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Utilization Manager Jobs in Dallas, TX (NOW HIRING)

Value Analysis Manager

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 ...

Value Analysis Manager

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 ...

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:

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:

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:

The Manager will lead workforce planning, talent development, recruiting, utilization, and operational excellence while promoting firmwide resource optimization through cross-office and cross ...

The Utilization Review (UR) Intake Specialist provides staff support services including typing ... Strong interpersonal, time management and organizational skills * Ability to remain poised in ...

Showing results 41-60

Utilization Manager information

See Dallas, TX salary details

$35.7K

$83.4K

$153.5K

How much do utilization manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for utilization manager in Dallas, TX is $83,418.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,500.00 and $100,400.00 per year, depending on experience, location, and employer.

What is a utilization manager?

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.

What are the key skills and qualifications needed to thrive as a utilization manager?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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.

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

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

What are popular job titles related to Utilization Manager jobs in Dallas, TX?

For Utilization Manager jobs in Dallas, TX, the most frequently searched job titles are:

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

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

Infographic showing various Utilization Manager job openings in Dallas, TX as of August 2026, with employment types broken down into 87% Full Time, 11% Part Time, and 2% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $90,031 per year, or $43.3 per hour.

Utilization Review RN, PRN

Baylor Scott & White Health

Irving, TX • On-site

Per diem

Medical, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 772 frontline employees who took The Breakroom Quiz

232nd of 898 rated healthcare providers


Job description

About Us

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:

  • We serve faithfully by doing what's right with a joyful heart.
  • We never settle by constantly striving for better.
  • We are in it together by supporting one another and those we serve.
  • We make an impact by taking initiative and delivering exceptional experience.
Benefits

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:

  • Immediate eligibility for health and welfare benefits
  • 401(k) savings plan with dollar-for-dollar match up to 5%
  • Tuition Reimbursement
  • PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level.

Job Summary

Are 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 Role
  • You will review all cases. Use medical guidelines to evaluate services.
  • Understand patient needs. Resolve complex matters when necessary.
  • Confirm admission status is correct. Collaborate with Utilization Review coordinators when needed.
  • You will communicate with insurance. Talk to doctors about patients. Make sure needed paperwork is completed.
  • You'll report insurance company issues to leadership. Identify and communicate quality assurance or risk management issues promptly when they arise.
  • You will help improve our processes by evaluating, developing, and implementing protocols, policies, and procedures.
Key Success Factors
  • Comprehensive understanding of diverse healthcare techniques, practices, and industry-related language.
  • Proficiency in customer engagement, ensuring their concerns are heard and promptly addressed.
  • Thorough understanding of discharge planning, care coordination, utilization assessment and care levels.
  • Knowledge of local and national regulations is needed, like those from the Department of Insurance and Department of Labor. Centers for Medicare and Medicaid Services, Health and Human Services Commission, and National Committee for Quality Assurance are also important.
  • Exceptional communication skills, including articulating thoughts clearly in speech and writing.
  • Personable, with the ability to interact effectively with a diverse range of stakeholders.
  • Problem-solving capability, equipped with critical thinking skills.
  • Ability to juggle multiple tasks and work under time pressures.
Belonging Statement

We believe that all people should feel welcomed, valued and supported.

Qualifications

  • Associate degree.
  • Prior experience of at least (3) three years in the nursing field.
  • Must have a valid nursing registration (RN).

What Baylor Scott & White Health employees say

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