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Hca Utilization Review Jobs in Texas (NOW HIRING)

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Hca Utilization Review information

What is an HCA Utilization Review?

An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.

What are the key skills and qualifications needed for an HCA Utilization Review?

To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.

What does an HCA Utilization Review do?

In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

What are the most commonly searched types of Hca Utilization Review jobs in Texas? The most popular types of Hca Utilization Review jobs in Texas are:
What are popular job titles related to Hca Utilization Review jobs in Texas? For Hca Utilization Review jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Hca Utilization Review jobs in Texas look for? The top searched job categories for Hca Utilization Review jobs in Texas are:
What cities in Texas are hiring for Hca Utilization Review jobs? Cities in Texas with the most Hca Utilization Review job openings:
Infographic showing various Hca Utilization Review job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Registered Nurse Case Manager PRN

HCA Florida Westside Hospital

Houston, TX • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New


HCA Florida Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 480 frontline employees who took The Breakroom Quiz

668th of 887 rated healthcare providers


Job description

Registered Nurse Case Manager PRN

Do you have the PRN career opportunities as a(an) Registered Nurse Case Manager PRN you want with your current employer? We have an exciting opportunity for you to join HCA Houston Healthcare Medical Center which is part of the nations leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

As 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:
  • Bachelor's degree in Nursing preferred. Master's Degree desirable or commensurate experience
  • Minimum of five (5) years recent acute care experience required
  • Minimum of two (2) years of utilization review/case management experience and minimum of one (1) year experience in discharge planning in an acute care setting highly desirable
  • TX RN License required

HCA Houston Healthcare Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:

  • 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 and position.

HCA Houston Healthcare Medical Center is a 445+ bed acute care hospital located in the heart of central Houston, adjacent to the Medical Center and Museum District, and provides quality care for the greater Houston area. Established in 1975, our hospital has been serving Houston for more than 40 years. We provide a wide range of medical services, including cardiology, bariatrics, orthopedics, neurology, emergency care and more. Our comprehensive medical specialties are here to offer individualized care to every individual that walks through our doors. We also offer 24/7 emergency services and two intensive care units: surgical intensive care unit (SICU) and medical intensive care unit (MICU). We are an accredited Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Center and an accredited Chest Pain Center with Primary PCI. 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.

"Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Registered Nurse Case Manager PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status


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