ZipRecruiter

Log In

1

Apprentice Utilization Management Nurse Jobs in Texas

GuideWell

Utilization Management RN

Irving, TX · On-site

Job Title Utilization Management Nurse Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and ...

HealthCare Support

Utilization Management

Houston, TX · On-site

$38 - $42/hr

RN Outpatient Utilization Review Remote Texas HealthCare Support is actively seeking multiple ... Communicates concerns that arise in these discussions to the Manager and/or Medical Director.

Harris Health System

BH Utilization Manager RN

Houston, TX · On-site

$67K - $85K/yr

We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of ... Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned ...

next page

Showing results 1-20

All JobsApprentice Utilization Management Nurse JobsApprentice Utilization Management Nurse Jobs in Texas

Apprentice Utilization Management Nurse information

See Texas salary details

$36.3K

$83.4K

$151.9K

How much do apprentice utilization management nurse jobs pay per year?

As of Aug 16, 2026, the average yearly pay for apprentice utilization management nurse in Texas is $83,367.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $97,400.00 per year, depending on experience, location, and employer.

What is the difference between Apprentice Utilization Management Nurse vs Utilization Management Nurse?

AspectApprentice Utilization Management NurseUtilization Management Nurse
CredentialsLicensed RN, in training or early certification stageLicensed RN with certification in utilization review
Work EnvironmentSupervised training setting, often in healthcare or insurance companiesIndependent review in healthcare or insurance organizations
Job ResponsibilitiesAssisting with case reviews, learning utilization review processesConducting case assessments, making coverage decisions

The Apprentice Utilization Management Nurse is in training, focusing on learning review procedures under supervision, while the Utilization Management Nurse is fully qualified, responsible for independent case evaluations and decision-making. The apprentice role is a stepping stone toward becoming a licensed Utilization Management Nurse.

What are the key skills and qualifications needed to thrive as an apprentice utilization management nurse, and why are they important?

To thrive as an Apprentice Utilization Management Nurse, you need a foundational understanding of nursing principles, strong analytical skills, and typically an RN license or progression toward one. Familiarity with utilization management software, electronic health records (EHR), and knowledge of insurance guidelines such as Medicare or Medicaid are often required. Attention to detail, critical thinking, and effective communication are essential soft skills for collaborating with healthcare teams and conveying clinical information. These competencies ensure accurate patient care reviews, compliance with regulations, and effective support in healthcare cost management.

What are some common challenges faced by apprentice utilization management nurses, and how can they be addressed?

Apprentice Utilization Management Nurses often encounter challenges such as learning to interpret complex medical records, understanding insurance policies, and adhering to strict regulatory guidelines. Balancing patient advocacy with cost-effective care decisions can also be demanding. These challenges can be addressed by actively participating in mentorship programs, seeking regular feedback from experienced colleagues, and utilizing ongoing training resources provided by employers. Developing strong communication and organizational skills will also help manage the workload and foster effective collaboration with physicians, case managers, and insurance representatives.

What is an apprentice utilization management nurse?

An Apprentice Utilization Management Nurse is a nursing professional in training who assists with the review and evaluation of healthcare services to ensure they are medically necessary and cost-effective. They work under the supervision of experienced utilization management nurses and follow established guidelines to assess patient care plans, medical records, and insurance policies. Their role is crucial in helping healthcare organizations maintain quality care while managing costs, and they may interact with physicians, patients, and insurance companies to clarify or justify treatment decisions. As apprentices, they are gaining hands-on experience to develop their skills and knowledge in utilization management.

What are the most commonly searched types of Utilization Management Nurse jobs in Texas?

The most popular types of Utilization Management Nurse jobs in Texas are:

What cities in Texas are hiring for Apprentice Utilization Management Nurse jobs?

Cities in Texas with the most Apprentice Utilization Management Nurse job openings:

Apprentice Utilization Management Nurse jobs near you
Infographic showing various Apprentice Utilization Management Nurse job openings in Texas as of August 2026, with employment types broken down into 8% As Needed, 84% Full Time, and 8% Contract. Highlights an 75% In-person, and 25% Remote job distribution, with an average salary of $83,367 per year, or $40.1 per hour.

Utilization Management Nurse Consultant

CVS Health

Mountain Home, TX • On-site

$29.10 - $62.32/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,338 frontline employees who took The Breakroom Quiz

89th of 112 rated pharmacies

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Utilization Management Nurse Consultant Clinical Precertification RN (Medicare)

Remote | Full-Time | Weekday Schedule

Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the right care at the right time.

What You’ll Do

  • Review clinical cases and make coverage determinations using evidence-based guidelines

  • Collaborate with providers and care teams to coordinate appropriate treatment

  • Apply clinical judgment to support utilization and benefit management decisions

  • Identify opportunities to improve care quality and member outcomes

  • Serve as a clinical resource across internal and external stakeholders

What You Bring - REQUIRED

  • Active, unrestricted RN license in the state of residence.

  • 3+ years of RN experience, including 1+ year in Med/Surg

  • Strong clinical assessment and decision-making skills

  • Experience with Microsoft Office (Outlook, Teams, Excel)

  • Ability to work Monday–Friday, 9:00 AM–5:30 PM in your time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours

  • Associate Degree in Nursing

Nice to Have

  • Utilization Management or Prior Authorization experience

  • Managed care background

  • Familiarity with MedCompass

  • Ambulatory surgery experience

  • BSN preferred

Why Join Us?

  • Transition your clinical skills into a collaborative, non-bedside role

  • Make a meaningful impact on patient care and outcomes

  • Work in a supportive, team-driven environment

If you’re passionate about combining clinical expertise with care coordination and healthcare quality, we’d love to hear from you!

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$29.10 - $62.32

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 08/19/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.

What CVS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply