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Utilization Review Coordinator Jobs in Decatur, TX

Case Manager

Flower Mound, TX · On-site

$18.25 - $23.50/hr

Communicates, collaborates, and coordinates with team members to provide quality patient care and ... Conducts utilization reviews. * Communicates appropriate information for timely updates and ...

Case Manager

Flower Mound, TX · On-site

$18.25 - $23.50/hr

Communicates, collaborates, and coordinates with team members to provide quality patient care and ... Conducts utilization reviews. * Communicates appropriate information for timely updates and ...

Care Manager - Remote

Fort Worth, TX · On-site

$60K - $77K/yr

... Coordinator scope. * Engage patients through monthly care plan reviews that promote healthy lifestyles, close gaps in care, and reduce unnecessary emergency department utilization and hospital ...

Treasury Supervisor

Denton, TX · On-site

$94K - $122K/yr

... coordination, and technical oversight for cash management, bank activity, merchant services ... Review and ensure accurate preparation of the daily cash position, cash flow forecasts, wire ...

Treasury Supervisor

Denton, TX · On-site

$94K - $122K/yr

... coordination, and technical oversight for cash management, bank activity, merchant services ... Review and ensure accurate preparation of the daily cash position, cash flow forecasts, wire ...

Senior Project Engineer

Fort Worth, TX · On-site

$94K - $123K/yr

Project Start-up and Scheduling • Assists in the development of the site utilization plan. • Assists Project Manager / Superintendent in the review and coordination of the Loss Prevention and ...

Service Manager

Dallas, TX · On-site

$100K - $125K/yr

... coordination (Parts, Factory, Accounting). * Resource Optimization: Analyze technician utilization ... Review and approve custom labor quotes, balancing profitability with strategic customer ...

Serve as Operations point of contact for on-site projects, coordinating scope reviews, access ... Ensure efficient utilization of site resources to maintain operational excellence while controlling ...

Flexo Press operator

Denton, TX · On-site

$20 - $22/hr

Reviews work orders to insure conformity to written and verbal instructions. Coordinates customer ... and the utilization of color vision. Lift up to 25 lbs. Ability to use computer and calculator ...

Showing results 41-60

Utilization Review Coordinator information

See Decatur, TX salary details

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How much do utilization review coordinator jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for utilization review coordinator in Decatur, TX is $26.47, according to ZipRecruiter salary data. Most workers in this role earn between $19.13 and $30.96 per hour, depending on experience, location, and employer.

What does a utilization review coordinator do?

A Utilization Review Coordinator is responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance information to ensure that care meets established guidelines and regulatory requirements. By coordinating between healthcare providers, insurance companies, and patients, Utilization Review Coordinators help optimize resource use and manage healthcare costs while ensuring quality patient care.

What skills and qualifications are needed to be a utilization review coordinator?

To thrive as a Utilization Review Coordinator, you need expertise in healthcare regulations, clinical guidelines, and case management, often supported by an RN license or a background in health administration. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance approval processes are typically required. Strong analytical thinking, attention to detail, and effective communication skills help you collaborate with providers and advocate for appropriate patient care. These skills ensure compliance, optimize resource use, and support quality care delivery within healthcare organizations.

How does a utilization review coordinator collaborate with healthcare providers and insurance companies?

A Utilization Review Coordinator regularly communicates with both healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. They review medical records and treatment plans, discuss cases with physicians to clarify medical necessity, and submit documentation to insurance payers for approval. This role requires strong interpersonal skills, as coordinators often need to negotiate coverage decisions and resolve discrepancies between clinical teams and insurers. Effective collaboration ensures timely authorizations and helps avoid unnecessary delays in patient care.

What is the difference between Utilization Review Coordinator vs Utilization Review Nurse?

AspectUtilization Review CoordinatorUtilization Review Nurse
CredentialsTypically requires a healthcare-related certification or associate degreeRegistered Nurse (RN) license required
Work EnvironmentOffice setting, administrative tasks, coordinationClinical setting, patient chart review, direct communication with healthcare providers
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Common Search & ComparisonFocuses on administrative review processesInvolves clinical assessment and patient care considerations

While both roles involve reviewing healthcare utilization, the Utilization Review Coordinator primarily handles administrative and coordination tasks, often without direct patient contact, whereas the Utilization Review Nurse performs clinical assessments as a licensed RN, often in hospital or clinical settings. Understanding these differences helps job seekers identify the right role based on their credentials and career goals.

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

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

What job categories do people searching Utilization Review Coordinator jobs in Decatur, TX look for?

The top searched job categories for Utilization Review Coordinator jobs in Decatur, TX are:

What cities near Decatur, TX are hiring for Utilization Review Coordinator jobs?

Cities near Decatur, TX with the most Utilization Review Coordinator job openings:

Infographic showing various Utilization Review Coordinator job openings in Decatur, TX as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $55,052 per year, or $26.5 per hour.

Staff Nurse Outpatient Clinic PHP/IOP CCFM

Carrus Health

Flower Mound, TX • On-site

Full-time

Re-posted 21 days ago


Job description

Carrus Care is a mental health facility that is designed to allow children to tend to their mental health needs and complete their schoolwork onsite with the licensed treatment team ensuring success both in the classroom and personally.
ESSENTIAL FUNCTIONS:
Responsible for coordinating and monitoring day-to-day operations of the utilization management program for the outpatient clinic.
Directs the activities necessary to ensure appropriate utilization of the clinic and its resources while maintaining optimal achievable standards of patient care.
Responsible for analyzing records to determine legitimacy of patient continued stay by performing concurrent reviews.
Participates in treatment team meetings to report said legitimacy to physicians and team members.
Reports to work in a timely manner and adheres to policies, procedures, and processes.
Performs other job duties as needed and/or as assigned.
QUALIFICATIONS:
Three to five years of management experience is preferred.
Two years' experience in psychiatric setting is preferred.
Requires good computer skills.
Must be able to effectively communicate in English via verbal and written means.
LICENSE AND CERTIFICATION:
Current state Registered Nurse license is required.
BLS certification is required upon hire.
De-escalation training is required within 30 days of hire.