1

Utilization Management Jobs in Dallas, TX (NOW HIRING)

Utilization review experience Additional Skills & Qualifications * Perform utilization review ... Collaborate with physicians, case management teams, and payers to support authorization and ...

... meeting utilization and productivity goals. * Plan distribution of locomotives on system for ... Should demonstrate good personal time management skills. * Must be able to comprehend verbal ...

Showing results 21-40

Utilization Management information

See Dallas, TX salary details

$38.6K

$88.5K

$161.2K

How much do utilization management jobs pay per year?

As of Sep 7, 2026, the average yearly pay for utilization management in Dallas, TX is $88,519.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,800.00 and $103,400.00 per year, depending on experience, location, and employer.

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 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 degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are the most commonly searched types of Utilization Management jobs in Dallas, TX?

The most popular types of Utilization Management jobs in Dallas, TX are:

What cities near Dallas, TX are hiring for Utilization Management jobs?

Cities near Dallas, TX with the most Utilization Management job openings:

Infographic showing various Utilization Management job openings in Dallas, TX as of August 2026, with employment types broken down into 4% As Needed, 87% Full Time, and 9% Contract. Highlights an 83% In-person, 4% Hybrid, and 13% Remote job distribution, with an average salary of $88,519 per year, or $42.6 per hour.

Registered Nurse Care Manager - HP Utilization Management

CHRISTUS Health

Irving, TX • On-site

Full-time

Re-posted 16 days ago


CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 533 frontline employees who took The Breakroom Quiz

533rd of 898 rated healthcare providers


Job description

Summary:
The RN Care Manager (CM) II works with physicians and multidisciplinary team members to develop a plan of care for each assigned patient from admission through discharge. The CM ensures that the patient is progressing toward desired outcomes by continuously monitoring patient care through assessments and/or evaluations. Assesses and responds to patient/family needs by coordinating efforts of other team members. Identifies and resolves barriers that hinder effective patient care. The CM plans effectively to meet patient need, manage length of stay and promote efficient utilization of resources to include the facilitation of patient care across the continuum, intervening as necessary to remove barriers to timely and efficient care delivery and reimbursement and resolves barriers that hinder effective patient care.
Responsibilities:
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Coordinates/facilitates patient care progression throughout the continuum.
  • Implements and monitors the patient's plan of care to ensure effectiveness and appropriateness of services.
  • Identifies and escalates system barriers that are impeding diagnostic or treatment progress.
  • Proactively identifies and resolves delays and obstacles to discharge.
  • Uses advances conflict resolution skills as necessary to ensure timely resolution of issues.
  • Collaborates with medical staff, nursing staff, and ancillary staff to eliminate barriers to efficient delivery of care in the appropriate setting.
  • Ensures that all elements critical to the plan of care have been communicated to the patient/family and members of the healthcare team and are documented as necessary to assure continuity of care.
  • Manages all aspects of discharge planning for assigned patients.
  • Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and the religious, developmental, health literacy, and educational backgrounds of the patient population.
  • Assesses the patient's formal and informal support system as well as available benefits and/or community resources.
  • Meets directly with patient/family to assess needs and develop and individualized care plan in collaboration with the physician.
  • Ensures and maintains plan consensus from patient/family, physician and payor.
  • Provide education, information, direction, and support related to patient's goals of care.
  • Acts as patient advocate to develop treatment plan and coordinate patient care and to transition patient to the appropriate next level of care.
  • Demonstrates and promotes respect for the dignity and rights of every patient while adhering to the safety standards and practices of the organization and the nursing profession.
  • Collaborates with the physician and other health care professionals to promote appropriate use of medical center resources.
  • Provides information and support to patients and families, helping them access needed resources within the medical center and community.
  • Actively participates in clinical performance improvement activities involving length of stay, resource utilization, avoidable days, cost per case, and readmissions.
  • Measures effectiveness of interventions through direct communication with post-acute care providers, patients, and caregivers.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency.

Job Requirements:
Education/Skills
  • BSN Degree from an accredited nursing program or demonstrated success in CHRISTUS RN Care Manager I position required.
  • Master's degree in nursing preferred.
  • Program management experience, including management of multiple projects at one time preferred.
  • Excellent verbal and written communication.
  • Critical and analytical thinking skills.
  • Demonstrated clinical competency.
  • Working knowledge of discharge planning, utilization management, case management, performance improvement, and managed care reimbursement.
  • Understanding of pre-acute and post-acute levels of care and community resources.
  • Ability to work independently and exercise sound judgment in interactions with physicians, payors, patients, and their families.

Experience
  • Three or more years clinical experience in clinical practice or demonstrated success in CHRISTUS RN Care Manager I position.
  • Case management and Utilization Review experience preferred.

Licenses, Registrations, or Certifications
  • RN License in state of employment or compact required.
  • Certification in Case Management or demonstrated success in CHRISTUS RN Care Manager I Position preferred.

Work Schedule:
5 Days - 8 Hours
Work Type:
Full Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999