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646 utilization jobs at 273 companies in Frisco, TX

1mo
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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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2d
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Nurse (Utilization Review Nurse)
Fort Worth, Texas, United States
$79k-$101k/yr OnsiteFull Time
Federal Bureau of Prisons
Federal Bureau of Prisons: Manages federal prisons and provides inmate care and supervision.
1+ YOEGraduate of accredited nursing program, current active unrestricted RN license, passed NCLEX, minimum 1 year professional nursing experience (GS-09 level), experience with utilization review and quality improvement, U.S. citizenship required.
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1w
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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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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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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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Utilization Management Coordinator (REMOTE)
Dallas, Texas, United States
RemoteFull Time
Texas Connect, Inc.
Texas Connect, Inc.: Provides management and administrative services to healthcare provider organizations.
2+ YOE2+ years managed care/health plan experience, high school diploma or equivalent, familiarity with prior authorization, CPT/ICD-10/HCPCS knowledge, strong communication, 40 WPM typing, Microsoft Office proficiency.
EzCap, Windows, Microsoft Word, Microsoft Excel
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5d
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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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5d
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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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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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1w
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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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4w
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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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2d
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Business Finance Revenue Cycle Utilization Manager
Denver or Phoenix or Raleigh or Columbus or Atlanta or Dallas or Louisville
OnsiteFull Time
Sevita
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
5+ YOELead front-end revenue cycle teams, develop policies and reporting, maintain EMR knowledge, and ensure SOX control compliance. Bachelor's or 5+ years relevant experience and prior management experience required.
BrainTree, AVATAR, iserve, Salesforce
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6d
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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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5d
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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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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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4d
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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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2w
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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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1w
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Wastewater Plant Operator II
Mesquite, Texas, United States
$24-$35/hr OnsiteFull Time
North Texas Municipal Water District
North Texas Municipal Water District: Provides regional wholesale water, wastewater, and solid waste services.
2+ YOEHigh school diploma/GED, 2 years wastewater experience, Texas Class C wastewater treatment operator license, valid Texas driver license, knowledge of wastewater processes, SCADA use, and basic computer/electrical/mechanical 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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3d
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Gas Controller
Dallas, Texas, United States
OnsiteFull Time
Atmos Energy
Atmos EnergyNYSE: ATO: Distributes natural gas to residential and commercial customers.
3+ YOEMonitor and control gas flow, operate SCADA and compressor stations, respond to alarms, maintain records, and comply with DOT/PHMSA; requires relevant industry experience and HS/GED or associate degree.
SCADA
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