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

Varsity Tutors

NCLEX-RN Tutor

Houston, TX · Remote

$18 - $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 ...

Renalogic

Bilingual Clinical Nurse Coach (RN)

Phoenix, AZ · On-site +1

$80K - $100K/yr

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

Renalogic

Bilingual Clinical Nurse Coach (RN)

Houston, TX · Remote

$80K - $100K/yr

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm) and ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

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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 Jul 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 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 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 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.
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Remote Utilization Review Rn jobs near you
Board-Certified Neurological Surgery

Board-Certified Neurological Surgery

Dane Street, LLC

Houston, TX • Remote

Other

Posted 6 days ago

Job description

Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Neurological Surgeon to join our team for Independent Medical Record Reviews. This is a fully remote opportunity offering flexible scheduling, allowing you to accept or decline cases based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.

Dane Street is a national leader in Independent Medical Examinations, medical record reviews, and peer review services, trusted by insurance carriers and organizations nationwide for objective, high-quality medical evaluations.

Key Responsibilities:
  • Thorough review and analysis of prepared medical records
  • Provide expert, advisory-only opinions regarding the claimant's current condition and potential future medical needs
  • Respond to clinical questions to support claims management
  • Deliver clear, well-supported written reports within an expected turnaround time of 5 days
  • No face-to-face interaction with claimants; this is a record-review-only role

Requirements

  • Board certification in Neurological Surgeon required
  • Prior experience with medical record reviews, IMEs, or peer reviews preferred
  • Strong analytical skills and excellent written communication abilities

Benefits

    • Robust opportunity for supplemental income
    • Fully remote assignments with flexible, predictable work hours
    • No doctor/patient relationship is established, and no treatment is provided
    • Enhanced industry expertise in medical necessity, utilization review, and claims support
    • Expanded credentials as an expert medical reviewer
    • Fully prepped cases, streamlined workflow, transcription services at no cost, and a user-friendly online portal

If you are a dedicated Neurological Surgeon seeking a flexible, remote opportunity to apply your clinical expertise in an independent medical record review capacity, we encourage you to apply.

Apply