Utilization Review Rn Jobs in Houston, TX (NOW HIRING)

Compensation:$58,000 - $68,000 annual salary, plus annual potential for bonus and merit increases

Employment Type: Full-Time, Salaried, Exempt

Reports to: Director of Oncology and Infusion

Location:US, fully remote with minimal travel

Schedule:Mostly standard business hours, with some flexing to support members in every US time zone

Renalogicisdedicated tohelping our clients manage the human and financialcostsofchronic kidney disease.To help usinour mission,wehirepeople who are humble, hungry, and smart. And it sure helps if you have a sense ofhumor.We're not perfect, but we're trying to build a company that we are all proud of. Our 96% client retention suggests we're on the right path.

As the Clinical Nurse Coordinator (LPN), you'll support care navigation across the continuum of cancer by facilitating guideline-aligned treatment, symptom tracking, and member re-education. You'll collaborate with RNs, providers, and interdisciplinary teams to ensure care plans, referrals, and authorizations are coordinated and care transitions are smooth.

As the LPN of a growing department, you'll also assist with clinical trial participation, manufacturer assistance programs, and identifies grants or foundations to provide insight and guidance to the team and our members. You'll review active infusion medications to coordinate with external resources for infusion services, help with claim reviews, and manage administrative tasks, all while maintaining your own caseload of members and following up per each member's unique cadence. You'll be an integral expansion of other team members' responsibilities by emphasizing coordination, documentation, member engagement, and resource navigation within an LPN scope of practice.

• Maintain regular contact with assigned oncology members via phone, text, email, and video calls to provide follow-up and support.
• Assist and coordinate with the RN in member care delivery by communicating with providers and pharmacies and facilitating referrals to third-party infusion services for cost containment.
• Identify, coordinate, and facilitate referrals to infusion services, clinical resources, or supportive care programs.
• Address social determinants of health (SDOH) affecting members' access to care, adherence, and overall well-being.
• Provide education and guidance on treatment logistics, medication access, and community or program resources, reinforcing physician-directed care.
• Provide emotional support and connect members to counseling, support groups, survivorship resources, and other supportive services.
• Collect, document, request, and send member information in the EHR per HIPAA; escalate clinical concerns to the RN as appropriate.
• Track member interactions and support the RN in meeting enrollment, engagement, and quality metrics.
• Collaborate with the RN and interdisciplinary team to ensure members receive timely, coordinated oncology care.

• LPN/LVN license in good standing within a compact state, plus willingness to obtain licensure in other states as needed.
• A minimum of 4 years' LPN/LVN experience, plus clinical experience in oncology and infusions are required.
• Experience with care navigation, treatment support, and/or complex case management is strongly preferred.
• Must be willing and able to flex your work schedule to support members in every US time zone, which means working some evening and weekend hours.
• Ability to speak, write, and communicate fluently in English is required. Fluency in Spanish is a big plus.
• Utilization Review and/or Care Management preferred.
• Experience working 100% remote as a nurse is highly preferred.
• Ability and willingness to travel occasionally, which will include overnight stays for corporate gatherings, conferences, and health fairs.
• Ability to attend and professionally engage in video meetings.
• Proficient technological skills, meaning you can effectively and efficiently use computers, peripheral equipment, and applications/systems, including Microsoft products.
• Autonomous self-starter who is comfortable with ambiguity.
• Creative mindset and ability to appropriately challenge the status quo.
• Superb written and oral communication skills.
• Ability to overcome obstacles with a 'yes if...' approach.
• Ability to effectively balance competing deadlines without losing focus on the bigger picture.
• Reliable internet and power with a designated area to conduct work with minimal interruptions.

• Market competitive salary, plus potential annual merit increases and bonuses contingent on the company's fiscal performance.
• Generous time off and paid holidays because we value recharging.
• Exceptional healthcare coverage, with the majority of medical, dental and vision premiums covered by us.
• 401k with generous employer match.

We are proud to be an equal opportunity employer, which means that our employment decisions are inclusive and welcoming, regardless of race, gender, age, color, sexual orientation, gender identity, pregnancy status, religion, national origin, disability, or any other personal, physical, mental, or sensory traits. All individuals who are offered a position must successfully pass a background and reference check prior to their start. All individuals must demonstrate they are legally authorized to work in the United States without sponsorship.