Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Utilization Review Assistant
Odessa, TX · On-site
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Familiar with medical terminology, utilization review, and/or medical insurance preferred. Ability to communicate effectively and professionally, both verbally and in writing.
Recent work experience in a hospital or insurance company providing utilization review services * Knowledge of Medicare, Medicaid, and Managed Care requirements * Progressive knowledge of community ...
Recent work experience in a hospital or insurance company providing utilization review services * Knowledge of Medicare, Medicaid, and Managed Care requirements * Progressive knowledge of community ...
Utilization Review Nurse
Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
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Utilization Review Nurse
Dallas, TX · On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer customized, self-funded insurance options to our clients and members. The UR Nurse is responsible for ...
Utilization Review Nurse
Plano, TX · Remote
... insurance or managed care industry using medically accepted criteria to validate the medical ... This position is responsible for performing initial, concurrent review activities; discharge care ...
Utilization Review Nurse
Plano, TX · Remote
... insurance or managed care industry using medically accepted criteria to validate the medical ... This position is responsible for performing initial, concurrent review activities; discharge care ...
This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
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This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
Registered Nurse Utilization Review
Austin, TX · Remote
$78K - $110K/yr
Managed admissions, case management, discharge planning, and utilization review to support quality ... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits ...
Registered Nurse Utilization Review
Austin, TX · Remote
$78K - $110K/yr
Managed admissions, case management, discharge planning, and utilization review to support quality ... Benefits Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits ...
This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
This position is responsible for working with insurance companies and managed care systems for the ... Previous experience in utilization review or case management desirable. This position will obtain ...
UTILIZATION REVIEW NURSE - RN
Houston, TX · On-site
... Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
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UTILIZATION REVIEW NURSE - RN
Houston, TX · On-site
... Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect ... utilization review activities accurately and timely within the electronic health record (EHR). o ...
To monitor adherence to the hospital's utilization review plan to ensure the effective and ... Knowledge of various insurance plan coverages for Home Health, DME, SNF, LTAC agencies. * Works ...
To monitor adherence to the hospital's utilization review plan to ensure the effective and ... Knowledge of various insurance plan coverages for Home Health, DME, SNF, LTAC agencies. * Works ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
To monitor adherence to the hospital's utilization review plan to ensure the effective and ... Knowledge of various insurance plan coverages for Home Health, DME, SNF, LTAC agencies. * Works ...
To monitor adherence to the hospital's utilization review plan to ensure the effective and ... Knowledge of various insurance plan coverages for Home Health, DME, SNF, LTAC agencies. * Works ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
Hiring Now for RN Utilization Review Coordinator Department: Case Management Shift: Full-time ... insurance companies as required. * Complete admission status changes as needed in the hospital ...
Conducts admission reviews for Medicare and Medicaid beneficiaries as well as private insurance ... Utilization Management. Uses knowledge of national and local coverage determinations to ...
Conducts admission reviews for Medicare and Medicaid beneficiaries as well as private insurance ... Utilization Management. Uses knowledge of national and local coverage determinations to ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse ... Exceptional benefits to include paid time off, health, dental, vision, disability, life insurance ...
Eligible to enroll in Medical plan on date of hire! LVN or RN Utilization Review Nurse ... Exceptional benefits to include paid time off, health, dental, vision, disability, life insurance ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
The Utilization Review Nurse is responsible for determining the clinical appropriateness of care ... Follow CHRISTUS Health Guidelines related to the Health Insurance Portability and Accountability ...
Insurance Utilization Review information
See Texas salary details
$19.93 - $23.96
2% of jobs
$23.96 - $27.99
9% of jobs
$30.75 is the 25th percentile. Wages below this are outliers.
$27.99 - $32.03
21% of jobs
The median wage is $35.29 / hr.
$32.03 - $36.06
23% of jobs
$36.06 - $40.09
13% of jobs
$43.22 is the 75th percentile. Wages above this are outliers.
$40.09 - $44.12
10% of jobs
$44.12 - $48.15
8% of jobs
$48.15 - $52.18
5% of jobs
$52.18 - $56.21
5% of jobs
$56.21 - $60.24
2% of jobs
$60.24 - $64.28
2% of jobs
$19
$39
$64
How much do insurance utilization review jobs pay per hour?
As of Jul 20, 2026, the average hourly pay for insurance utilization review in Texas is $39.39, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.
What are the most common challenges faced by Insurance Utilization Review professionals?
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
What is an Insurance Utilization Review job?
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
What are the most commonly searched types of Insurance Utilization Review jobs in Texas? The most popular types of Insurance Utilization Review jobs in Texas are:
What are popular job titles related to Insurance Utilization Review jobs in Texas? For Insurance Utilization Review jobs in Texas, the most frequently searched job titles are:
- Navihealth Clinical Review Coordinator
- Part Time Utilization Review Nurse
- Remote Utilization Management Pharmacist
- Remote Utilization Review Rn
- No Experience Utilization Review Nurse
- Remote Cvs Utilization Management Nurse
- Behavioral Health Utilization Review
- Utilization Review Physician
- Lvn Utilization Review
- Senior Behavioral Health Utilization Review
What job categories do people searching Insurance Utilization Review jobs in Texas look for? The top searched job categories for Insurance Utilization Review jobs in Texas are:
- Part Time Utilization Review Manager
- Nurse Practitioner Utilization Review
- Medical Utilization Review Physician
- Authorization Utilization Review Bcba
- Contract Utilization Review
- Flex Schedule Utilization Review
- Remote Optum Utilization Review
- Ur
- Authorization Utilization Review
- Remote Chiropractic Utilization Review
What cities in Texas are hiring for Insurance Utilization Review jobs? Cities in Texas with the most Insurance Utilization Review job openings:
Part-time
Re-posted 2 days ago
Medical Center Health System rating
8.2
Based on 31 frontline employees who took The Breakroom Quiz
54th of 886 rated healthcare providers
Job description
Position Summary:
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.
Assists UM Department with utilization review processes, including the collection and analysis of various computer-based data related to Utilization Review, Care Coordination, and Commercial Insurance.
Qualifications:
A. Education:
Must have a high school diploma or equivalent.
B. Training and Experience:
Must have a minimum of one-year work experience in an acute care medical facility.
C. Job Knowledge:
Familiar with medical terminology, utilization review, community resource a plus. Basic computer skills required. Be able to communicate effectively verbally and in writing.
Unusual Physical Demands and Working Conditions:
Should be familiar with healthcare operations. Experience with the collection and management of data preferred. Familiar with medical terminology, utilization review, and/or medical insurance preferred.
Ability to communicate effectively and professionally, both verbally and in writing.
What Medical Center Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Medical Center Health System
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Odessa, TX, US
Year founded
1949