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Utilization Management Jobs in Spring, TX (NOW HIRING)

HealthCare Support

Utilization Management

Houston, TX · On-site

$38 - $40.86/hr

Behavioral Health Utilization Review RN HealthCare Support is actively seeking a Remote BH Utilization Review RN to fill an opening with a Managed Care Company . Daily Responsibilities for Remote BH ...

Medix

Utilization Management Manager

Houston, TX · On-site

$57/hr

Job Summary Our client is seeking a Utilization Management Manager to review clinical documentation, justify inpatient hospital stays, and submit reasoning to insurance companies. Key ...

Harris Health System

BH Utilization Manager RN

Houston, TX · On-site

$67K - $85K/yr

We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of ... Behavioral Health Utilization Manager will perform concurrent and discharge reviews on assigned ...

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Utilization Management information

See Spring, TX salary details

$34.7K

$79.6K

$145.1K

How much do utilization management jobs pay per year?

As of Sep 11, 2026, the average yearly pay for utilization management in Spring, TX is $79,630.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,400.00 and $93,000.00 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 Spring, TX?

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

What are popular job titles related to Utilization Management jobs in Spring, TX?

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

What job categories do people searching Utilization Management jobs in Spring, TX look for?

The top searched job categories for Utilization Management jobs in Spring, TX are:

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

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

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Spring, TX as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $79,630 per year, or $38.3 per hour.

Utilization Management

Houston, TX • On-site

HealthCare Support
Recruiting and Staffing Services • 201 - 500 employees
Learn more about HealthCare Supportexternal

$38 - $40.86/hr

Other

Medical, Dental, Life

Re-posted 9 days ago

Job description

Behavioral Health Utilization Review RN
HealthCare Support is actively seeking a Remote BH Utilization Review RN to fill an opening with a Managed Care Company.
Daily Responsibilities for Remote BH Utilization Review RN:
  • Evaluate a member's clinical condition through the review of medical records to determine the medical necessity for patient's behavioral health services
  • Advanced knowledge and independent analysis of those medical records and application of appropriate medical necessity criteria.
  • 8am - 5pm CST Monday-Friday
  • Temp to perm in 6-12 months (planned FTE Conversions)
Required Qualifications for Remote Care Manager (UM):
  • ASN
  • 2+ years Pervious Behavioral health experience
  • Active unrestricted RN license in TX
  • 2+ years' experience utilization review methodologies
Preferred Qualifications for Remote BH Utilization Review RN:
  • BSN
  • InterQual Criteria Knowledge

Benefits for Remote BH Utilization Review RN:
  • Immediate enrollment in Health Insurance
  • Dental Insurance
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Access to Investment Accounts
  • Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $38 - $40.86 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to aaron.moore@healthcaresupport.com with your phone number, the job title and location, and our recruiters will reach out.
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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