ZipRecruiter

Log In

2

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

Dane Street, LLC

Board-Certified Toxicologist

Houston, TX · Remote

... Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to ... Enhanced industry expertise in medical necessity, utilization review, and claims support * Expanded ...

Allara

APRN Recruiter

Houston, TX · Remote

$70 - $85K/hr

Fully remote within the U.S. Your Impact * Lead full-cycle recruitment for APRN and clinical roles, including sourcing, screening, interviewing, and closing candidates. * Develop and execute ...

Varsity Tutors

NCLEX-RN Tutor

Houston, TX · Remote

$40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

Katy, TX · Remote

$50.25 - $60.50/hr

Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

Katy, TX · Remote

$53.50 - $64.25/hr

Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

AOM Infusion

Infusion Nurse Practitioner

Houston, TX · Remote

As the market grows, the NP may also provide remote clinical supervision and support to satellite ... Support clinical escalation management and participate in quality reviews, root cause analyses, and ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Katy, TX · On-site +1

$49.50 - $60.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Katy, TX · On-site +1

$52.50 - $64/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

next page

Showing results 1-20

All 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 Jun 19, 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 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 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

Oncology Telehealth Nurse - Remote

Avacend Inc

Houston, TX • Remote

$39/hr

Contractor

Posted 8 days ago

Job description

The Remote Oncology Triage Nurse provides telephonic triage services, assessing patient needs and collaborating with qualified staff to ensure appropriate care. This role involves documenting all care elements in the patient's medical record and accurately identifying high-risk conditions, providing patient education and directing additional care to appropriate resources if necessary. Under general supervision, the nurse delivers professional nursing care adhering to national and organizational standards and guidelines, as well as state licensing board scope of practice. The candidate must recognize the physical, psychological, and spiritual aspects of patient care and participate in company-wide quality initiatives. This pivotal role supports the US Oncology Compliance Program, including the Code of Ethics and Business Standards, to ensure patients receive timely and expert guidance, enhancing patient outcomes and satisfaction.

Required:

• Working hours of 7am-4pm Central time, Monday – Friday.

• Active and unrestricted Registered Nurse (RN) Texas or other compact state license (additional state licenses may be required).

• Oncology Certified Nurse (or required to obtain within 1 year).

• Minimum of 3 years of clinical nursing experience, with at least 2 recent years in oncology.

• Excellent communication and interpersonal skills.

• Strong critical thinking and problem-solving abilities.

• Proficiency in using electronic health record systems and telecommunication tools.

• Ability to work independently and manage time effectively in a remote environment.

• Compassionate, patient-centered approach to care.

• Attend all onsite meetings and trainings located in The Woodlands, Tx office.