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Utilization Case Manager Jobs in Dallas, TX (NOW HIRING)

Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Why Join Legent Health? Legent Health fosters an environment where team ...

Experience with MDS completion, reimbursement, clinical resource utilization and/or case management is highly desirable. Why Join Legent Health? Legent Health fosters an environment where team ...

Follows patients throughout the continuum of care and ensures optimum utilization of resources ... of functions of case management, utilization review and management, and discharge planning.

Case Manager

Fort Worth, TX ยท On-site

$19.25 - $24.75/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Case Manager

Fort Worth, TX ยท On-site

$19.25 - $24.75/hr

The Case Manager is a qualified registered nurse with the ability to provide and oversee the care ... Participates in clinical record/utilization review of medical records and quality assurance and ...

Medical Case Manager

Richardson, TX ยท On-site +1

$62K - $96K/yr

In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

Medical Case Manager

Richardson, TX ยท On-site +1

$62K - $96K/yr

In addition, this person will develop an initial plan outlining the action the case manager will take to ensure timely resolution of injury(s) through utilization of established guidelines to ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

The RN Case Manager will coordinate activities that promote quality outcomes and patient throughput while supporting a balance of optimal care and appropriate resource utilization. What You Will Do ...

Showing results 21-40

Utilization Case Manager information

See Dallas, TX salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization case manager in Dallas, TX is $36.09, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $38.03 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

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

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What degree do I need for utilization case manager?

Utilization case managers typically need at least a bachelor's degree in healthcare, social work, nursing, or a related field. Some positions may prefer or require a master's degree or relevant certifications, such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ).

What are popular job titles related to Utilization Case Manager jobs in Dallas, TX?

For Utilization Case Manager jobs in Dallas, TX, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Dallas, TX look for?

The top searched job categories for Utilization Case Manager jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Utilization Case Manager jobs?

Cities near Dallas, TX with the most Utilization Case Manager job openings:

Infographic showing various Utilization Case Manager job openings in Dallas, TX as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $75,074 per year, or $36.1 per hour.

Medical Case Manager - Dallas

Injury Management Organization, Inc

Plano, TX โ€ข On-site

$76K - $84K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Job description

Join our dedicated team at Injury Management Organization, Inc. as a Full-Time Medical Case Manager in Dallas, TX, where you'll play a pivotal role in advancing workers' compensation and occupational health initiatives. This hybrid position not only allows you to apply your expertise as an RN or LMSW in case management but also connects you with a team that values empathy, innovation, and accountability. With a competitive salary range of $76,000 to $84,000, you'll be rewarded for your commitment to excellence. Successful candidates must reside in the Dallas, TX area.
Embrace the opportunity to enhance the return-to-work process for those you serve while enjoying a flexible and forward-thinking work environment that prioritizes your professional growth. You will be given great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, and Paid Time Off. Your contributions will be recognized within a culture that champions teamwork and recognizes the importance of noticing needs in the community we support.
A little about us
IMO is a trusted managed care partner for both private and public enterprise with vast experience in quality case management and positive injured employee outcomes. For over three decades our goal has been to provide industry leading customer service to our industry partners and their injured employees a goal that has allowed IMO to grow from Texas into multiple other states including Arkansas, Oklahoma, and New Mexico.
What would you do as a Medical Case Manager - DALLAS
As a Full-Time Medical Case Manager at Injury Management Organization, Inc. in Dallas, your primary responsibility will be managing case management files for injured employees within the workers' compensation framework. You will maintain constant communication with all relevant parties to ensure continuous monitoring of progress and adhere to evidence-based guidelines. Your role will involve educating providers and facilitating a smooth return to work process.
You will proficiently document in our case management software and develop comprehensive care plans in collaboration with physicians and a multidisciplinary team. Acting as a liaison for injured employees, you will provide exemplary customer service, assist with specialist referrals, and ensure optimal utilization of our provider network. Additionally, you will coordinate closely with employers and claims adjusters to support effective return-to-work efforts, ensuring a seamless transition for all involved.
Requirements for this Medical Case Manager - DALLAS job
To excel as a Full-Time Medical Case Manager at Injury Management Organization, Inc. in Dallas, candidates must possess a valid nursing or social work license, along with a bachelor's degree and relevant case management certification such as CCM, CDMS, CRC, or COHN. A strong understanding of workers' compensation rules and laws is essential.
Critical thinking skills will enable you to assess situations effectively, while problem-solving techniques will help you navigate complex cases. Proficiency in conflict resolution is crucial for managing interactions between injured employees, employers, and healthcare providers. Familiarity with evidence-based guidelines will allow you to provide optimal care and support to those in your charge.
Strong organizational skills and the ability to document accurately in the required software tools are also vital for maintaining comprehensive case management records and ensuring seamless collaboration with the multidisciplinary team.
Knowledge and skills required for the position are:
  • Valid license in nursing or social work license
  • Bachelor's degree
  • Certification in case management, i.e., CCM, CDMS, CRC, COHN, preferred
  • Workers' compensation rules and laws
  • Familiar with evidence-based guidelines
  • Bilingual in English/Spanish preferred
  • Critical thinking skills
  • Problem solving techniques
  • Conflict resolution
  • Familiar with evidence-based guidelines
Will you join our team?
We're looking for talented individuals like you to join our team and help us achieve our goals. If you're passionate, driven, and committed to making a difference, we want to hear from you! Don't wait - apply now and take the first step towards a fulfilling career with endless possibilities. Let's work together to make great things happen!