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Utilization Review Rn Jobs in Austin, TX (NOW HIRING)

The Utilization Review Coordinator is responsible for bridging communications between the hospital ... Current Texas Registered Nurse License * Current Driver's License Knowledge and Skills: * Full ...

The Utilization Review Coordinator is responsible for bridging communications between the hospital ... Current Texas Registered Nurse License * Current Driver's License Knowledge and Skills: * Full ...

Ensure office operating costs are within budgetary constraints and leverage specialized experience in health plan, healthcare call center, and UM authorization, including data input for nurse review.

Ensure office operating costs are within budgetary constraints and leverage specialized experience in health plan, healthcare call center, and UM authorization, including data input for nurse review.

Case Manager Days PRN

Round Rock, TX · On-site

$20.25 - $26.50/hr

Graduate of an accredited program required: LPN/LVN or RN. * Master of Social Work with licensure ... Experience in case management, utilization review, or discharge planning a plus.

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting . * Exceptional Corporate Support. Qualifications for Registered Nurse (RN): * Valid Texas RN License. * Valid CPR ...

Voluntary Benefits reviewed and provided at your one-on-one benefit meeting. * Exceptional Corporate Support. Qualifications: * Valid Texas RN License. * Valid CPR Certification. * I.V. Certification ...

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Utilization Review Rn information

See Austin, TX salary details

$21

$41

$68

How much do utilization review rn jobs pay per hour?

As of May 30, 2026, the average hourly pay for utilization review rn in Austin, TX is $41.91, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $48.12 per hour, depending on experience, location, and employer.

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.

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 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 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 are the most commonly searched types of Utilization Review Rn jobs in Austin, TX? The most popular types of Utilization Review Rn jobs in Austin, TX are:
What cities near Austin, TX are hiring for Utilization Review Rn jobs? Cities near Austin, TX with the most Utilization Review Rn job openings:
UR COORDINATOR

UR COORDINATOR

UHS

Liberty Hill, TX • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 246 frontline employees who took The Breakroom Quiz

447th of 864 rated healthcare providers


Job description

Responsibilities

Meridell Achievement Center is a 134-bed, seclusion free, psychiatric residential treatment facility located northwest of Austin.  Our 60-acre campus is complete with mature oaks, rolling hills, and plenty of walking paths and outdoor spaces.  We have 7 unique living units separated by gender, age, and development needs, a swimming pool, gymnasium, sports court and playing fields. We provide 24-hour psychiatric care to girls and boys ages 10 to 17 years old with customized therapeutic approaches and intensive behavioral programs to teach young patients to moderate their behavior, manage emotions and improve social functioning. 

Website: www.meridell.com

WE ARE LOOKING FOR A DETAIL ORIENTED PART TIME UR COORDINATOR. MONDAY THROUGH FRIDAYS FLEXIBLE HOURS.

Job Description:

The Utilization Review Coordinator is responsible for bridging communications between the hospital treatment team and insurance company/referral agencies. Will analyze clinical documentation to submit Prior Authorization requests to insurance companies for approval prior to admitting a patient and submit concurrent review applications to extend a patient’s stay, to ensure they receive appropriate services. All authorization extensions or denials must be tracked in an expedient fashion in the electronic system, and follow appeals process for denials. Peer reviews, consults, and appeals between facility physician and insurance physician. In addition, will review medical record and clinical documentation for medical necessity. The UR Coordinator will work closely with numerous departments including admissions, accounts receivable, and the clinical team, as such this position is based in the facility office.

Job Duties:

  • Review clinical documentation for medical necessity
  • Submit clinical documentation to third party payers 
  • Schedule peer reviews, consults, and appeals
  • Communicate with family and treatment team insurance authorizations and denials
  • Submit appeals and justifications.
  • Work effectively will multiple departments.

Benefit & Rewards Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Tuition savings to continue your nursing education with Chamberlain University
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.  

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com. 

From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license. 


Qualifications

QUALIFICATIONS: 

 

Education/Training: 

  • B.S. Nursing from an accredited school of nursing, LPC, LCSW, or LMFT.

Experience:

  • One year inpatient psychiatric experience with adults, adolescents and/or children preferred.

Licensure/Certification:

  • Current Texas Registered Nurse License
  • Current Driver’s License

 

Knowledge and Skills:

  • Full understanding of medical terminology, insurance terminology, and clinical / psychiatric disorders.
  • Time Management: flexible and able to assess the priorities of the department on a daily basis.
  • Communication and analytical skills.
  • Attention to detail and proficient with computers.
  • Personal Accountability is necessary to meet high service excellence standards.
  • Must be able to pass a thorough background check.
  • 21 years or older.

EEO Statement 

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. 

Avoid and Report Recruitment Scams  

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. 
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. 

Qualifications:

QUALIFICATIONS: 

 

Education/Training: 

  • B.S. Nursing from an accredited school of nursing, LPC, LCSW, or LMFT.

Experience:

  • One year inpatient psychiatric experience with adults, adolescents and/or children preferred.

Licensure/Certification:

  • Current Texas Registered Nurse License
  • Current Driver’s License

 

Knowledge and Skills:

  • Full understanding of medical terminology, insurance terminology, and clinical / psychiatric disorders.
  • Time Management: flexible and able to assess the priorities of the department on a daily basis.
  • Communication and analytical skills.
  • Attention to detail and proficient with computers.
  • Personal Accountability is necessary to meet high service excellence standards.
  • Must be able to pass a thorough background check.
  • 21 years or older.

EEO Statement 

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. 

Avoid and Report Recruitment Scams  

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. 
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. 
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. 

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US