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Utilization Management Jobs in Spring, TX (NOW HIRING)

IA Recruiting

RN Case Management Manager

Houston, TX

Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the ...

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Opulent Talent Staff

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CASE MANAGEMENT

Houston, TX · On-site

$108K - $130K/yr

Minimum 5 years of experience in utilization management, case management, discharge planning, or quality/cost management programs * Minimum 3 years of hospital-based nursing or social work experience

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OSI Recruit

Director, Case Management

Houston, TX

Care Facilitation, Utilization Management, Case Management and Discharge Planning. \n \n \n The Director is responsible for developing systems and processes for care\/utilization management and ...

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All JobsUtilization Management JobsUtilization Management Jobs in Spring, TX

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 Jun 20, 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 jobs pay 4000 a week without a degree?

Utilization Management roles typically require healthcare or insurance industry knowledge and often a relevant certification rather than a degree. High-paying jobs that can reach $4,000 a week without a degree include sales positions, real estate brokers, commercial pilots, or skilled trades like electricians and plumbers, especially with experience and certifications. These roles often involve commission, bonuses, or overtime to achieve such earnings.

What jobs pay $2000 a day?

Jobs that can pay $2000 a day typically include specialized roles such as senior management, high-level consultants, certain medical specialists, and experienced legal professionals. These positions often require advanced skills, extensive experience, and sometimes certifications, and they may involve freelance or contract work with high hourly or project-based rates.

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 is the least stressful healthcare job?

Utilization management roles are often considered less stressful compared to direct patient care jobs because they involve reviewing medical necessity and insurance claims rather than providing hands-on treatment. These positions typically have regular hours, less physical demand, and focus on administrative tasks, making them a lower-stress option within healthcare. However, stress levels can vary based on workplace environment and individual preferences.

What does utilization management do?

Utilization management is a healthcare job that involves reviewing and approving or denying medical services to ensure they are necessary and appropriate. It helps control healthcare costs and maintains quality by evaluating treatment plans, often using guidelines and data analysis. Professionals in this role typically work with insurance companies, healthcare providers, and use tools like medical records and clinical criteria.

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 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 June 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $79,630 per year, or $38.3 per hour.

RN Case Management Manager

IA Recruiting

Houston, TX

Full-time

Posted 2 days ago

Job description

Full-time RN Case Management Manager needed for a dynamic facility in Houston, Tx. Position offers a competitive salary and robust recruitment package. This is an on-site position. Job Description Summary The RN Case Management Manager is responsible and accountable to assist the Director of Case Management in the implementation of the case management program at the local level.

The components/roles of the inpatient case management program consist of the following: Care Facilitation, Utilization Management, Case Management and Discharge Planning. The Manager is responsible for coordinating the use systems and processes for care/utilization management at the hospital level. In addition, the Manager is responsible for to assist the Director in managing the department’s activities related to discharge planning and clinical quality improvement. The Manager coordinates day to day departmental operations and the use of hospital resources appropriately and effectively.

The Manager participates in the collection, analysis and reporting of financial and quality data related to utilization management, quality improvement and performance improvement. Minimum Qualifications Education: Bachelor's of Science in Nursing OR Social Work (BSW). Master’s degree preferred* Licenses/Certifications: Current and valid license to practice as a Registered Nurse in the state of Texas or Licensed Master Social Worker (LMSW) required, LCSW preferred Case Manager Certification required Experience/ Knowledge/ Skills: Minimum five (5) years' experience in utilization management, case management, discharge planning or other cost/quality management program Three (3) years of experience in hospital-based nursing or social work Three (3) years of demonstrated leadership experience Knowledge of leading practice in clinical care and payor requirements Self-motivated, proven communication skills, assertive Background in business planning, and targeted outcomes Working knowledge of managed care, inpatient, outpatient, and the home health continuum, as well as utilization management and case management Working knowledge of the concepts associated with Performance Improvement Demonstrated effective working relationship with physicians Ability to work collaboratively with health care professionals at all levels to achieve established goals and improve quality outcomes Effective oral and written communication skills Principal Accountabilities

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