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Remote Utilization Review Jobs in Conroe, TX (NOW HIRING)

WNS Global Services

Nurse - Clinical Review

Houston, TX · Remote

$65K - $75K/yr

Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

WNS Global Services

Nurse - Clinical Review

Houston, TX · On-site +1

$65K - $75K/yr

S. • Minimum of one (1) year experience in utilization review, or utilization management • ... Remote Benefits - Medical , Dental, & Vision. 401K plan Compensation Disclosure The base salary for ...

CareVitality Inc

Care Manager - Remote

Houston, TX · Remote

$60K - $77K/yr

Create, review, and update patient-centered care plans based on physical, mental, cognitive ... utilization and hospital readmissions. Coordinate care with patients, caregivers, primary care ...

Vital Care Infusion Services

Billing Specialist

Houston, TX · Remote

$18.50 - $24.75/hr

Position is 100% remote. Duties/Responsibilities: \t * Create and submit medical, pharmacy and ... Proven knowledge and skill in the utilization of MS Office suite of software and pharmacy ...

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Remote Utilization Review information

See Conroe, TX salary details

$18

$36

$59

How much do remote utilization review jobs pay per hour?

As of Aug 3, 2026, the average hourly pay for remote utilization review in Conroe, TX is $36.20, according to ZipRecruiter salary data. Most workers in this role earn between $28.61 and $41.59 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

What are popular job titles related to Remote Utilization Review jobs in Conroe, TX? For Remote Utilization Review jobs in Conroe, TX, the most frequently searched job titles are:
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Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Conroe, TX as of July 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution, with an average salary of $75,294 per year, or $36.2 per hour.

Clinical Utilization Specialist

Mercury Medical

Houston, TX • Remote

Part-time

Re-posted 27 days ago

Job description

The Clinical Utilization Specialist is a key member of the Clinical support team, responsible for ensuring optimal utilization of the company's medical devices in healthcare settings. The role focuses on providing education, training, and clinical guidance to healthcare providers, primarily in the Respiratory Care, Anesthesia, Neonatal and Emergency departments. Working closely with sales and clinical teams, this position will help drive product adoption, ensure user satisfaction, and support clinical outcomes.

  • Deliver handson training and inservice education to healthcare providers on the use of the company's medical devices
  • Provide ongoing clinical support and troubleshooting assistance for existing customers.

    • Extensive travel required.

    Opportunities available Houston, TX.

  • Collaborate with customers to understand their needs and offer tailored recommendations on product use.
  • Identify and address any barriers to product utilization, suggesting strategies for improvement.
  • Develop strong relationships with healthcare providers, including Physicians, Nurses, and Department Heads, to foster trust and loyalty
  • Partner with Sales Representatives to identify potential leads and support the sales process through clinical demonstrations and expert consultations.

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