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Remote Utilization Review Rn Jobs in Texarkana, TX

Customer Service Rep

Texarkana, TX · Remote

$14.25 - $19.50/hr

Reviews and makes sure all documentation received meets insurance guidelines * Contacts Doctors ... Remote Employees must meet equipment/connection/software qualifications below Education and ...

Remote in the US This role is contributing to the ELSE Data Center Services Center of Excellence in ... through reviews, proper project closure, KPI achievement (revenue, utilization, margin ...

Remote Utilization Review Rn information

See Texarkana, TX salary details

$19

$39

$63

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

As of Aug 1, 2026, the average hourly pay for remote utilization review rn in Texarkana, TX is $39.21, according to ZipRecruiter salary data. Most workers in this role earn between $31.01 and $45.05 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.
What are popular job titles related to Remote Utilization Review Rn jobs in Texarkana, TX? For Remote Utilization Review Rn jobs in Texarkana, TX, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Texarkana, TX look for? The top searched job categories for Remote Utilization Review Rn jobs in Texarkana, TX are:
What cities near Texarkana, TX are hiring for Remote Utilization Review Rn jobs? Cities near Texarkana, TX with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Texarkana, TX as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $81,566 per year, or $39.2 per hour.

Customer Service Rep

Lincare

Texarkana, TX • Remote

$14.25 - $19.50/hr

Full-time

Re-posted 17 days ago


Lincare rating

6.9

Company rating: 6.9 out of 10

Based on 267 frontline employees who took The Breakroom Quiz

451st of 887 rated healthcare providers


Job description

The Enteral CSR aids in all Customer Service functions of order entry/paperwork acquisition for insurance guidelines and review while also abiding by the procedures set forth by management within the Enteral business.

Job Responsibilities:

  • Calls patients for reorders of their nutrition
  • Reviews and makes sure all documentation received meets insurance guidelines
  • Contacts Doctors' offices and hospitals to coordinate setup of pts and make sure all billable documents are received
  • Works with the intake department or within it to ensure timely verification of benefits and helps coordinate setups with intake/staff in the company locations and the Referral Source
  • Deletes, corrects, or re-enters patient orders as deemed necessary
  • Answers phone calls using proper telephone etiquette techniques expected by Customer Service Personnel
#CSR
  • Read and analyze documents such as patient orders
  • Comprehend pharmacy prescription terminology
  • Effectively communicate with coworkers and patients alike
  • Help with the training of employees
  • Calculate figures and amounts in reference to frequency and doses dispensed
  • Apply common sense understanding to carry out oral and written instructions
  • Local Employees must report to center to work
  • Remote Employees must meet equipment/connection/software qualifications below

Education and Experience:

  • High school diploma or general education degree (GED), related experience and/or training, or equivalent combination of education and experience
  • Computer entry experience necessary
  • Bilingual a plus

Physical Demands:

The employee must occasionally lift and/or move up to 10 pounds.

Remote Equipment Requirements:

This position requires use of your own equipment.

Helpful Link:

Connecting a 2nd monitor to a laptop:How to connect second monitor to laptop

Hardware Requirements

  • Monitor Size: Minimum 20" (Recommended: Dual 20")
  • Processor Speed: Minimum 1.5-2GHz (Recommended: >2GHz)
  • Main Memory (RAM): Minimum 8GB (Recommended: 16GB)
  • Free Disk Space: Minimum 1GB (Recommended: 2GB)
  • Keyboard: Wired (Wireless not supported)
  • Mouse: Wired (Wireless not supported)
  • Audio: USB Headset (Bluetooth/AUX not supported)
  • Network Connector: Wired Ethernet

Software Requirements

  • OS Version: Windows 11 (Other OS like ChromeOS/Linux/MacOS not supported)
  • OS Update: Automatic
  • Antivirus: Automatic updates, always scan mode
  • Windows Firewall (Enabled)
  • Supported Browsers: Chrome, Edge (Preferred)

Connectivity Requirements

  • Internet Service Type: Cable or Broadband (Recommended: Fiber) - Satellite and 5G Not Supported
  • Network Firewall on the Internet Connection (typically provided by the ISP)
  • Connection Type: Wired to ISP Modem
  • Latency to Florida or Tennessee Data Centers / Ping: < 30ms
  • Download Speed: Minimum 80 Mbps (Recommended: 100 Mbps)
  • Upload Speed: Minimum 10 Mbps (Recommended: 20 Mbps)
  • Note: Additional network utilization outside of the Lincare Work from Home connection may increase minimum bandwidth requirements.
  • Wi-Fi is not approved for contact center staff utilizing Avaya Workplace

What Lincare employees say

Pay

Benefits

Hours and flexibility

Workplace

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About Lincare

Sourced by ZipRecruiter

Lincare's mission is to set the standard for excellence, transforming the way respiratory care is delivered in the home. We are inspired by a vision to enable patients with chronic conditions to remain engaged in life, with the peace of mind that we are caring for them. Lincare is a dynamic, growing company with over 1,000 locations in 49 states, employing over 13,000 people who share our corporate vision for quality care and service.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Clearwater, FL, US

Year founded

1987

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