Compliance Auditor - RN (Remote) At Elara Caring, we care where you are and believe the best ... Provide secondary review/oversight of PCS policy development, revisions and reviews for new and ...

Dane Street, LLC

Certified Professional Coder

Houston, TX · Remote

$21.75 - $29/hr

Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...

Sedgwick

RN Field Case Manager

Houston, TX · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Houston, TX region and must live in ... remote work environment that allows face-to-face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Houston, TX · On-site +1

$74K - $94K/yr

... RN Field Case Manager This Field Case Manager will cover our Houston, TX region and must live in ... remote work environment that allows face-to-face interaction with injured workers and medical ...

Tuesday Health

Clinical Supervisor (Texas)

Houston, TX · Remote

Active unrestricted Registered Nurse (RN) license in the State of Texas (multi-state compact ... Remote work with multiple onsite sessions each year to maximize collaboration and team building * A ...

US Anesthesia Partners, Inc.

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 ...

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

Remote Utilization Review Rn information

See Spring, TX salary details

$19

$37

$61

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

As of Sep 11, 2026, the average hourly pay for remote utilization review rn in Spring, TX is $37.63, according to ZipRecruiter salary data. Most workers in this role earn between $29.71 and $43.22 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 Spring, TX?

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

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

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

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

Cities near Spring, 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 Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $78,263 per year, or $37.6 per hour.

Nursing Opportunities - LPNs, RNs & Nurse Practitioners

Dallas, TX • On-site, Remote

AlediumHR
Recruiting and Staffing Services • 11 - 50 employees
Learn more about AlediumHRexternal

Full-time, Part-time, Contractor

Posted 20 days ago

Job description

Multiple Specialties | On-Site, Hybrid & Remote Opportunities | U.S. & Canada

Maybe you're actively looking. Maybe you're just starting to wonder what else is out there.

Either way, you shouldn't have to sort through dozens of job postings to find the handful that actually fit your experience, location, schedule, and career goals.

AlediumHR works with healthcare organizations across the U.S. and Canada that are hiring LPNs, RNs, and Nurse Practitioners across a wide range of specialties and care settings.

Tell us what you're looking for. We'll help determine where there's a match.

One Application. Multiple Possibilities.

Depending on your background, location, and licensing, opportunities may include:

  • Staff and direct patient care positions
  • Home health and community-based care
  • Telehealth and virtual care
  • Healthtech and emerging healthcare organizations
  • Specialty clinical positions
  • Non-traditional nursing opportunities
  • Full-time and part-time employment
  • Independent contractor/1099 positions
  • On-site, hybrid, and fully remote roles

Not every opportunity is available in every market, and requirements vary by employer. We'll be straightforward with you about what matches your background and what doesn't.

Tell Us What Matters to You

A job can look right on paper and still be wrong for your life.

That's why we want to know more than what's on your résumé.

Are you looking for better hours? A remote position? A different specialty? More responsibility? Less commuting? A move to another city or state? A return to direct patient care, or perhaps a move away from it?

Those details matter.

When you apply, tell us:

  • Your nursing credentials and specialty
  • Where you're currently licensed
  • Where you live or where you're willing to work
  • Whether you're interested in on-site, hybrid, or remote work
  • Your preferred schedule
  • Whether you're looking for full-time, part-time, or contract work
  • What would make your next opportunity worth considering
Depending on the Opportunity

Compensation, benefits, schedules, and incentives are established by each hiring organization and vary by position.

Available roles may include:

  • Competitive compensation based on specialty and experience
  • Employer-sponsored benefits
  • Flexible or alternative scheduling
  • Sign-on incentives
  • Relocation assistance
  • Remote-work options
  • Opportunities for professional and career growth

We'll provide the specifics for any position we discuss with you so you can decide whether it's worth pursuing.

Your Career Doesn't Have to Fit a Job Posting

AlediumHR isn't here to send your résumé everywhere and hope something sticks.

Our recruiters work to understand your experience and what you actually want next, and then connect you with opportunities where those two things align.

And if we don't currently have the right opportunity, we'd rather tell you that than push you toward the wrong one.

Start the Conversation

Send us your résumé and give us a quick picture of what you're looking for next.

Include your preferred location, type of role, schedule, and whether you're interested in on-site, hybrid, or remote opportunities.

We'll take it from there.

AlediumHR logo

About AlediumHR

Sourced by ZipRecruiter

AlediumHR is a boutique recruiting firm that specializes in direct-hire placements. Our focus is healthcare recruitment for clinical and non-clinical roles across the United States and Canada, with extensive experience in the thriving telehealth sector.With over a decade of experience and a proven track record, we possess a deep understanding of the unique challenges that healthcare recruiting presents in the post-Covid era.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Tampa, FL, US

Year founded

2013

Social media

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