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Utilization Management Assistant Jobs in Texas (NOW HIRING)

UHS

Utilization Management Coordinator

Houston, TX · On-site

We are available 24 hours a day, seven days a week to assist you and answer your questions about ... The Utilization Management Coordinator provides administrative case management, conducts admission ...

UHS

Utilization Management Coordinator

Houston, TX · On-site

We are available 24 hours a day, seven days a week to assist you and answer your questions about ... The Utilization Management Coordinator provides administrative case management, conducts admission ...

Midland Health

Nurse Utilization Review

Midland, TX · On-site

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

Midland Health

Nurse Utilization Review

Midland, TX

The utilization review (UR) nurse serves to maximize the quality and cost efficiency of health care ... The UR nurse will also assist Registered Nurse (RN) Case Managers and Social Workers with helping ...

Bienvivir All Inclusive Health

Be Seen First

Registered Nurse - Utilization Management/ Coder (RN)

El Paso, TX · On-site

$33.79 - $42.24/hr

... 6. Assist in coordinating the Utilization Management (UM) committee, collaborating with the Medical Director, VP of Clinical Operations, Director of Nursing, Assistant Director of Nursing, PACE ...

Ascension

RN Utilization Review

Austin, TX · Remote

Utilization Management Schedule: Full Time l Day How you'll make an impact in this role * Provide ... Support complex case management and assist staff with coding, documentation, precertification ...

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Utilization Management Assistant information

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$27K

$45.1K

$64.7K

How much do utilization management assistant jobs pay per year?

As of May 28, 2026, the average yearly pay for utilization management assistant in Texas is $45,089.00, according to ZipRecruiter salary data. Most workers in this role earn between $39,100.00 and $45,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
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 Utilization Management Assistant jobs? Cities in Texas with the most Utilization Management Assistant job openings:
Utilization Management Assistant jobs near you

Utilization Management Coordinator

Alan B. Miller Medical Center

Houston, TX • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

Utilization Management Coordinator - Full-Time Opportunity

West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria.

West Oaks Hospital is seeking a dynamic and talented Utilization Management Coordinator to join our team of compassionate, dedicated professionals. The Utilization Management Coordinator provides administrative case management, conducts admission and continued stay reviews, assists in appeal of inappropriate reimbursement denials, participates in the hospital's Performance Improvement Plan.

Job duties/responsibilities include:

  • Monitors cases for medical necessity, appropriate duration of service and over or under utilization of resources.
  • Completes admission and continued stay reviews with managed care companies and obtains certification.
  • Identifies documentation defects.
  • Participates in efforts to recover denials.
  • Collaborates with medical staff, administration and treatment team.

Benefit highlights:

  • Student loan forgiveness program
  • Challenging and rewarding work environment
  • Competitive compensation & generous paid time off
  • Excellent medical, dental, vision and prescription drug plans
  • 401(k) with company match and discounted stock plan
  • SoFi student loan refinancing program
  • Career development opportunities within UHS and its 300+ subsidiaries
  • Pet insurance

About Universal Health Services:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired CompaniesTM and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications requirements:

  • Education required: Bachelor's degree in psychology, social work, nursing or related field, or associate degree in nursing.
  • Preferred: Masters degree in human related field.
  • Licensure and certification required: CPR and hospital de-escalation certifications.
  • Preferred: TX LVN, RN or LCDC license.
  • Experience required: Minimum of one year of case management experience and one year inpatient psychiatric experience.
  • Preferred experience: 5 years of clinical or case management experience.

EEO statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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