Remote Utilization Review Nurse – Texas LVN

Astrana Health, Inc.; Texas; Remote; USD 41,000 - 55,000; Full time

Job summary

Astrana Health, Inc. is seeking a Utilization Review Nurse with a Texas LVN license to support the Health Services Department. The position is fully remote with open availability from 8:00 AM to 8:00 PM PST, Monday through Sunday, and weekend/holiday rotation.

The target pay range is $30.00 – $40.00 per hour, with a 3-month probation period affecting schedule. This role aligns with our patient-first values and requires collaboration with leadership and staff.

Qualifications

• Active and unrestricted LVN license in Texas.
• Compact license preferred.
• Experience with Microsoft Word, Excel, and Outlook.

Responsibilities

• Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment.
• Refer cases to Medical Directors as needed/appropriate.
• Maintain knowledge of state and federal regulations and accreditation standards.
• Comply with internal policies and procedures.
• Perform any other job duties as requested.

Skills

Interpersonal skills

Collaboration

Staff training

Education

Texas LVN license

Tools

Microsoft Word

Excel

Outlook

Job description

Astrana Health, Inc. is seeking a Utilization Review Nurse with a Texas LVN license to support the Health Services Department. The position is fully remote with open availability from 8:00 AM to 8:00 PM PST, Monday through Sunday, and weekend/holiday rotation.

The target pay range is $30.00 – $40.00 per hour, with a 3-month probation period affecting schedule. This role aligns with our patient-first values and requires collaboration with leadership and staff.