Utilization Review Nurse-Remote-Contract
HireOps Staffing · United States · US
Utilization Review
Remote
physician
Nurse
Demand82
Career growth68
Healthcare fit88
Remote potential95
Salary band
USD 40 – 40
5-year outlook
The posted rate is $40/hour for a 6-month contract; longer-term utilization review pay will vary by payer, state, contract status, and experience. MCG/InterQual experience can support progression into senior utilization management or managed care roles.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
–
Date found
2026-10-26
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Contract
- Hours
- Variable hours
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- physician, Nurse
- Rate period
- Hourly
Why this was classified this way
- Contract
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth considering for TX-based RNs who want a remote, non-clinical entry point into utilization review, especially if they already have managed care or InterQual/MCG exposure. The main caveats are the short contract, agency employment, and TX residency requirement.
Who should apply
TX-licensed RNs with 3+ years in hospital, surgical, physician office, or health insurance settings who are interested in utilization management, concurrent review, or managed care. Nurses with prior MCG/InterQual or utilization review experience should prioritize it.
CV angle
Reframe real clinical experience around medical necessity, care coordination, discharge planning, payer-provider communication, clinical documentation, data collection, eligibility/benefit verification, and application of evidence-based criteria. Do not claim utilization review or MCG/InterQual experience unless genuinely held.
Skills to highlight
- Utilization management
- Medical necessity criteria
- Concurrent review
- Discharge planning/care coordination
- Managed care/insurance operations
- Clinical documentation
- Provider communication/liaison
- Eligibility and benefit verification
Role summary
A remote contract utilization review RN role for a TX-based nurse who will perform initial and concurrent reviews, discharge care coordination, eligibility and benefit checks, and provider/member communication using medically accepted criteria.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.