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Utilization Management Coordinator Jobs in Spring Branch, TX

CareVitality Inc

Care Manager - Remote

San Antonio, TX · On-site

$60K - $77K/yr

Support patient self-management of medications within the Care Coordinator scope. * Engage patients ... utilization and hospital readmissions. Coordinate care with patients, caregivers, primary care ...

Laukoa

Registered Nurse - Case Manager

San Antonio, TX · On-site

Facilitate communication and coordination between members of the healthcare team. Educate both the ... Integrate CM and utilization management (UM) and integrating nursing case management with social ...

OPCO Skilled Mangement

Regional MDS Coordinator

San Antonio, TX · On-site

$31 - $39.50/hr

... coordination and evaluation of MDS services across multiple facilities. Supports quality care and ... manages the distribution and utilization of survey information to address areas of importance as ...

University Health

Nurse Case Manager

Boerne, TX

$32.50 - $51/hr

POSITION SUMMARY/RESPONSIBILITIES The nurse case manager coordinates, in collaboration with the ... Work experience in case management, utilization review or hospital quality is preferred. LICENSURE ...

Touchstone Communities

Care Navigator

San Antonio, TX · On-site

$19 - $24.25/hr

Admissions and care coordination * Medical record review and clinical assessments * Healthcare reimbursement and payer requirements * Utilization management * Discharge planning and transition ...

Meritum Energy Holdings

Fleet Manager

San Antonio, TX · On-site

The Fleet Manager coordinates compliance with organizational policies, government regulations, and ... Maintain a holistic view of asset optimization at the fleet level, including utilization ...

Pico Propane

Fleet Manager

San Antonio, TX

The Fleet Manager coordinates compliance with organizational policies, government regulations, and ... Maintain a holistic view of asset optimization at the fleet level, including utilization ...

MERITUM ENERGY GP LLC

Fleet Manager

San Antonio, TX · On-site

The Fleet Manager coordinates compliance with organizational policies, government regulations, and ... Maintain a holistic view of asset optimization at the fleet level, including utilization ...

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All JobsUtilization Management JobsUtilization Management Coordinator JobsUtilization Management Coordinator Jobs in Spring Branch, TX

Utilization Management Coordinator information

See Spring Branch, TX salary details

$13

$25

$39

How much do utilization management coordinator jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for utilization management coordinator in Spring Branch, TX is $25.13, according to ZipRecruiter salary data. Most workers in this role earn between $18.17 and $29.38 per hour, depending on experience, location, and employer.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.

What degree do you need for utilization management coordinator?

A utilization management coordinator typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Relevant certifications, such as Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Strong knowledge of medical terminology, insurance processes, and data analysis tools is also important.

What cities near Spring Branch, TX are hiring for Utilization Management Coordinator jobs?

Cities near Spring Branch, TX with the most Utilization Management Coordinator job openings:

Utilization Management Coordinator jobs near you
Infographic showing various Utilization Management Coordinator job openings in Spring Branch, TX as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $52,273 per year, or $25.1 per hour.

Registered Nurse Case Manager (RN)

Tenet Health

San Antonio, TX

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Tenet Healthcare rating

6.2

Company rating: 6.2 out of 10

Based on 355 frontline employees who took The Breakroom Quiz

697th of 898 rated healthcare providers

Job description

The RN Case Manager is responsible to facilitate care along a continuum through effective resource coordination to help patient achieve optimal health, access to  care and appropriate utilization of resources balanced with the patient's resources and right to self-determination. Has overall  responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for  transition needs to provide timely throughput, safe discharge and prevent avoidable readmissions. Integrates the national standards for care management scope of services including: Utilization Management supporting medical necessity and denial prevention; Transition Management promoting appropriate length of stay, readmission prevention and patient satisfaction; Care Coordination by demonstrating  efficient throughput while assuring care is sequenced and at appropriate level of care; Compliance with state and federal regulatory  requirements, TJC accreditation standards and Tenet policy; Education provided to physicians, patients, families and caregivers. Completes established competencies for the position within designated introductory period. Other related duties as assigned

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. Ready to be a vital part of our mission? Apply today and bring your passion for nursing to a place where it truly matters!

At Saint Luke's Hospital, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:

  • Medical, dental, vision, and life insurance
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Career development and continuing education opportunities
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance

Note: Eligibility for benefits may vary by location and is determined by employment status

Baptist Health System has more than 120 years history of caring for our community and making a positive difference. Our system of care includes six full-service hospitals, a specialized childrens hospital with a dedicated pediatric emergency unit, a comprehensive cancer care network, fitness and rehabilitation centers, a physician network, imaging centers, ambulatory services and the Baptist School of Health Professions. Wherever you go in the Baptist Health System, youll find that we have the same goal to help people achieve health for life through compassionate service inspired by faith. Join our team!

MINIMUM EDUCATION: Graduate of an accredited School of Nursing
PREFERRED EDUCATION: Bachelors or Masters Degree in Nursing
MINIMUM EXPERIENCE: 2 years acute hospital patient care experience. Utilization/case management
experience.
PREFERRED EXPERIENCE: Previous Case Management Supervisory experience.
REQUIRED CERTIFICATIONS/LICENSURE: Possession of current Texas State license for Registered Nurse
PREFERRED CERTIFICATIONS/LICENSURE: Accredited Case Management (ACM)
REQUIRED COURSES/ COMPLETIONS (e.g., CPR): N/A

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