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Part Time Utilization Management Jobs in Texas (NOW HIRING)

Houston Methodist

Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement * Understanding of pre-acute and post-acute venues of care ...

Houston Methodist

Progressive knowledge of discharge planning, utilization management, case management, performance improvement and managed care reimbursement * Understanding of pre-acute and post-acute venues of care ...

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All JobsUtilization Management JobsPart Time Utilization Management JobsPart Time Utilization Management Jobs in Texas

Part Time Utilization Management information

What is the difference between Part Time Utilization Management vs Part Time Care Coordinator?

AspectPart Time Utilization ManagementPart Time Care Coordinator
Primary RoleReviewing and approving healthcare services to ensure appropriate utilizationCoordinating patient care plans and services across providers
CertificationsTypically requires healthcare or insurance-related certificationsOften requires healthcare or case management certifications
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHealthcare facilities, clinics, or community health settings
Employer & Industry UsageInsurance companies, managed care organizationsHospitals, clinics, healthcare providers

While both roles involve healthcare coordination, Part Time Utilization Management focuses on reviewing and authorizing services, whereas Part Time Care Coordinators actively manage patient care plans. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a part time utilization management professional?

To thrive as a Part Time Utilization Management professional, you need a background in nursing or healthcare, critical thinking skills, and knowledge of medical necessity criteria, often supported by RN or LPN licensure. Familiarity with utilization review software, electronic health records (EHRs), and systems like InterQual or Milliman is typically required. Strong communication, attention to detail, and organizational skills help you effectively coordinate with providers and ensure accurate documentation. These abilities are essential for making informed coverage determinations, optimizing resource use, and maintaining compliance with healthcare regulations.

Is part time utilization management a stressful job?

Part time utilization management can be stressful due to the need to review and approve healthcare services efficiently while meeting deadlines. The role often requires strong organizational skills, attention to detail, and the ability to handle high volumes of cases, which can contribute to work-related stress.

What is a part time utilization management?

A part-time utilization management job involves reviewing and evaluating the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and facilities on a part-time basis. These professionals help ensure that patients receive the right care at the right time while controlling healthcare costs and complying with insurance policies. Part-time roles may be suitable for nurses, social workers, or other healthcare professionals who want flexible hours while contributing to quality patient care and resource management.

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 cities in Texas are hiring for Part Time Utilization Management jobs?

Cities in Texas with the most Part Time Utilization Management job openings:

Part Time Utilization Management jobs near you
Infographic showing various Part Time Utilization Management job openings in Texas as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Utilization Management RN (Hybrid)

TEXASCONNECT INC

Dallas, TX • On-site

Part-time

Re-posted 5 days ago

Job description

This position will be hybrid in the Dallas, Texas area.

Part-time, working every other weekend.

This position requires availability to work alternating weekends and holidays as part of the regular schedule.

The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and Observation) throughout admission and performs initial reviews, concurrent reviews, and retrospective reviews according to guidelines. Determines the medical necessity of requests by performing first level reviews. The UM nurse ensures a process that is efficient for providing care, ensuring timely and appropriate levels of care for the incoming patients. UM RN is responsible for preparing cases for Physician Advisor for 2nd level review. UM RN delegates accordingly to LVN and works in conjunction with a multi-disciplinary team to manage the care of patients in an ethical and fiduciary responsible manner. This position is hybrid with remote and in-office assignment.

SPECIFIC SKILLS NEEDED
  • Knowledge of payer requirements
  • Excellent verbal and written communication skills
  • Ability to follow chain of command
  • Highly developed ability to multitask and maintain focus
  • Proactive, cando approach and desire to build positive working relationships through collaborative problemsolving
  • Selfmotivated and results oriented. Must be able to demonstrate sound decision making, flexibility and prioritization skills with minimal supervision.
  • Strong organizational skills
  • Basic computer skills: Word, Excel, PowerPoint, Outlook. Able to utilize multiple electronic systems.
  • Type 50 WPM
  • Ability to apply appropriate UM criteria
    • EDUCATION/EXPERIENCE/TRAININGRequired:
  • Current licensure as an RN in the state of California or willingness to obtain.
  • A minimum of 2 years of bedside nursing experience in an acute care setting.
  • A minimum of 2 years of case management experience.
    • Preferred:
  • Certified Case Manager or Accredited Case Manager
  • BSN
  • Experience with Milliman Care Guidelines (MCG)

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