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Part Time Utilization Management Jobs in Texas (NOW HIRING)

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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, and why are they important?

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.

What is a part-time utilization management job?

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 July 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.
Utilization Review Specialist (Remote)

Utilization Review Specialist (Remote)

Coronis Health

El Paso, TX • On-site

$60K - $62K/yr

Full-time, Part-time

Posted 4 days ago

Coronis Health rating

7.7

Company rating: 7.7 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

167th of 487 rated business services

Job description

Title: Utilization Review Specialist/Behavioral Health Substance Abuse (Remote)
Reports to: UR Manager
FLSA Classification: Exempt
Full-Time or Part-Time: Full-Time
Salary Range: $60,000 to $62,000
Starting pay varies based on location and experience, in compliance with specific state wage regulations. Competitive rates tailored to your geography and expertise.

Position Overview:
The Utilization Review Specialist is responsible for all aspects of the authorization of treatment via insurance and managed care companies. The role involves providing appropriate client information to third-party payers regarding the medical necessity of treatment in a timely manner. The Utilization Review Specialist will also perform pre-certification reviews, concurrent reviews, and appeal reviews as needed.

Key Responsibilities:

  1. Act as the agency liaison with insurance and managed care companies for the authorization of treatment costs, representing the company in a positive and professional manner.
  2. Participate in staff meetings as needed.
  3. Ensure clear communication with supervisors, co-workers, and facilities.
  4. Keep abreast of changes and monitor compliance with State and Federal laws and regulations in areas of insurance and third-party payers.
  5. Protect the confidentiality of patients and the privacy of staff.
  6. Use a computer to type correspondence, reports, and other items as requested, ensuring accuracy.
  7. Process data in conjunction with a compliance consultant to present it effectively using established statistical methods.
  8. Demonstrate the willingness to accept responsibility.
  9. Perform other duties as assigned by the Director of Utilization Review.

Qualifications:

Minimum Education/Certifications/OTJ Experience:

  • BA in Psychology or a related field.
  • Three to five (5) years of experience in Case Management/Utilization Review (as either CADC, LAADC, LCSW, LMHC, LMFT, Case Manager, or Utilization Review Coordinator).

Knowledge of Subject Matter:

  • Prior Utilization Review experience in a Substance Abuse environment is mandatory.
  • Knowledge of ASAM guidelines.
  • Knowledge of medical terminology.
  • Knowledge of State and Federal Statutes regarding patient confidentiality laws.
  • Knowledge of Drug-Free Workplace Policies, Corporate Integrity, and Compliance Programs.
  • Knowledge of state guidelines and accreditation agency standards.

Skills:

  • Ability to establish rapport and supervise employees and professional staff.
  • Ability to work under stressful conditions and be flexible in relation to department needs.
  • Demonstrates proficiency in verbal and written communication skills.
  • KIPU experience required; Best Notes experience is a plus.

Abilities/Attributes:

  • Demonstrates willingness to accept responsibility and perform tasks with minimal supervision.

Additional Information:
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.
Coronis Health is committed to creating a diverse and inclusive environment where all employees are treated fairly and with respect. We are an equal-opportunity employer, providing equal opportunities to all applicants and employees regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or any other protected characteristic. We welcome and encourage applications from candidates of all backgrounds.


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