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Utilization Management Jobs in Houston, TX (NOW HIRING)

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Director of Case Management & Community Partnerships

Houston, TX · On-site

$100K - $130K/yr (+ commission)

Candidate will have overall responsibility for Clinic utilization performance improvement and operational management of the Case Management Department to promote effective utilization of clinic ...

Case Manager

Houston, TX · On-site

$19 - $24.50/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Case Manager

Houston, TX · On-site

$19 - $24.50/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Case Manager

Houston, TX · On-site

$19 - $24.50/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Case Manager

Houston, TX · On-site

$19 - $24.50/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Case Manager

Houston, TX · On-site

$19 - $24.50/hr

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

The role integrates and coordinates resource utilization management, care facilitation and discharge planning functions. In addition, the Case Manager helps drive change by identifying areas where ...

Essential Job Functions Develop and own relationships with all case management and utilization management departments within assigned payor accounts. Hold weekly or monthly meetings with MCO ...

Showing results 41-60

Utilization Management information

See Houston, TX salary details

$37.2K

$85.5K

$155.7K

How much do utilization management jobs pay per year?

As of Sep 6, 2026, the average yearly pay for utilization management in Houston, TX is $85,453.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,600.00 and $99,800.00 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 Houston, TX?

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

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

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

Infographic showing various Utilization Management job openings in Houston, TX as of August 2026, with employment types broken down into 7% As Needed, and 93% Full Time. Highlights an 86% In-person, 7% Hybrid, and 7% Remote job distribution, with an average salary of $85,453 per year, or $41.1 per hour.

Licensed Therapist (LPHA) - Utilization Management/Continuity of Care

The Harris Center

Houston, TX • On-site

Full-time

Retirement, PTO

Re-posted 10 days ago


The Harris Center for Mental Health and IDD rating

8.3

Company rating: 8.3 out of 10

Based on 18 frontline employees who took The Breakroom Quiz


Job description

Join our team at The Harris Center for Mental Health and IDD ("The HARRIS CENTER") as a Licensed Therapist (LPHA). We're seeking a dedicated professional who will revolutionize the way we provide clinical services. As a Licensed Therapist, you'll conduct independent assessments and interventions based on treatment plans and consumer needs. You'll collaborate with our inpatient and outpatient Treatment Teams, ensuring the authorization of necessary services. Additionally, you may provide supervision, training, and monitoring at clinical sites, and even travel to deliver services in homes or other field locations. Our ideal candidate embodies compassion, expertise, and a commitment to patient care. You'll play a crucial role in developing and managing care plans for our providers, as well as evaluating current and future medical needs of our clients. Join us in transforming the way mental health and IDD services are delivered!

This is a clinical non-direct care position which involves utilization management and continuity of care liaison activities with multiple interagency staff and providers for state hospital patients on criminal court commitments.

What you will do:

  • Monitors consumer progress with treatment goals to determine effectiveness of interventions.
  • Performs clinical assessments to evaluate the individual's priority population diagnostic eligibility and treatment needs.
  • Provides cognitive behavioral therapy focusing on the reduction or elimination of symptoms of severe and persistent mental illness and increasing the individual's ability to perform activities of daily living.
  • Provides crisis intervention to individuals to reduce symptoms and prevent admission to a more restrictive environment.
  • Provides training/education on the nature of mental illness, addressing the symptom related problems interfering with the individual's functioning, the importance of medications, and other medication related information using the TIMA curricula as well as other trainings as designated.
  • Performs activities to assist consumers in gaining and coordinating access to necessary care and services based on individual needs
  • Responsible for participation in formulation of consumer's treatment (inclusive of assessment of needs, treatment planning, admit/discharge planning and service authorization).
  • Ensures all services provided meet eligibility criteria and are authorized in accordance with agency and regulatory guidelines.
  • Advocates for consumers to ensure that needs are met both within The Harris Center system and in the community.
  • Completes reporting/training as designated in an accurate and timely manner.
  • Meets divisional productivity standards
  • Demonstrates ethical conduct in all clinical and professional activities.
  • Performs related work as assigned. Adapts to changing work requirements.
  • Complies with agency policies and procedures, accrediting/regulatory bodies and performance contract documentation requirements.

What qualifications you will need:

Education:

  • Master's degree (M.A.) from four-year accredited college or university with a major in a social, behavior, or human service field, including but not limited to psychology, social work, counseling, sociology, human development, and educational psychology.

Experience:

  • Must have 2 years experiencing working in a mental health setting.

Other Key Qualifications

  • Clinical license through the State of Texas for one of the following: Licensed Clinical Social Worker (LCSW), Licensed Professional Counselor (LPC), or a Licensed Marriage and Family Therapist (LMFT.
  • Licenser credentials plus one to two years of clinical experience post Master's degree preferred.
  • Must maintain a valid Texas Driver's License and be insurable under Agency policy.

Knowledge/Skills & Ability:

  • Knowledge of and ability to apply crisis intervention techniques.
  • Strong diagnostic skills, the ability to incorporate patient history, symptoms, environmental and related issues to formulate proper diagnosis and treatment.
  • Strong communication skills, listening and interpersonal skills above average, written documentation is clear, concise, and well- constructed.
  • Effective time management and organizational skills.
  • Must be able to work autonomously in a fast-paced environment.

What we have to offer:

The Harris Center not only offers a competitive salary but also a suite of excellent benefits designed to enrich your life both professionally and personally. Imagine a future with a robust retirement plan complemented by our generous company matching - a testament to our investment in your long-term financial well-being. Experience the unique advantage of our prior service credit, accelerating your journey towards a more substantial Paid Time Off accrual, empowering you to enjoy well-deserved breaks.

Enjoy Cell Phone Discounts, exclusive entertainment deals through Tickets at Work, and a free Headspace subscription for mental wellness. Additionally, our Employee Assistance Program supports your overall well-being.

Take advantage of significant financial relief through student loan forgiveness as a valued member of The Harris Center team. As a qualifying entity, our employees are eligible for various student loan forgiveness programs, designed to alleviate the financial burdens associated with higher education.

What else you should know:

This posting is associated with position #2483-96212

This position will be under the general direction of the practice manager or designated supervisor.

May be necessary to travel to or transport consumers to homes or other field locations when providing services.

May be exposed to unfavorable conditions.

Interacts with individuals who may be emotional or physically hostile, agitated or uncooperative.

About us:

The Harris Center is the state-designated Local Mental Health Authority and Local Intellectual and Developmental Disability (IDD) Authority serving Harris County, Texas. As the largest behavioral and developmental disability care center in Texas, The Harris Center provides care to over 90,000 people and has an annual budget of over $300 million.

As part of its mission to transform the lives of people with behavioral health and IDD needs in the third largest county in the United States, The Harris Center provides a full continuum of services at 80 different sites across Harris County. In addition, services are provided in more than 40 different languages as well as sign language in order to better serve what is one of the largest communities in the nation.

By utilizing the unique expertise of its more than 2,500 employees, The Harris Center is committed to meeting the behavioral health and IDD needs of Harris County residents and giving them hope to live to their fullest potential.


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