Location Requirements This position is remote but requires the employee to live within our service ... Current unencumbered LVN or RN license in Texas or compact license. Experience Requirements * 2+ ...
Location Requirements This position is remote but requires the employee to live within our service ... Current unencumbered LVN or RN license in Texas or compact license. Experience Requirements * 2+ ...
Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics
Austin, TX ยท Remote
Finally, we're open to remote providers who don't live in Austin, TX. About Us Modern Pediatrics ... Weekends: 8:00am - 8:00pm * These hours aren't set in stone - let's talk! * Clinical * Triaging ...
Triage Medical Assistant (MA) / Registered Nurse (RN) - Virtual Care - Pediatrics
Austin, TX ยท Remote
Finally, we're open to remote providers who don't live in Austin, TX. About Us Modern Pediatrics ... Weekends: 8:00am - 8:00pm * These hours aren't set in stone - let's talk! * Clinical * Triaging ...
While the patient is remote, the NP's hosting the consultations will work in our Catapult Health ... Current TX RN license (Compact license required) * Current (unencumbered) TX state license as APRN ...
While the patient is remote, the NP's hosting the consultations will work in our Catapult Health ... Current TX RN license (Compact license required) * Current (unencumbered) TX state license as APRN ...
Remote Certified Coder
Dallas, TX ยท Remote
$22.25 - $30.50/hr
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Remote Certified Coder
Dallas, TX ยท Remote
$22.25 - $30.50/hr
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
RN Virtual Hiring Event for Texas Health Plano/Float Pool - August 5, 2026 - 8A-3P - Full Time Oppor
Plano, TX ยท On-site +1
... Weekend and holiday requirements *Float Pool RN's will float to multiple departments throughout the hospital* Float Pool Department Highlights: โข Great opportunity to work in a variety of units โข ...
RN Virtual Hiring Event for Texas Health Plano/Float Pool - August 5, 2026 - 8A-3P - Full Time Oppor
Plano, TX ยท On-site +1
... Weekend and holiday requirements *Float Pool RN's will float to multiple departments throughout the hospital* Float Pool Department Highlights: โข Great opportunity to work in a variety of units โข ...
Remote Certified Coder
Dallas, TX ยท On-site +1
$22.25 - $30.50/hr
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
Remote Certified Coder
Dallas, TX ยท On-site +1
$22.25 - $30.50/hr
Altegra's nationwide network of registered nurses and certified coders professionally acquire ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...
RN Field Case Manager
Houston, TX ยท 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 ...
RN Field Case Manager
Houston, TX ยท 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 ...
RN Field Case Manager
Houston, TX ยท 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 ...
RN Field Case Manager
Houston, TX ยท 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 ...
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
$10/hr
Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Remote 1099 NPs & APRNs - Hormone Replacement Therapy
San Antonio, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs & APRNs - Hormone Replacement Therapy
San Antonio, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Quick apply
Itemization Review Nurse II
Fort Worth, TX ยท Remote
$61K - $98K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Collects supporting data and ... R. as an R.N. * Associate Degree in Nursing or higher * Experience in medical bill auditing ...
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Houston, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Houston, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Dallas, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Quick apply
Remote 1099 NPs or APRNs - Hormone Replacement Therapy
Dallas, TX ยท Remote
$60 - $90/hr
Active NP or APRN licenses in a minimum of 6 U.S. states * Active, unrestricted DEA license ... patient experience Remote Flexibility Work from home with scheduling options that fit your ...
Registered Nurse Utilization Review
Austin, TX ยท Remote
$78K - $110K/yr
We Are Hiring Location: Remote Facility: Ascension Network Services Department: Utilization ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...
Registered Nurse Utilization Review
Austin, TX ยท Remote
$78K - $110K/yr
We Are Hiring Location: Remote Facility: Ascension Network Services Department: Utilization ... Licensed Registered Nurse credentialed from the Texas Board of Nursing or current home state ...
Remote Nursing - RN Or LPN - Clinical QA
Dallas, TX ยท Remote
$26.50 - $28.50/hr
... RN or LPN experience * A keen eye for detail and a commitment to excellence. This role requires ... Mon-Fri and Rotating Weekends (5, 8/hr days) 8:30am-5pm CST Why Join Us? * Be part of a mission ...
Remote Nursing - RN Or LPN - Clinical QA
Dallas, TX ยท Remote
$26.50 - $28.50/hr
... RN or LPN experience * A keen eye for detail and a commitment to excellence. This role requires ... Mon-Fri and Rotating Weekends (5, 8/hr days) 8:30am-5pm CST Why Join Us? * Be part of a mission ...
Remote Weekend Rn information
What are the key skills and qualifications needed to thrive as a Remote Weekend RN, and why are they important?
What is a Remote Weekend RN?
What are some common challenges faced by Remote Weekend RNs, and how can they be managed effectively?
What is the difference between Remote Weekend Rn vs Remote Night Rn?
| Aspect | Remote Weekend Rn | Remote Night Rn |
|---|---|---|
| Work Schedule | Weekend shifts, typically Saturday and Sunday | Night shifts, usually overnight hours |
| Certifications | Registered Nurse (RN) license, CPR, BLS | Registered Nurse (RN) license, CPR, BLS |
| Work Environment | Home-based telehealth or remote hospital settings | Home-based telehealth or remote hospital settings |
| Industry Usage | Healthcare, telehealth services | Healthcare, telehealth services |
The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.

Full-time
Posted 4 days ago
Job description
Primary Responsibilities
The Utilization Management Nurse will determine the medical appropriateness of inpatient and outpatient services by evaluating medical guidelines, benefit determination and compliance with state mandated regulations.
Essential Functions
Perform concurrent, retroactive and pre-service authorization reviews for inpatient and outpatient services.
Follow and maintain compliance with CMS requirements, may include after-hours, holiday and weekend coverage.
Collaborate with staff, physicians, care/service coordinators, and medical directors to coordinate and provide the level of care necessary to meet member's health need.
Location Requirements
This position is remote but requires the employee to live within our service area, which can include any of the following areas within Texas: Rio Grande Valley, DFW, greater Austin, greater Houston, greater San Antonio, Coastal Bend, or Laredo.
Educational/Training Requirements
- Graduate from an Accredited School of Nursing. Bachelorโs degree in Nursing preferred. 2+ years of clinical nursing experience.
- Payor Utilization Management: 3 years recommended experience
- Proficiency with Microsoft Office applications, specifically Word, Excel, and Outlook
- Proficiency using Milliman Care Guidelines (MCG) and/ or InterQual criteria.
Licensing Requirements
- Current unencumbered LVN or RN license in Texas or compact license.
Experience Requirements
- 2+ย years Utilization management experience with a health insurance company (managed care/payer experience required).
- UM for Medicare Advantage, Managed Medicaid, Dual SNP Lines of Business, on the payer side.ย
- 5+ย years of acute clinical experience.
- The ability to effectย change, perform critical analyses, promote positive outcomes, and facilitate empowerment for members/families.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. Specific vision abilities required by this job include close vision, distance vision, and ability to adjust focus.ย Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
About Regency Integrated Health Services
Sourced by ZipRecruiter
Regency Integrated Health Services, located in Victoria, Texas, U.S., is a healthcare provider operating within post-acute healthcare and rehabilitation industry sector. As a well-known name in the industry with an official website at regencyhealthcare.com, the company specializes in offering a wide range of health services which primarily include skilled nursing, rehabilitation, long-term care, and assisted living services. Since its inception, Regency Integrated Health Services has been committed to providing the highest possible standards in healthcare.
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Victoria, TX, US
Year founded
2015