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Utilization Management Non Clinical Jobs in Texas

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Utilization Management Non Clinical information

What is the difference between Utilization Management Non Clinical vs Utilization Review Nurse?

AspectUtilization Management Non ClinicalUtilization Review Nurse
CredentialsCertifications like CCM, RN (optional), but primarily non-clinical certificationsRN license, certifications such as CCM or CUC
Work EnvironmentOffice-based, administrative setting, telecommuting optionsClinical settings, hospitals, or insurance companies, often with direct patient or provider interaction
Employer & Industry UsageHealth insurance companies, managed care organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentUnderstanding non-clinical roles in utilization managementClinical review roles involving direct patient care assessment

Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

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Utilization Management Non Clinical jobs near you
Infographic showing various Utilization Management Non Clinical job openings in Texas as of August 2026, with employment types broken down into 6% As Needed, and 94% Full Time. Highlights an 75% In-person, and 25% Remote job distribution.

Utilization Management Assistant

St Luke's Health

Houston, TX

$22.51 - $31.79/hr

Full-time

Posted 7 days ago

Job description


Job Summary and Responsibilities

As our Utilization Management (UM) Assistant, you will provide essential administrative and clerical support to the UM team, playing a crucial role in maintaining efficient and organized operations.

Every day you will manage documentation, process incoming requests, facilitate communication between team members and external parties, and assist with data entry and record-keeping to ensure smooth UM workflows.

To be successful in this role you will possess excellent organizational skills, a keen eye for detail, strong communication abilities, and a proactive approach to supporting the daily functions of the Utilization Management department.

  • Receives, sends and documents payer requests for clinical documentation
  • Receives and documents payer authorization and communications including but not limited to concurrent denials
  • Coordination of peer to peer conversations 
  • Reviews surgery schedule 
  • Under direction of RN submit request for and follows up on administrative days authorization
Job Requirements
  • High School Diploma or GED required 
  • 1 year of experience in a hospital, physician's office or medical group performing duties related to admitting, business office, payer communications or managed care or an equivalent combination of education and experience
Where You'll Work

Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.


Pay Range
$22.51 - $31.79 /hour

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