Houston, TX · Remote
$1.9K - $2.1K/wk
Remote Position Overview We are seeking an experienced Registered Nurse (RN) - Utilization Review/Utilization Management for a 13-week remote contract assignment. The RN will review clinical ...
New
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Houston, TX · Remote
$1.9K - $2.1K/wk
Remote Position Overview We are seeking an experienced Registered Nurse (RN) - Utilization Review/Utilization Management for a 13-week remote contract assignment. The RN will review clinical ...
New
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... The UMR serves as a key point of contact between providers, members, and the clinical review team ...
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... The UMR serves as a key point of contact between providers, members, and the clinical review team ...
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... The UMR serves as a key point of contact between providers, members, and the clinical review team ...
Utilization Management Representative (UMR) Work Location: 11511 Shadow Creek Parkway Schedule ... The UMR serves as a key point of contact between providers, members, and the clinical review team ...
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 ...
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 ...
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 ...
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 ...
Houston, TX · Remote
$65K - $75K/yr
Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · Remote
$65K - $75K/yr
Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · Remote
Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · Remote
Performs utilization review of cases to determine if the request meets medical necessity criteria ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Senior Hospitalist Clinical Reviewers to support a ... Experience with medical coding, utilization review, or physician audit processes. * Experience ...
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Houston, TX · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Senior Hospitalist Clinical Reviewers to support a ... Experience with medical coding, utilization review, or physician audit processes. * Experience ...
Houston, TX · On-site +1
$65K - $75K/yr
S. • Minimum of two (2) years experience in utilization review, case management, or clinical ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · On-site +1
$65K - $75K/yr
S. • Minimum of two (2) years experience in utilization review, case management, or clinical ... Remote Compensation Disclosure The base salary for this position is $65,000 [LVN/LPN], $75,000 [RN] ...
Houston, TX · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
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Houston, TX · Remote
$70 - $100/hr
Remote Job Overview We are seeking experienced Hospitalist Physicians to contribute their medical ... Experience with utilization review, medical coding, or healthcare quality assurance. * Familiarity ...
... 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 ...
... 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 ...
Houston, TX · Remote
$55 - $65/hr
Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing ... Experience reviewing charts for quality improvement, utilization review, CDI, or clinical ...
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Houston, TX · Remote
$55 - $65/hr
Remote Role Responsibilities * Review and evaluate AI-generated clinical outputs based on nursing ... Experience reviewing charts for quality improvement, utilization review, CDI, or clinical ...
Houston, TX · Remote
$42.79 - $53.37/hr
Remote but must be able to come onsite as needed. Why Us. At UT MD Anderson, this role directly ... Support peer-to-peer engagement activities related to authorization and utilization review ...
Houston, TX · Remote
$42.79 - $53.37/hr
Remote but must be able to come onsite as needed. Why Us. At UT MD Anderson, this role directly ... Support peer-to-peer engagement activities related to authorization and utilization review ...
Houston, TX · Remote
$21.75 - $29/hr
Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
Houston, TX · Remote
$21.75 - $29/hr
Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to ... Apple equipment and a media stipend are provided for remote workspace. ABOUT DANE STREET: A fast ...
Houston, TX · Remote
$26.50 - $28.50/hr
Ability to work independently in a remote environment * Reliable and self-motivated work style Preferred * Experience in healthcare quality assurance, utilization review, compliance, or peer review ...
Houston, TX · Remote
$26.50 - $28.50/hr
Ability to work independently in a remote environment * Reliable and self-motivated work style Preferred * Experience in healthcare quality assurance, utilization review, compliance, or peer review ...
Houston, TX · On-site +1
$17.25 - $23.50/hr
Demonstrates understanding of utilization review process to include treatment criteria and precertification payor to obtain initial authorization of care and document same with pass to the ...
Houston, TX · On-site +1
$17.25 - $23.50/hr
Demonstrates understanding of utilization review process to include treatment criteria and precertification payor to obtain initial authorization of care and document same with pass to the ...
Houston, TX · Remote
$80K - $95K/yr
Conducts training for staff members pertaining to Utilization Review process, clinical rules ... Remote education/training experience a plus Ability to flex work hours based on business needs ...
Houston, TX · Remote
$80K - $95K/yr
Conducts training for staff members pertaining to Utilization Review process, clinical rules ... Remote education/training experience a plus Ability to flex work hours based on business needs ...
Pearland, TX · Remote
$105K - $126K/yr
After hours/weekend coverage as assigned * Communicate with physicians and other healthcare ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...
Pearland, TX · Remote
$105K - $126K/yr
After hours/weekend coverage as assigned * Communicate with physicians and other healthcare ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...
Pearland, TX · On-site +1
$105K - $126K/yr
After hours/weekend coverage as assigned * Communicate with physicians and other healthcare ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...
Pearland, TX · On-site +1
$105K - $126K/yr
After hours/weekend coverage as assigned * Communicate with physicians and other healthcare ... Conducts drug utilization review of potentially fraudulent claims, abuse, and/or waste. Assists in ...
Houston, TX · Remote
$60K - $107K/yr
This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm ... Utilization review/management experience *All employees working remotely will be required to adhere ...
Houston, TX · Remote
$60K - $107K/yr
This position is inbound-queue based, and is fully remote, with a Monday-Friday, 10:30am - 7:00pm ... Utilization review/management experience *All employees working remotely will be required to adhere ...
$20.43 - $24.56
2% of jobs
$24.56 - $28.70
9% of jobs
$31.52 is the 25th percentile. Wages below this are outliers.
$28.70 - $32.83
21% of jobs
The median wage is $36.17 / hr.
$32.83 - $36.96
23% of jobs
$36.96 - $41.09
13% of jobs
$44.31 is the 75th percentile. Wages above this are outliers.
$41.09 - $45.22
10% of jobs
$45.22 - $49.36
8% of jobs
$49.36 - $53.49
5% of jobs
$53.49 - $57.62
5% of jobs
$57.62 - $61.75
2% of jobs
$61.75 - $65.88
2% of jobs
$20
$40
$65
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
For Remote Weekend Utilization Review jobs in Houston, TX, the most frequently searched job titles are:
The top searched job categories for Remote Weekend Utilization Review jobs in Houston, TX are:
Cities near Houston, TX with the most Remote Weekend Utilization Review job openings:
Houston, TX • Remote
$1.9K - $2.1K/wk
Full-time
Posted 2 days ago
New
Job Title: Registered Nurse – Utilization Review
Job Location: Fort Myers, FL
Work Arrangement: Remote
Duration: 13 Weeks
Compensation: $1,900–$2,100 Gross Weekly (Based on Experience)
Shift: Day Shift
Schedule:
Position Type: Contract
Work Setting: Remote
Position OverviewWe are seeking an experienced Registered Nurse (RN) – Utilization Review/Utilization Management for a 13-week remote contract assignment. The RN will review clinical information and medical records to support appropriate levels of care, medical necessity, resource utilization, and positive patient outcomes.
The ideal candidate will have provider-side utilization management experience, strong clinical judgment, excellent computer skills, and hands-on experience with Epic and DragonFly. Candidates must be comfortable working independently in a remote environment while maintaining productivity, accuracy, and quality standards.
Responsibilities
