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Discharge Planner Utilization Review Jobs in Texas

Oceans Healthcare

Discharge Planner

Corpus Christi, TX · On-site

The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...

Oceans Healthcare

Discharge Planner

Waco, TX · On-site

The Discharge Planner coordinates with the admission staff and clinical staff to facilitate the ... Understands regulatory requirements, fiscal reimbursement, and utilization review as integral ...

New

SUN Behavioral Houston

Discharge Planner

Houston, TX · On-site

Assists the Utilization Management Department with all utilization activities as requested and ... Safety (15% of performance review) * Strives to create a safe, healing environment for patients and ...

SUN Behavioral Houston

Discharge Planner

Houston, TX · On-site

Assists the Utilization Management Department with all utilization activities as requested and ... Safety (15% of performance review) * Strives to create a safe, healing environment for patients and ...

Pacs

Discharge Planner

Post, TX

Perform utilization review activities to provide residents with appropriate, timely, and ... Oversee all admissions and discharge activities. * Coordinate referrals both to and from the ...

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Discharge Planner Utilization Review information

What is a discharge planner utilization review?

Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.

How does a discharge planner utilization review collaborate with interdisciplinary teams to ensure effective patient transitions?

Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.

What are the key skills and qualifications needed to thrive as a discharge planner utilization review?

To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.

What is the difference between Discharge Planner Utilization Review vs Discharge Planner?

AspectDischarge Planner Utilization ReviewDischarge Planner
Primary RoleEvaluates medical necessity and appropriateness of patient discharges for insurance and healthcare complianceCoordinates patient discharges, ensures proper placement, and communicates with healthcare teams
CredentialsTypically requires a social work, nursing, or healthcare background with certification in utilization reviewUsually requires social work or nursing credentials, with focus on discharge planning
Work EnvironmentHospitals, insurance companies, or healthcare facilities involved in utilization reviewHospitals, rehab centers, or skilled nursing facilities

While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.

What are popular job titles related to Discharge Planner Utilization Review jobs in Texas?

For Discharge Planner Utilization Review jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Discharge Planner Utilization Review jobs in Texas look for?

The top searched job categories for Discharge Planner Utilization Review jobs in Texas are:

What cities in Texas are hiring for Discharge Planner Utilization Review jobs?

Cities in Texas with the most Discharge Planner Utilization Review job openings:

Discharge Planner Utilization Review jobs near you
Infographic showing various Discharge Planner Utilization Review job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 12% Part Time, 2% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Discharge Planner

Mission Regional Medical Center

Mission, TX • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Mission Regional Medical Center rating

5.6

Company rating: 5.6 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

929th of 1,064 rated hospitals

Job description

Overview

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Mission Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. Rated one of the top hospitals in the country for clinical excellence in many services including maternity and orthopedic care, Mission Regional Medical Center has been offering quality healthcare, close to home, for over 60 years. For more information visit www.missionrmc.org.

Responsibilities

Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist with development and implementations of discharge plans. Assists with case management referrals and authorizations. Maintains and coordinates Medicaid state submission forms for presentation to on-site reviewer and files them accordingly or as per facility's procedure.  Assists with Discharge Planning as assigned by interviewing patients/families and gathering data to develop a safe patient-focused Discharge Plan. 

Qualifications

EDUCATION, EXPERIENCE, TRAINING

Required qualifications

1.     Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.

2.     Experience in basic to intermediate computer skills/knowledge.

3.     High School Diploma required.

Preferred qualifications:

1.     Current BCLS certificate required upon hire and maintain current preferred.

2.     Associates degree or LVN license preferred.

3.     Experience in the hospital setting preferred.

Employment StatusFull TimeShiftDaysEqual Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

 Employment Type: FULL_TIME

What Mission Regional Medical Center employees say

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About Mission Regional Medical center

Sourced by ZipRecruiter

Mission Regional Medical Center is a 297-bed non-profit community hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. Rated one of the top hospitals in the country for clinical excellence in many services, including maternity and orthopedic care, Mission Regional Medical Center has been offering quality health care for more than 65 years.

Industry

Hospitals

Company size

51 - 200 Employees

Headquarters location

Mission, TX, US

Year founded

1954

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