Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees ... nursing Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core ...
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
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Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
Coordinate with clinical review staff, including RNs, LVNs, and Medical Directors, to appropriately ... Utilization Management * Insurance operations * Medical office environments * Managed care settings
Nurse - Clinical Review
Houston, TX · Remote
$65K - $75K/yr
... RN, LPN/LVN license in the state or territory of the U.S. Minimum of one (1) year experience in utilization review, or utilization management Proficient technical skills in Microsoft Office (Word ...
Nurse - Clinical Review
Houston, TX · Remote
$65K - $75K/yr
... RN, LPN/LVN license in the state or territory of the U.S. Minimum of one (1) year experience in utilization review, or utilization management Proficient technical skills in Microsoft Office (Word ...
Nurse - Clinical Review
Houston, TX · Remote
Current, active unrestricted RN, LPN/LVN license in the state or territory of the U.S. * Minimum of one (1) year experience in utilization review, or utilization management * Proficient technical ...
Quick apply
Nurse - Clinical Review
Houston, TX · Remote
Current, active unrestricted RN, LPN/LVN license in the state or territory of the U.S. * Minimum of one (1) year experience in utilization review, or utilization management * Proficient technical ...
Nurse - Clinical Review
Houston, TX · On-site +1
$65K - $75K/yr
... RN, LPN/LVN license in the state or territory of the U.S. • Minimum of one (1) year experience in utilization review, or utilization management • Proficient technical skills in Microsoft Office ...
Nurse - Clinical Review
Houston, TX · On-site +1
$65K - $75K/yr
... RN, LPN/LVN license in the state or territory of the U.S. • Minimum of one (1) year experience in utilization review, or utilization management • Proficient technical skills in Microsoft Office ...
RN Case Manager
Conroe, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah Full-Time | Monday-Friday | Day Shift About ... Practices "minimum information necessary" when performing utilization review, case management, and ...
RN Case Manager
Conroe, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah Full-Time | Monday-Friday | Day Shift About ... Practices "minimum information necessary" when performing utilization review, case management, and ...
RN Case Manager
Conroe, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah Full-Time | Monday-Friday | Day Shift About ... Practices "minimum information necessary" when performing utilization review, case management, and ...
Quick apply
RN Case Manager
Conroe, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah Full-Time | Monday-Friday | Day Shift About ... Practices "minimum information necessary" when performing utilization review, case management, and ...
RN Case Manager
Shenandoah, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah specializes in providing comprehensive ... Practices "minimum information necessary" when performing utilization review, case management, and ...
RN Case Manager
Shenandoah, TX · On-site
RN Case Manager Nexus Children's Hospital - Shenandoah specializes in providing comprehensive ... Practices "minimum information necessary" when performing utilization review, case management, and ...
Nurse Case Manager (RN)
Shenandoah, TX · On-site
$65K - $100K/yr
Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift Job types ...
Nurse Case Manager (RN)
Shenandoah, TX · On-site
$65K - $100K/yr
Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift Job types ...
Care Coordinator RN
Houston, TX · On-site
RN Care Coordinator - Admissions Nexus Health Systems Help patients access the right level of care ... Utilization Review, Admissions, and operational leadership to ensure appropriate patient placement ...
Care Coordinator RN
Houston, TX · On-site
RN Care Coordinator - Admissions Nexus Health Systems Help patients access the right level of care ... Utilization Review, Admissions, and operational leadership to ensure appropriate patient placement ...
Care Coordinator RN
Houston, TX · On-site
RN Care Coordinator - AdmissionsNexus Health Systems Help patients access the right level of care ... Utilization Review, Admissions, and operational leadership to ensure appropriate patient placement ...
Quick apply
Care Coordinator RN
Houston, TX · On-site
RN Care Coordinator - AdmissionsNexus Health Systems Help patients access the right level of care ... Utilization Review, Admissions, and operational leadership to ensure appropriate patient placement ...
Nurse Case Manager (RN)
Houston, TX · On-site
$59K - $100K/yr
Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ...
Nurse Case Manager (RN)
Houston, TX · On-site
$59K - $100K/yr
Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ...
Remains abreast of developments in the field of nursing or utilization review by attending seminars ... Registered Nurse (RN) State Licensure or Nurse Licensure Compact (NLC) by Texas Board of Nursing ...
Remains abreast of developments in the field of nursing or utilization review by attending seminars ... Registered Nurse (RN) State Licensure or Nurse Licensure Compact (NLC) by Texas Board of Nursing ...
... Registered Nurse to join our dynamic cardiac imaging team. In this role, you will provide direct ... Remains abreast of developments in the field of nursing or utilization review by attending seminars ...
... Registered Nurse to join our dynamic cardiac imaging team. In this role, you will provide direct ... Remains abreast of developments in the field of nursing or utilization review by attending seminars ...
Hybrid MDS Nurse
Houston, TX · On-site
$34.25 - $44.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX · On-site
$34.25 - $44.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX · On-site
$33.25 - $43.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
Hybrid MDS Nurse
Houston, TX · On-site
$33.25 - $43.75/hr
Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly ... A Registered Nurse License is preferred. * 2 years' experience in Long-Term Care experience ...
The Clinical Utilization Specialist is a key member of the Clinical support team, responsible for ... Develop strong relationships with healthcare providers, including Physicians, Nurses, and ...
The Clinical Utilization Specialist is a key member of the Clinical support team, responsible for ... Develop strong relationships with healthcare providers, including Physicians, Nurses, and ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical ...
Processes retroactive reviews and appeals, copies needed documentation and writes retro/appeal ... Coordinates care for patient through communication with Physicians, Nurse Practitioners, Clinical ...
Entry Level Rn Utilization Review Nurse information
See Houston, TX salary details
$20.43 - $24.56
2% of jobs
$24.56 - $28.70
9% of jobs
$31.52 is the 25th percentile. Wages below this are outliers.
$28.70 - $32.83
21% of jobs
The median wage is $36.17 / hr.
$32.83 - $36.96
23% of jobs
$36.96 - $41.09
13% of jobs
$44.31 is the 75th percentile. Wages above this are outliers.
$41.09 - $45.22
10% of jobs
$45.22 - $49.36
8% of jobs
$49.36 - $53.49
5% of jobs
$53.49 - $57.62
5% of jobs
$57.62 - $61.75
2% of jobs
$61.75 - $65.88
2% of jobs
$20
$40
$65
How much do entry level rn utilization review nurse jobs pay per hour?
- Aetna Utilization Review Nurse
- Rn Utilization Review Nurse
- Weekend Utilization Review
- Utilization Management Review Nurse
- Medical Claims Review Nurse
- Remote Insurance Utilization Review
- Anthem Utilization Review Nurse
- Remote Preservice Review Nurse
- Cigna Utilization Review Remote
- Part Time Cigna Utilization Review Nurse

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 19 days ago
Job description
Work schedule: 5 days per week, 8 hour shifts/Rotating Weekends
Ready for a role that supports your unique calling in patient care and fits your life? At HCA Houston Healthcare North Cypress, you’ll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance, you will have all the resources you need to build the career of a lifetime.
Job Summary and QualificationsAs a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient’s unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.
Your responsibilities will include:
- Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights
- Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences
- Developing and implementing individualized treatment plans that reflect the patient’s strengths, needs, and personal recovery goals
- Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team
- Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care
- Promoting HCA Healthcare’s values of compassion, respect, and excellence through every patient and family interaction
What qualifications you will need:
- Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program.
- Bachelor’s Degree in Nursing preferred.
- Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date
- 1-3 years in case management OR 3 plus years’ experience in clinical nursing
Utilization Review Nurse (UR), Discharge Planner, Care Coordinator, Continuum of Core Management, Medical Necessity, Interdisciplinary Rounds, Resource Allocation, InterQual Criteria, Milliman Care Guidelines (MCG), Allscripts, Epic Case Management, CMS Guidelines, Managed Care, CCM, Certified Case Manager, ACM Accredited Case Manager, Medical Surgical, Med Surg, Med-Surg, Med/Surg, Telemetry, Tele, Med-Tele, Med/Tele, Med Tele, Cardiac, Cardiopulmonary, Chest Pain, Neuroscience, Neuro-Stroke, Neuro Spine, Observation, Ortho Surgical Trauma, Post-Surgical, Post-Op, Critical Care, ED, ER, Emergency Department, Emergency Room, ICU, Intensive Care Unit, MICU, SICU, PICU, NICU, IMU, IMCU, Intermediate Care, PCU, Progressive Care, Stepdown, Pediatrics
BenefitsHCA Houston Healthcare North Cypress, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
HCA Houston Healthcare North Cypress, a campus of HCA Houston Healthcare Kingwood, is a 165+ bed, general acute care hospital, founded in 2006 by local physicians who wanted to create a sophisticated, patient-friendly healthcare environment for their community. We strive to provide world-class healthcare to patients throughout Cypress, TX and Northwest Houston. HCA Houston North Cypress provides comprehensive services utilizing the latest in medical technology and equipment. We employ well-respected area physicians and aim to provide an upscale five-star hotel-like ambiance with the comfort of those we care for in mind. Our services include a 20+ bed unit ICU, robotic-assisted surgery, orthopedic care, joint replacement surgery, cancer care, advanced wound care services using hyperbaric medicine, advanced breast cancer screening and imaging, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcaret
Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Case Manager opening. Apply today and a member of our Talent Acquisition team will reach out.
About HCA Houston Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Houston, TX, US
Year founded
1968