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Manager Utilization Management Jobs in Texas (NOW HIRING)

U9131

Utilization Management Coordinator PRN

Dallas, TX · On-site

  • Medical

  • Retirement

  • PTO

Utilization Management Coordinator PRN - Must have weekday availability between 7am - 7pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is ...

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Manager Utilization Management information

See Texas salary details

$36.3K

$84.8K

$156.1K

How much do manager utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for manager utilization management in Texas is $84,791.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,400.00 and $102,000.00 per year, depending on experience, location, and employer.

What does a manager utilization management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.

What are the key skills and qualifications needed to thrive as a manager utilization management?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What are some common challenges faced by a manager utilization management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

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

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

What are popular job titles related to Manager Utilization Management jobs in Texas?

For Manager Utilization Management jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Manager Utilization Management jobs in Texas look for?

The top searched job categories for Manager Utilization Management jobs in Texas are:

What cities in Texas are hiring for Manager Utilization Management jobs?

Cities in Texas with the most Manager Utilization Management job openings:

Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Texas as of August 2026, with employment types broken down into 82% Full Time, 14% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $84,791 per year, or $40.8 per hour.

Utilization Management Reviewer FT

StarCare Specialty Health System

Lubbock, TX • On-site

$21.54/hr

Full-time

Medical, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Description
StarCare Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team supporting the agency's various mental health authorization processes.
Responsibilities:
  • Provide Utilization Management functions in Mental Health Services.
  • Authorization of services based upon UM Guidelines.
  • Coordination and management of the Discharge Process.
  • Management of capacity related to Mental Health Service authorizations, and the management of the Mental Health Waiting Lists and Pre-Authorization Lists.
  • Conduct additional specific UM Reviews as needed.
  • Assist with the administrative functions of the UM Department.
  • Participate in the MAC Time Study as required and utilize Medicaid decision-making authority.
  • Complete all required documentation.
  • Communicate information to supervisor and other agency employees or vendors.
  • Assist with special projects or assignments as needed or as requested.

Schedule: This is a full-time/non-exempt position scheduled Monday - Friday, 8am - 5pm, with flexibility to meet the needs of the department. The position is based in Lubbock and will work in a hybrid work environment (combination of remote and on-site) and must be able to work on-site when job duties require or when requested by supervisor.
Benefit Package: StarCare offers an expansive benefit package including, but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, retirement plan with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications:
  • Graduation from accredited four (4) year college or university with major course work in a Human Services Field (Psychology, Sociology, Family Studies, etc.)
  • Must have at least three (3) years of clinically appropriate experience in direct care for adults and/or children with serious mental illness or emotional disturbance and/or chemical dependency.

Skills & Abilities:
  • Knowledge and skill in operating standard office equipment and personal computer with Microsoft Office products is required.
  • Ability to communicate effectively, both orally, and in writing.
  • Ability to maintain an effective working relationship with other employees and the public.
  • Ability to organize and prioritize a variety of assignments and manage time effectively.
  • Ability to problem-solve and make decisions based upon specific criteria.
  • Knowledge of current healthcare standards.
  • Knowledge of appropriate rules, regulations, and policies and procedures.
  • Knowledge of general DSM-5 language and concepts.
  • Knowledge of the Mental Health Service Delivery system.

Additional Requirements:
  • Must pass a pre-hire drug screen and criminal background check.
  • Must have a Texas driver's license, liability auto insurance, and be insurable under the Agency's insurance.

Apply