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Utilization Manager Jobs in Houston, TX (NOW HIRING)

St. Luke's Health

Utilization Review RN

Houston, TX · On-site

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical decision-making ...

St Luke's Health

Utilization Review RN

Houston, TX · On-site

$41.14 - $61.20/hr

Job Summary and Responsibilities As our Utilization Management Professional, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical decision-making ...

CommonSpirit Health

Utilization Review RN

Houston, TX · On-site

$41.14 - $61.20/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As our Utilization Management Professional, you will be a critical guardian of healthcare efficiency and quality, ensuring integrity in clinical decision-making, regulatory compliance, and ...

Avento Health

Case Management Manager

Houston, TX

$19 - $24.50/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Oversee care facilitation, utilization management, case management, discharge planning, and transitions of care. * Promote timely patient progression throughout the continuum and help remove barriers ...

Nexus Enterprises

Houston Pre-Cert Nurse/UR Nurse

Houston, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

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Showing results 21-40

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Houston, TX

Utilization Manager information

See Houston, TX salary details

$37.2K

$86.9K

$160K

How much do utilization manager jobs pay per year?

As of Aug 18, 2026, the average yearly pay for utilization manager in Houston, TX is $86,913.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,800.00 and $104,600.00 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.

More about Utilization Manager jobs

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

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

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

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

What job categories do people searching Utilization Manager jobs in Houston, TX look for?

The top searched job categories for Utilization Manager jobs in Houston, TX are:

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Houston, TX as of August 2026, with employment types broken down into 3% As Needed, 91% Full Time, and 6% Contract. Highlights an 94% In-person, 3% Hybrid, and 3% Remote job distribution, with an average salary of $86,913 per year, or $41.8 per hour.

Utilization Management Assistant

St Luke's Health

Houston, TX • On-site

$22.51 - $31.79/hr

Full-time

Posted 9 days ago

Job description


Job Summary and Responsibilities

As our Utilization Management (UM) Assistant, you will provide essential administrative and clerical support to the UM team, playing a crucial role in maintaining efficient and organized operations.

Every day you will manage documentation, process incoming requests, facilitate communication between team members and external parties, and assist with data entry and record-keeping to ensure smooth UM workflows.

To be successful in this role you will possess excellent organizational skills, a keen eye for detail, strong communication abilities, and a proactive approach to supporting the daily functions of the Utilization Management department.

  • Receives, sends and documents payer requests for clinical documentation
  • Receives and documents payer authorization and communications including but not limited to concurrent denials
  • Coordination of peer to peer conversations 
  • Reviews surgery schedule 
  • Under direction of RN submit request for and follows up on administrative days authorization
Job Requirements
  • High School Diploma or GED required 
  • 1 year of experience in a hospital, physician's office or medical group performing duties related to admitting, business office, payer communications or managed care or an equivalent combination of education and experience
Where You'll Work

Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area.

Qualifications:
  • High School Diploma or GED required 
  • 1 year of experience in a hospital, physician's office or medical group performing duties related to admitting, business office, payer communications or managed care or an equivalent combination of education and experience
Employment Type: Full Time

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