ZipRecruiter

Log In

1

Utilization Review Rn Jobs in Texas (NOW HIRING)

Bracane Co

Utilization Review Nurse

Plano, TX · Remote

Austin area - Travis/Williamson Counties or Richardson area - Dallas/Collin Counties*** RN working ... This position is responsible for performing initial, concurrent review activities; discharge care ...

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) PRN position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

Houston Methodist

At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and concurrent medical record review for medical ...

GQR

RN - Case Manager

San Antonio, TX · On-site

$1K - $1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: San Antonio, Texas Start Date: June 1, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1488.47 ...

GQR

RN - Case Manager

San Antonio, TX

$1K - $1K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: San Antonio, Texas Start Date: June 1, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1488.47 ...

next page

Showing results 1-20

People also search for

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Texas

Utilization Review Rn information

See Texas salary details

$19

$39

$64

How much do utilization review rn jobs pay per hour?

As of Jun 6, 2026, the average hourly pay for utilization review rn in Texas is $39.39, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Texas? The most popular types of Utilization Review Rn jobs in Texas are:
What are popular job titles related to Utilization Review Rn jobs in Texas? For Utilization Review Rn jobs in Texas, the most frequently searched job titles are:
What job categories do people searching Utilization Review Rn jobs in Texas look for? The top searched job categories for Utilization Review Rn jobs in Texas are:
What cities in Texas are hiring for Utilization Review Rn jobs? Cities in Texas with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in TX? For Utilization Review Rn jobs in TX, the most frequently searched job titles are:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Texas as of May 2026, with employment types broken down into 5% As Needed, 85% Full Time, and 10% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $81,936 per year, or $39.4 per hour.
Utilization Review Specialist

Utilization Review Specialist

Medical Center Hospital

Odessa, TX

Full-time

Posted 22 days ago

Medical Center Health System rating

8.2

Company rating: 8.2 out of 10

Based on 30 frontline employees who took The Breakroom Quiz

57th of 867 rated healthcare providers

Job description

Position Summary:

The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.

Qualifications:

A. Education:

Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.

B. Training and Experience:

Three years of clinical nursing experience in a general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.

C. Job Knowledge:

Excellent verbal and written skills, well-rounded critical thinking skills, self-motivated, flexible, and goal-oriented. Ability to tolerate frequent interruptions and demanding workload.

VI. Unusual Physical Demands and Working Conditions:

Must be able to work long hours on occasion. Potential for some stress in meeting deadlines.

What Medical Center Health System employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply