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736 utilization jobs at 311 companies in Carrollton, TX

1mo
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Utilization Review Nurse
Dallas, Texas, United States
$90k-$98k/yr RemoteFull Time
Cobalt Benefits Group
Cobalt Benefits Group: Manages self-funded health and dental benefit plans for employers.
3+ YOECurrent unrestricted RN license, 3+ years clinical nursing, 1+ year UM/UR experience, proficiency with Microsoft Excel/Word/Outlook/Teams and utilization management systems; strong analytical and communication skills.
Microsoft Excel, Microsoft Word, Microsoft Outlook, Microsoft Teams, Milliman
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3w
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Utilization Review Specialist
Fort Worth, Texas, United States
OnsiteFull Time
ACH Child and Family Services
ACH Child and Family Services: Provides foster care, adoption, and child welfare services.
3+ YOEBachelor's degree required (master's in social work preferred); minimum 3 years experience with children/youth in foster care; experience with utilization management in behavioral/medical settings; strong communication and organizational skills; valid driver's license and personal vehicle required.
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6d
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Vice President, Utilization Management
Plano, Texas, United States
OnsiteFull Time
Oceans Healthcare
Oceans Healthcare: Provider of specialized behavioral health and psychiatric services.
10+ YOE10+ years progressive healthcare leadership with multi-facility experience; expertise in utilization management, payer strategy, denial reduction, reimbursement optimization, executive communication, and data-driven decision making.
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2w
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Manager - Utilization Management
Dallas, Texas, United States
OnsiteFull Time
North Texas Behavioral Health Authority
North Texas Behavioral Health Authority: Providing community-based mental health and substance use disorder services.
3+ YOE1+ MgmtLicensed clinician (LPHA,RN,PA,LPC,LCSW,LMFT) in Texas, 3+ years direct serious mental illness experience, 1+ year UM implementation/supervisory experience, valid Texas driver, knowledge of TRR/TAC, strong clinical decision-making and documentation skills.
Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, CMBHS
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1w
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Clinical Utilization Nurse
Plano, Texas, United States
$88k-$115k/yr HybridFull Time
CSI Pharmacy
CSI Pharmacy: Provides specialty pharmacy and in-home infusion therapy services.
2+ YOEReview clinical referrals and prior authorizations, draft LMNs and appeals, perform initial assessments and care plans, coordinate with prescribers, and monitor patient outcomes; RN/NP with infusion experience preferred.
Monday.com, MS-teams, Microsoft Office, Windows, Cover My Meds (CCM)
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1mo
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Utilization Review Nurse Health Plans - HP Utilization Management
Irving, Texas, United States
OnsiteFull Time
CHRISTUS Health
CHRISTUS Health: Catholic nonprofit health system providing comprehensive medical services.
LVN required (state or compact), RN preferred; 3–5 years nursing experience preferred; proficiency with InterQual/MCG/CMS criteria, Microsoft Outlook/Teams/Word/Excel; strong communication and critical thinking; able to take after-hours calls.
InterQual, MCG, Centers for Medicare and Medicaid Services (CMS) Inpatient List, Microsoft Outlook, Microsoft Teams, Microsoft Word, Microsoft Excel
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1mo
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Utilization Management RN (Hybrid)
Dallas, Texas, United States
HybridFull Time
Texas Connect, Inc.
Texas Connect, Inc.: Provides management and administrative services to healthcare provider organizations.
2+ YOECurrent CA RN licensure or willingness to obtain, 2+ years bedside acute care, 2+ years case management, knowledge of payer requirements, strong communication and organizational skills, basic MS Office skills, ability to apply UM criteria, typing 50 WPM.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Milliman Care Guidelines (MCG)
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12h
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time
University of Texas Southwestern Medical Center
University of Texas Southwestern Medical Center: Academic medical center providing patient care and medical research.
5+ YOEHigh school diploma, 5 years hospital or insurance experience, familiarity with Epic, ability to manage phone/fax workflows and insurance authorizations, availability 7am–10pm.
Epic
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17h
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time, Temporary
UT Southwestern Medical Center
UT Southwestern Medical Center: Academic medical center providing healthcare, research, and education.
5+ YOEHigh school diploma,5 years hospital or insurance experience,availability 7am-10pm (PRN),experience with Epic,faxing/phone/documentation skills,security-sensitive role.
Epic
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2mo
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Director of Utilization Management
Dallas, Texas, United States
OnsiteFull Time
BasePoint Academy
BasePoint Academy: Provides behavioral healthcare and mental health treatment for adolescents
5+ YOE2+ MgmtMaster’s degree in a related clinical field with active licensure; 5+ years UM in behavioral health with commercial payors; 2+ years people leadership; cross-functional experience; TX payor knowledge.
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4d
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Utilization Review Intake Specialist
Dallas, Texas, United States
$17-$27/hr RemoteFull Time
CorVel
CorVelNASDAQ: CRVL: Provides technology-driven risk management and healthcare cost containment services.
High school diploma required (AA preferred). Ability to handle high-volume calls, enter and verify patient/provider data, use CareMC and Microsoft Office/Excel, strong written/verbal communication and organizational skills.
CareMC, Microsoft Office, Microsoft Excel
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3w
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Utilization Review Registered Nurse
Dallas, Texas, United States
OnsiteFull Time
Texas Institute for Surgery
Texas Institute for Surgery: Physician-owned hospital providing specialized orthopedic and spinal surgical services.
3+ YOECurrent Texas RN license and BLS, Associate's degree in nursing (Bachelor's preferred), 3+ years acute care experience, experience with InterQual or Milliman criteria, strong communication and analytical skills, and valid driver’s license.
InterQual, Milliman
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3w
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Utilization Review Coordinator - Temporary (license preferred)
Greenville, Texas, United States
OnsiteTemporary
Universal Health Services
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
2+ YOEDegree in social work/mental health/nursing preferred; 2+ years healthcare or managed care experience preferred; licensure (RN, LVN, LMSW, LPC) preferred; CPR, Handle with Care and Verbal De-Escalation training required within 30 days.
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1d
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Electric Compliance Assurance Specialist – O&P
Garland, Texas, United States
OnsiteFull Time
City of Garland
City of Garland: Provides municipal services and public administration for Garland, Texas.
3+ YOEBachelor's in electrical/power/utility discipline, 3+ years utility/power systems or regulatory compliance experience, knowledge of NERC O&P standards, strong Visio, SQL and Excel skills, ability to interview SMEs and prepare audit evidence.
SQL, Microsoft Visio, Microsoft Excel, SCADA
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13h
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Transmission Services Consultant
Fort Worth, Texas, United States
HybridFull Time
Oncor Electric Delivery
Oncor Electric Delivery: Provides electricity transmission and distribution services to Texas consumers.
6+ YOE6+ years regulated utility experience; knowledge of transmission interconnection, contract negotiation, regulatory compliance, and project management.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint
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7h
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Utilization Management RN
United States or Irving
RemoteFull Time
GuideWell
GuideWell: Provides health insurance and clinical care through multiple brands.
5+ YOE5+ years clinical nursing experience; graduate of accredited nursing school; active compact-state RN license; BLS/CPR; utilization management or case management and ICU/higher-acuity experience preferred; strong communication and clinical judgment.
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1mo
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Epic Tapestry Certified - Utilization Management - Senior Consultant
Nashville or Dallas or Columbus or Atlanta
$63k-$219k/yr HybridFull Time
Accenture
AccentureNYSE: ACN: Global provider of management consulting and technology services.
5+ YOE5+ years in Healthcare IT in an Epic non-clinical leader role, Epic Tapestry certification and certification in an Epic non-clinical app, bachelor's degree or equivalent, project planning, stakeholder communication, and system configuration/testing experience.
Epic Tapestry, Microsoft Excel, Gen AI
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1w
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RN - Supervisor, Utilization Mgmt
Fort Worth, Texas, United States
OnsiteFull Time
Cook Children's
Cook Children's: Provides comprehensive pediatric medical care and specialized health services.
5+ YOEBSN and Texas RN license required; 5+ years clinical experience, 2 years utilization management experience, typing 35 WPM, computer proficiency, strong communication, coaching and teaching skills.
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2w
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Wastewater Plant Operator III
Allen, Texas, United States
$27-$40/hr OnsiteFull Time
North Texas Municipal Water District
North Texas Municipal Water District: Provides regional wholesale water, wastewater, and solid waste services.
3+ YOEHigh school diploma/GED, TCEQ Class B wastewater operator license, valid Texas driver's license, 3+ years wastewater experience, knowledge of wastewater processes, testing, troubleshooting, and basic computer skills.
SCADA
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2w
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UG Service Working Foreman
Grand Prairie, Texas, United States
$25-$30/yr OnsiteFull Time
Standard Utility Construction
Standard Utility Construction: Constructs and maintains electrical utility infrastructure throughout Texas.
2+ YOE2+ years underground electric distribution experience; able to work energized/de-energized lines up to 600V, computer literate, basic math, read meters and drawings, English fluency, valid Texas driver license; Class A CDL preferred.
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