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Part Time Utilization Management Jobs in Houston, TX

Dane Street, LLC

Certified Professional Coder

Houston, TX · On-site

$21.75 - $29/hr

Conduct utilization reviews to assess medical necessity and documentation compliance * Review the ... This position may be structured as part time Candidates must be comfortable reviewing policies and ...

Dane Street, LLC

Certified Professional Coder

Houston, TX · Remote

$21.75 - $29/hr

Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to ... This position may be structured as part time Candidates must be comfortable reviewing policies and ...

Dane Street, LLC

Certified Professional Coder

Houston, TX · On-site

$21.75 - $29/hr

Documented experience performing audits or utilization reviews in multiple states * Strong ... This position may be structured as part time Candidates must be comfortable reviewing policies and ...

Journeys

Part-Time Sales Associate

Houston, TX

$13 - $17.75/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Genesco

Part-Time Sales Associate

Friendswood, TX

$12.25 - $16.50/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Journeys

Part-Time Sales Associate

The Woodlands, TX

$12.75 - $17.50/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

Genesco

Part-Time Sales Associate

Texas City, TX

$12 - $16.25/hr

Effectively communicate all store needs to store management * Stay informed of current fashion ... Genesco's employment practices will continue to be directed toward full utilization of all ...

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All JobsUtilization Management JobsPart Time Utilization Management JobsPart Time Utilization Management Jobs in Houston, TX

Part Time Utilization Management information

See Houston, TX salary details

$37.2K

$85.5K

$155.7K

How much do part time utilization management jobs pay per year?

As of Aug 31, 2026, the average yearly pay for part time utilization management in Houston, TX is $85,453.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,600.00 and $99,800.00 per year, depending on experience, location, and employer.

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 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.

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 most commonly searched types of Utilization Management jobs in Houston, TX?

The most popular types of Utilization Management jobs in Houston, TX are:

What cities near Houston, TX are hiring for Part Time Utilization Management jobs?

Cities near Houston, TX 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 Houston, TX as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 86% Physical, 3% Hybrid, and 11% Remote job distribution, with an average salary of $85,453 per year, or $41.1 per hour.

Case Manager-Registered Nurse (RN)

Houston, TX • On-site

Houston Methodist Hospital

8.2

Company rating: 8.2 out of 10

Based on 301 frontline employees who took The Breakroom Quiz

54th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Houston Methodist Hospitalexternal

Part-time

Re-posted 11 days ago

Job description

**Part-Time Days**
At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care transitions and discharge planning of a targeted patient population on a designated unit(s) and/or service lines. This position works with the physicians and interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position holds joint accountability with the social worker for discharge planning and continuity of care and assures that admission and continued stay are medically necessary, communicating clinical information to payors to ensure reimbursement.
FLSA STATUS
Exempt
QUALIFICATIONS
EDUCATION
  • Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
  • Bachelor’s degree preferred

EXPERIENCE
  • Three years hospital nursing clinical experience
  • Case management experience preferred

LICENSES AND CERTIFICATIONS
Required
  • RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

SKILLS AND ABILITIES
  • Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
  • Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
  • Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
  • Knowledge of Medicare, Medicaid and Managed Care requirements
  • Progressive knowledge of community resources, health care financial and payor requirements/issues, and eligibility for state, local and federal programs
  • 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 and post-acute community resources
  • Ability to work independently and exercise sound judgment in interactions with physicians, payors, and patients and their families
  • Well versed in computer skills of the entire Microsoft Office Suite (Excel, Outlook, PowerPoint and Word)
  • Strong assessment, organizational and problem-solving skill

ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
  • Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner; listens and responds to the ideas of others.
  • Collaborates with staff from the interprofessional health care team concerning safety data to improve outcomes and the safe transition of care. Uses a structured format for regular communication with patients and families.
  • Contributes towards improvement of department scores for employee engagement, i.e. peer-to-peer accountability.

SERVICE ESSENTIAL FUNCTIONS
  • Assesses all patients timely and thoroughly. Participates in daily Care Coordination Rounds (CCR), and identifies, communicates barriers to efficient patient throughput. Supports patients and families in preventing/resolving clinical or ethical issues.
  • Facilitates discharge planning activities for assigned patients and collaborates with the social worker and other members of the interprofessional health care team, as well as patient and family, on complex discharges. Maintains ownership of the discharge planning process on assigned units.
  • Initiates and facilitates referrals for home health care, hospice, and durable medical equipment. Consults with Social Worker Case Manager to assess psychosocial needs associated with transition to alternative levels of care, ensuring discharge disposition is to the appropriate level. Facilitates transfers.

QUALITY/SAFETY ESSENTIAL FUNCTIONS
  • Modifies care based on continuous evaluation of the patient’s condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. Documents accurate assessment and interventions efficiently and effectively.
  • Plans for routine discharge and elevates emergent situations. Manages usual patient assignment and other unit demands and anticipates/plans for potential problems.
  • Focuses on discharge domain by contributing to department and hospital targets for quality, patient satisfaction and safety measures.

FINANCE ESSENTIAL FUNCTIONS
  • Performs review for medical necessity of admission, continued stay and resource use, appropriate level of care and program compliance using nationally recognized screening guidelines. Manages assigned patients in Observation Status, daily, informing physicians of timely disposition options to assure maximum benefits for patients and reimbursement for the hospital.
  • Applies approved utilization criteria to monitor appropriateness of admissions, level of care, resource utilization, and continued stay.
  • Participates in denial mitigation activities to ensure appropriate reimbursement for services rendered.
  • Contributes to meeting department and hospital financial target, with focus on length of stay. Utilizes resources with cost effectiveness and value creation in mind. Self-motivated to independently manage time effectively and prioritize daily tasks, assisting coworkers as needed.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS
  • Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations and offers solutions by participating in unit projects and activities.
  • Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an on-going basis.

SUPPLEMENTAL REQUIREMENTS
    WORK ATTIRE
    • Uniform: No
    • Scrubs: No
    • Business professional: Yes
    • Other (department approved): No

    ON-CALL*
    *Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
    • On Call* Yes

    TRAVEL**
    **Travel specifications may vary by department**
    • May require travel within the Houston Metropolitan area Yes
    • May require travel outside Houston Metropolitan area No
QUALIFICATIONS
EDUCATION
  • Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
  • Bachelor’s degree preferred

EXPERIENCE
  • Three years hospital nursing clinical experience
  • Case management experience preferred

LICENSES AND CERTIFICATIONS
Required
  • RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

Company Profile:

Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.

Houston Methodist is an Equal Opportunity Employer.

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