Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Quick apply
Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Previous experience in utilization review or case management desirable. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Collaborate with physicians, case managers, social workers, and care teams to ensure coordinated ... Participate in the utilization review/utilization management committee and effectively contribute ...
Case Manager
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Austin, TX · On-site
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Case Manager
Austin, TX · On-site
$19.75 - $25.50/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Medical Director, Utilization Review
Austin, TX · On-site +1
$260K - $280K/yr
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Medical Director, Utilization Review
Austin, TX · On-site +1
$260K - $280K/yr
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Contribute to the development, review, and revision of medical policies, clinical guidelines, and utilization management protocols. * Participate in quality improvement initiatives, audits, and ...
Case Manager - PRN
Austin, TX · On-site
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
Austin, TX · On-site
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
Austin, TX · On-site
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
Austin, TX · On-site
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager - PRN
$19.75 - $25.50/hr
Facilitate weekly utilization review meeting. Website: Benefits for a Case Manager include: * Challenging and rewarding work environment * Competitive Compensation & Generous Paid Time Off * 401(K) ...
Case Manager
Austin, TX · Remote
$36 - $40/hr
Skills utilization, RN, Quality assurance, outpatient, case management, disease management ... reviewed using AI tools.
Case Manager
Austin, TX · Remote
$36 - $40/hr
Skills utilization, RN, Quality assurance, outpatient, case management, disease management ... reviewed using AI tools.
Utilization Review Clinician - Behavioral Health
Austin, TX · On-site
$27.02 - $48.55/hr
... Management/Health Services team. Centene is a diversified, national organization offering ... Knowledge of mental health and substance abuse utilization review process preferred. Experience ...
Utilization Review Clinician - Behavioral Health
Austin, TX · On-site
$27.02 - $48.55/hr
... Management/Health Services team. Centene is a diversified, national organization offering ... Knowledge of mental health and substance abuse utilization review process preferred. Experience ...
Registered Nurse (RN) Case Manager
Austin, TX · On-site
$88K/yr
... review have been completed. RESPONSIBILITIES Assessment and Care Planning * Conducts comprehensive ... Demonstrated knowledge of care and case management, along with efficient resource and utilization ...
Registered Nurse (RN) Case Manager
Austin, TX · On-site
$88K/yr
... review have been completed. RESPONSIBILITIES Assessment and Care Planning * Conducts comprehensive ... Demonstrated knowledge of care and case management, along with efficient resource and utilization ...
Registered Nurse (RN) Case Manager
Austin, TX · On-site
$88K/yr
... review have been completed. RESPONSIBILITIES Assessment and Care Planning * Conducts comprehensive ... Demonstrated knowledge of care and case management, along with efficient resource and utilization ...
Registered Nurse (RN) Case Manager
Austin, TX · On-site
$88K/yr
... review have been completed. RESPONSIBILITIES Assessment and Care Planning * Conducts comprehensive ... Demonstrated knowledge of care and case management, along with efficient resource and utilization ...
Utilization Review Case Manager information
See Austin, TX salary details
$16.46 - $20.38
3% of jobs
$20.38 - $24.30
1% of jobs
$24.30 - $28.23
6% of jobs
$30.12 is the 25th percentile. Wages below this are outliers.
$28.23 - $32.15
30% of jobs
The median wage is $33.57 / hr.
$32.15 - $36.08
26% of jobs
$37.57 is the 75th percentile. Wages above this are outliers.
$36.08 - $40
22% of jobs
$40 - $43.92
3% of jobs
$43.92 - $47.85
0% of jobs
$47.85 - $51.77
5% of jobs
$51.77 - $55.70
2% of jobs
$55.70 - $59.62
1% of jobs
$16
$36
$59
How much do utilization review case manager jobs pay per hour?
As of Aug 23, 2026, the average hourly pay for utilization review case manager in Austin, TX is $36.20, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $38.17 per hour, depending on experience, location, and employer.
What is a utilization review case manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What are some common challenges utilization review case managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are popular job titles related to Utilization Review Case Manager jobs in Austin, TX?
For Utilization Review Case Manager jobs in Austin, TX, the most frequently searched job titles are:
- Remote Utilization Review Nurse
- Remote Utilization Management Nurse
- Evening Utilization Review Nurse
- Contract Utilization Review Nurse
- Temporary Utilization Review Nurse
- Telephonic Nurse Case Manager
- Per Diem Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Full Time Physician Advisor Utilization Review
What job categories do people searching Utilization Review Case Manager jobs in Austin, TX look for?
The top searched job categories for Utilization Review Case Manager jobs in Austin, TX are:
- Remote Utilization Review
- Insurance Utilization Review
- Weekend Utilization Review
- Utilization Review Manager
- Case Management Travel Nurse
- Full Time Weekend Utilization Review
- Nurse Case Manager Work From Home
- Remote Physical Therapy Utilization Review
- Remote Optum Utilization Review
- Per Diem Remote Occupational Therapy Utilization Review
What cities near Austin, TX are hiring for Utilization Review Case Manager jobs?
Cities near Austin, TX with the most Utilization Review Case Manager job openings:
Utilization Review Coordinator - PRN position
Georgetown, TX • On-site
Other
Medical, Dental, Vision, Retirement, PTO
Re-posted 6 days ago
Job description
Our inpatient behavioral health hospital is seeking a PRN Utilization Review Coordinator.
This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.
This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.
Requirements
Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
Experience - 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.
Additional Requirements - Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.
Benefits
Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.
This position is responsible for working with insurance companies and managed care systems for the initial authorization, concurrent and retrospective review of inpatient, partial, and intensive outpatient admissions and services. Previous experience in utilization review or case management desirable.
This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify potential problems to help patients access the full range of their benefits through the utilization review process.
Requirements
Education and/or Licensure - Bachelor's degree or equivalent in nursing preferred.
Experience - 3-5 years Admitting or Financial Counseling preferred. Prefer two years clinical experience in a facility with medical terminology and in criteria for acute psychiatric inpatient care. Knowledgeable of insurance coverage and billing practices preferred. Previous experience in utilization review or case management desirable.
Additional Requirements - Must possess or obtain a valid CPR certification and certified in facility approved verbal de-escalation and physical crisis management techniques within 30 days of hire and prior to completion of orientation required.
Benefits
Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.
About Georgetown Behavioral Health Institute
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Georgetown, TX, US
Year founded
2014