Clinical Review Specialist (RN) Independent Contractor | Remote
The Hive HTX is a Texas-based Utilization Review Agent (URA) specializing in workers' compensation. We're growing our panel and looking for experienced Registered Nurses (RN) who want flexible, remote contract work in the UR space.
About the Role
As a Clinical Review Specialist, you'll support the utilization review process through clinical documentation and case preparation on workers' compensation claims in accordance with jurisdiction guidelines and evidence-based criteria. This is a 1099 independent contractor position, ideal for an RN looking to supplement income, transition out of bedside care, or build a flexible remote practice.
What You'll Do
Review medical records, treatment requests, and clinical documentation for workers' comp claims Apply evidence-based criteria (ODG, MTUS, or similar) to evaluate medical necessity Support the utilization review process through clinical documentation and case preparation Meet turnaround time requirements in compliance with UR standards Communicate professionally with internal team members as needed
What We're Looking For
Active, unrestricted RN license (Texas preferred; multi-state compact license accepted) Minimum 3 years of clinical experience; occupational health, orthopedics, or case management background a plus Prior utilization review or case management experience strongly preferred Familiarity with workers' compensation, ODG guidelines, or TDI UR rules a plus Strong written communication and clinical documentation skills Comfortable working independently in a remote environment Reliable internet connection and ability to meet deadlines
What We Offer
Flexible, remote contract work — set your own schedule around your availability Per-case compensation structure Supportive, collaborative team environment Opportunity to grow with an expanding URA To Apply Send your CV to [email protected]. We look forward to connecting! The Hive HTX, LLC is an equal opportunity employer. This is an independent contractor (1099) engagement.