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Utilization Management Jobs in Texas (NOW HIRING)

HealthCare Support

Utilization Management

Houston, TX · On-site

$38 - $42/hr

... to the Manager and/or Medical Director. * Monday to Friday 8-5 six positions available Thurs- Sun 10 hr days six positions available Required Qualifications for RN Outpatient Utilization Review ...

GuideWell

Utilization Management RN

Irving, TX · On-site

Job Title Utilization Management Nurse Get To Know Us! WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30+ years of experience building unique benefit solutions and ...

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Utilization Management information

See Texas salary details

$36.3K

$83.4K

$151.9K

How much do utilization management jobs pay per year?

As of Aug 16, 2026, the average yearly pay for utilization management in Texas is $83,367.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $97,400.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

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 are popular job titles related to Utilization Management jobs in Texas?

For Utilization Management jobs in Texas, the most frequently searched job titles are:

What job categories do people searching Utilization Management jobs in Texas look for?

The top searched job categories for Utilization Management jobs in Texas are:

What cities in Texas are hiring for Utilization Management jobs?

Cities in Texas with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Texas as of August 2026, with employment types broken down into 10% As Needed, and 90% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $83,367 per year, or $40.1 per hour.

Utilization Management Coordinator PRN

844107 - Utilization Management

Dallas, TX • On-site

Per diem

Medical, Retirement, PTO

Posted 20 days ago

Job description

Utilization Management Coordinator
PRN - Must have weekday availability between 7am - 7pm
WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career!
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
  • PPO medical plan, available day one at no cost for full-time employee-only coverage
  • 100% coverage for preventive healthcare-no copay
  • Paid Time Off, available day one
  • Retirement Programs through the Teacher Retirement System of Texas (TRS)
  • Paid Parental Leave Benefit
  • Wellness programs
  • Tuition Reimbursement
  • Public Service Loan Forgiveness (PSLF) Qualified Employer
  • Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
  • Education
    High School Diploma
  • Experience
    5 years of hospital and/or insurance industry experience.
Preferred
  • Education
    Some college preferred.
JOB DUTIES
  • Assists in faxing initial, concurrent or discharge reviews to insurance companies.
  • Documents information submitted/received by phone or fax from insurance companies into Epic.
  • Manages phone and fax lines. Processes incoming faxes, scans documents and other clerical duties as deemed necessary to assist with the facilitation of Utilization Management functions.
  • Communicates with insurance company to obtain pending authorizations.
  • Responds to insurance requests for clinical reviews within time frames designated by contractual obligations.
  • Generates and submits EPIC reports specific to third party payers.
  • Maintains departmental productivity, quality metrics and completes assigned tasks in compliance with regulatory and departmental requirements.
  • Assists in faxing initial, concurrent or discharge reviews to insurance companies.
  • Calls payors to notify them of patient's admission, updates Payor Communication in EPIC, monitors work queue to ensure timely notification of admission.
  • Performs other duties as assigned.
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.

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