Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
The Utilization Management (UM) Department is responsible for ensuring individuals receive medically necessary, appropriate, and timely behavioral health services through utilization review ...
The Utilization Management (UM) Department is responsible for ensuring individuals receive medically necessary, appropriate, and timely behavioral health services through utilization review ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
The Vice President, Utilization Management serves as the executive leader responsible for enterprise strategy, performance optimization, and value-based resource management across Oceans Healthcare. ...
The Vice President, Utilization Management serves as the executive leader responsible for enterprise strategy, performance optimization, and value-based resource management across Oceans Healthcare. ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
Utilization Management Coordinator PRN - Must have availability between 7am - 10pm WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to ...
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial ...
The Utilization Management (UM) Coordinator provides MSO referral management services. The UM Coordinator serves as a liaison between members, physicians, providers, and MSO staff, processing initial ...
Utilization Management RN (Hybrid)
Dallas, TX ยท On-site
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
Utilization Management RN (Hybrid)
Dallas, TX ยท On-site
The Utilization Management (UM) RN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
Medical Director Utilization Management Oncology
Dallas, TX ยท Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides clinical expertise in assessing the ...
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Medical Director Utilization Management Oncology
Dallas, TX ยท Remote
$275K - $325K/yr
Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides clinical expertise in assessing the ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
Utilization Review Nurse
Plano, TX ยท Remote
Provides information regarding utilization management requirements and operational procedures to ... members, providers, and facilities. JOB QUALIFICATIONS (Required): * Registered Nurse (RN) with a ...
Utilization Review Nurse
Plano, TX ยท Remote
Provides information regarding utilization management requirements and operational procedures to ... members, providers, and facilities. JOB QUALIFICATIONS (Required): * Registered Nurse (RN) with a ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
The RN Supervisor, Utilization Management is responsible for supervising/ coaching/ mentoring STAR/ CHIP/ or STAR Kids workgroups (Pods) comprised of UM/ECM RN and support staff to achieve department ...
This role serves as the clinical lead for utilization management and a key contributor to denial prevention, partnering closely with Denial Management and Revenue Cycle teams to proactively identify ...
This role serves as the clinical lead for utilization management and a key contributor to denial prevention, partnering closely with Denial Management and Revenue Cycle teams to proactively identify ...
Utilization Review Nurse
Dallas, TX ยท On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
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Utilization Review Nurse
Dallas, TX ยท On-site
$90K - $98K/yr
As a Utilization Review Nurse (UR Nurse) , you'll play an important role in helping us offer ... The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and ...
Medical Management Nurse, NICU Utilization Management Medical Management Nurse Location: Kansas or Texas Work Hours: 8:00am - 5:00 pm CST Virtual : This role enables associates to workvirtually ...
Medical Management Nurse, NICU Utilization Management Medical Management Nurse Location: Kansas or Texas Work Hours: 8:00am - 5:00 pm CST Virtual : This role enables associates to workvirtually ...
Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education ...
Requires a minimum of 4 years care management or case management experience and requires a minimum of 2 years clinical, utilization review, or managed care experience; or any combination of education ...
Utilization Management LVN (Hybrid)
Dallas, TX ยท On-site
$27.25 - $36.50/hr
The Utilization Management (UM) LVN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
Utilization Management LVN (Hybrid)
Dallas, TX ยท On-site
$27.25 - $36.50/hr
The Utilization Management (UM) LVN performs utilization review activities, including, but not limited to, precertification, ensures appropriate level of care and status (Inpatient, Outpatient, and ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
... management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement. THE OPPORTUNITY: We are currently seeking Board ...
Utilization Management information
See Dallas, TX salary details
$35K - $45.2K
15% of jobs
$45.2K - $55.3K
8% of jobs
$56.8K is the 25th percentile. Wages below this are outliers.
$55.3K - $65.4K
15% of jobs
The median wage is $71.8K / yr.
$65.4K - $75.6K
20% of jobs
$75.6K - $85.7K
11% of jobs
$90.8K is the 75th percentile. Wages above this are outliers.
$85.7K - $95.8K
13% of jobs
$95.8K - $106K
5% of jobs
$106K - $116.1K
3% of jobs
$116.1K - $126.2K
4% of jobs
$126.2K - $136.4K
3% of jobs
$136.4K - $146.5K
3% of jobs
$35K
$80.4K
$146.5K
How much do utilization management jobs pay per year?
What are the key skills and qualifications needed to thrive in the Utilization Management position, 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 a Utilization Management job?
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.
- No Experience Utilization Review Nurse
- Remote Chart Review Nurse
- Remote Utilization Management
- Remote Utilization Management Nurse
- Remote Utilization Review Nurse
- Telephonic Nurse Case Manager
- Utilization Review Nurse
- Utilization Review Specialist
- Per Diem Utilization Review Nurse
- Overnight Utilization Review Nurse

Per diem
Medical, Retirement, PTO
Posted 5 days ago
Job description
PRN - Must have availability between 7am - 10pm
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!
Required
- Education
High School Diploma
- Experience
5 years of hospital and/or insurance industry experience.
- Education
Some college preferred.
- 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
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.