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709 utilization jobs at 290 companies in Lewisville, 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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3w
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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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1mo
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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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2mo
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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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2w
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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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2w
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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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1mo
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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 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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1w
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Utilization Management Representative I - Backoffice Support
Las Vegas or St. Louis or Seattle or Grand Prairie or Nevada or Washington
$17-$28/hr RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEHigh school diploma or GED plus 1 year of customer service or call-center experience, or equivalent background; computer, data entry, healthcare correspondence, confidentiality, and compliance skills preferred.
HIPAA
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3d
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Business Finance Revenue Cycle Utilization Manager
Chicago or Austin or Atlanta or United States or Denver or Detroit or Philadelphia or Houston or Tampa or Dallas or Charlotte or Raleigh or Louisville
RemoteFull Time
Sevita
Sevita: Specialized home and community-based healthcare and rehabilitation provider.
5+ YOE3+ MgmtBachelor's degree or 5+ years relevant experience, prior management experience, 3–5 years managing hourly staff, strong communication and analytical skills, and revenue cycle or healthcare systems experience.
BrainTree, AVATAR, iserve, Salesforce, EMR, SOX 404
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3d
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SUE Technician II
Dallas, Texas, United States
FieldFull Time
KCI Technologies
KCI Technologies: Engineering and construction consulting for infrastructure projects.
0+ YOEEntry-level role requiring a high school diploma/GED, valid driver's license, 0–2 years of utility fieldwork, ability to obtain a DOT medical card, and willingness to learn vacuum excavation and utility-location technology.
Microsoft Excel, Microsoft Word
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2w
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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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2w
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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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3w
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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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Utility Tech Apprentice
Arlington, Texas, United States
$17-$21/hr OnsiteFull Time
City of Arlington
City of Arlington: Municipal government providing public services to Arlington residents.
High school diploma or GED required. Must obtain a Texas Class A CDL with tanker endorsement within six months. Requires physical outdoor work, communication, organization, and basic mathematical skills.
Microsoft Office Suite, PC Software, Automatic Metering Infrastructure (AMI)
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1w
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Supervisor - Water Treatment Plant (Dallas Water Utilities - Civil Service)
Dallas, Texas, United States
$28-$34/hr OnsiteFull Time
City of Dallas
City of Dallas: Provides municipal government and public services for Dallas residents.
2+ YOE2+ MgmtHigh school diploma or GED, two years of lead, training, or supervisory experience, valid driver's license, Class B or higher TCEQ Surface Water license, own transportation, and 24/7 call-out availability.
Supervisor Control and Data Acquisition (SCADA), OSHA, HazMat
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1mo
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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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