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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 · 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 ...

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Utilization Management Assistant information

See Texas salary details

$27K

$45.1K

$64.7K

How much do utilization management assistant jobs pay per year?

As of Jul 2, 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
Infographic showing various Utilization Management Assistant job openings in Texas as of June 2026, with employment types broken down into 2% As Needed, 27% Full Time, 70% Part Time, and 1% Nights. Highlights an 98% Physical, 1% Hybrid, and 1% Remote job distribution, with an average salary of $45,089 per year, or $21.7 per hour.
Utilization Management Assistant

Utilization Management Assistant

Texas Children's Hospital

Bellaire, TX • On-site

Full-time

Posted 5 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 173 frontline employees who took The Breakroom Quiz

74th of 1,004 rated hospitals

Job description


We are searching for a Utilization Management Assistant- Someone who receives, processes and completes data entry of demographic information on all referral/authorization requests from participating providers via fax or phone. Assists and collaborates with all medical management staff, as well as other health plan staff, e.g. Claims Department, Network Development. Provides customer service and education for all incoming calls regarding provider and/or product information.
Think you've got what it takes?
Qualifications:
  • H.S. Diploma or GED required
  • 2 years managed care, preferably in medical management department, claims and member service preferred
  • Experience in Healthcare or Insurance environment preferred

Responsibilities:
  • Serves as support to Medical Management Intake Department
  • Eligibility Confirmation
  • Provider/Member Education
  • Internal Collaboration
  • Managed care, preferably in medical management department, claims and member service background helpful.
  • Health care setting employment a plus.
  • Utilizes resources available from TCHP or State Agencies. Reference may be made by phone or online. Dates must be referenced prior to authorizations.

About Us
Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.
To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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