Utilization Review RN, PRN
Irving, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
Irving, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
Irving, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
We encourage professional development and advancement as you learn our unique utilization management solutions. WHAT WE LOOK FOR: Our ideal candidate is a highly motivated and dynamic individual that ...
We encourage professional development and advancement as you learn our unique utilization management solutions. WHAT WE LOOK FOR: Our ideal candidate is a highly motivated and dynamic individual that ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the ...
Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the ...
Dallas, TX · Remote
Determination for the Epic Application Analyst (I, II or III), Tapestry (Core Administration, Utilization Management or Benefits) roles will be based on experience and qualifications. This position ...
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Dallas, TX · Remote
Determination for the Epic Application Analyst (I, II or III), Tapestry (Core Administration, Utilization Management or Benefits) roles will be based on experience and qualifications. This position ...
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
Dallas, TX · On-site
As a Utilization Review RN, review cases to determine medical suitability for insured patients ... Identify and communicate quality assurance or risk management issues promptly when they arise.
$75K - $182K/yr
Position Summary The Senior Manager will lead a team supporting the Utilization Management function within Clinical Services. Responsibilities will include FP&A functions (Budgeting & Forecasting ...
$75K - $182K/yr
Position Summary The Senior Manager will lead a team supporting the Utilization Management function within Clinical Services. Responsibilities will include FP&A functions (Budgeting & Forecasting ...
Irving, TX · Hybrid
$88K - $155K/yr
Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...
Irving, TX · Hybrid
$88K - $155K/yr
Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...
Irving, TX · On-site
$88K - $155K/yr
Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...
Irving, TX · On-site
$88K - $155K/yr
Manage the day-to-day operations of the value analysis program, driving product standardization, utilization management, and cost-reduction initiatives. * Serve as the gatekeeper for new product ...
Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
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Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
Irving, TX · On-site
You will be the primary advocate for the patient, ensuring high-quality outcomes, managing resource utilization, and removing barriers to efficient care delivery. What You Will Do * Care Coordination:
Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a) Requisition Number: 45094 Employment Type: Full Time Division: CLINICAL INTEGRATION Compensation Type: Hourly Job Category: Nursing ...
Nurse Case Manager - Utilization Review - Nights (Fri-Sun, 7p-7a) Requisition Number: 45094 Employment Type: Full Time Division: CLINICAL INTEGRATION Compensation Type: Hourly Job Category: Nursing ...
Dallas, TX · On-site
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Dallas, TX · On-site
Updating Clinical Resource Manager as needed. * Assigning daily tasks to staff members to ensure ... Handling escalations from Utilization Review Nurses and other staff members. * Conducting quality ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
Certification in Case Management (CCM) or Utilization Review (ACM) strongly preferred * Familiarity with EPIC and MCG Indicia preferred * Minimum of 3 years of previous case management experience is ...
The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...
The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...
Irving, TX · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...
New
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Irving, TX · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...
New
Irving, TX · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...
Irving, TX · Remote
$16.74 - $26.92/hr
The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...
$35.7K - $46.5K
9% of jobs
$54.4K is the 25th percentile. Wages below this are outliers.
$46.5K - $57.2K
22% of jobs
$57.2K - $67.9K
11% of jobs
The median wage is $74.5K / yr.
$67.9K - $78.6K
14% of jobs
$78.6K - $89.3K
12% of jobs
$96K is the 75th percentile. Wages above this are outliers.
$89.3K - $100K
13% of jobs
$100K - $110.7K
13% of jobs
$110.7K - $121.4K
5% of jobs
$121.4K - $132.1K
2% of jobs
$132.1K - $142.8K
0% of jobs
$142.8K - $153.5K
0% of jobs
$35.7K
$83.4K
$153.5K
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
The most popular types of Utilization jobs in Dallas, TX are:
For Utilization Manager jobs in Dallas, TX, the most frequently searched job titles are:
The top searched job categories for Utilization Manager jobs in Dallas, TX are:
Cities near Dallas, TX with the most Utilization Manager job openings:

Per diem
Medical, Retirement, PTO
This job post has expired 1 day ago. Applications are no longer accepted.
7.5
Based on 772 frontline employees who took The Breakroom Quiz
232nd of 898 rated healthcare providers
Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well.
Our Core Values are:
Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:
Note: Benefits may vary based upon position type and/or level.
Job SummaryAre you seeking an impactful nursing role? As a Utilization Review RN, review cases to determine medical suitability for insured patients. Your expertise shines through meticulous clinical reviews using established criteria. You play a key role in supporting the healthcare team by optimizing resources and implementing care plans. Communication with health plan departments is important to ensure services meet medical necessity standards. This includes prospective, concurrent, and retrospective reviews.
Essential Functions of the RoleWe believe that all people should feel welcomed, valued and supported.
Qualifications
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Outpatient health care and health care and social assistance
10,000+ Employees
Dallas, TX, US