306 utilization management jobs at 163 companies in DeSoto, TX
3w
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Vice President, Utilization Management
Plano, Texas, United States
OnsiteFull Time
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.
4w
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Manager - Utilization Management
Dallas, Texas, United States
OnsiteFull Time
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
2w
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time
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
2w
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Utilization Management Coordinator (REMOTE)
Dallas, Texas, United States
RemoteFull Time
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
2w
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Utilization Management Coordinator PRN
Dallas, Texas, United States
OnsitePart Time, Temporary
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
2mo
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Director of Utilization Management
Dallas, Texas, United States
OnsiteFull Time
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.
6d
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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
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
2mo
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Utilization Review Nurse Health Plans - HP Utilization Management
Irving, Texas, United States
OnsiteFull Time
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
1mo
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Utilization Review Specialist
Fort Worth, Texas, United States
OnsiteFull Time
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.
1mo
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Epic Tapestry Certified - Utilization Management - Senior Consultant
Nashville or Dallas or Columbus or Atlanta
$63k-$219k/yr HybridFull Time
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
2w
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Utilization Management RN
United States or Irving
RemoteFull Time
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.
2d
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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
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
2mo
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Utility Management Services Team Leader
Dallas, Texas, United States
HybridFull Time
15+ YOE15–20 years in utility management services; Bachelor's, Master’s preferred; PE preferred; strong leadership and project management; ArcGIS/CMMS/hydraulic modeling familiarity.
ArcGIS, CMMS, Hydraulic modeling software, Microsoft Word, Excel, PowerPoint, Project, Outlook
12h
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Principal Engineer- Eng Project Management
Plano or Purchase or Chicago
$111k-$185k/yr OnsiteFull Time
7+ YOEBachelor's degree in engineering and 7–9 years of project engineering experience in manufacturing, equipment installation, packaging, processing, utilities, and project management; travel up to 30–50%.
SAP myBuy, Microsoft Excel, Microsoft PowerPoint, CAD, Microsoft Project, TPM, LSS
3w
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RN - Supervisor, Utilization Mgmt
Fort Worth, Texas, United States
OnsiteFull Time
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.
3mo
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Utilization Management Medical Director - Medical Oncology - Remote anywhere in US
Houston or Chicago or Atlanta or Phoenix or Los Angeles or Saint Louis or San Diego or Dallas or Philadelphia or Seattle
$249k-$373k/yr RemoteFull Time
5+ YOEMD or DO with current medical license; Board Certification in Oncology; 5+ years clinical experience in oncology; NCCN guideline experience; able to support utilization review and case/disease management.
1w
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Project Management Area Lead - Power Delivery
Fort Worth or Denver or Saint Louis or Boise or Minneapolis or Ann Arbor or Kansas City or Columbus
$190k-$250k/yr HybridFull Time
15+ YOE5+ MgmtBachelor's in engineering or construction management (or equivalent), 15+ years relevant experience, 5+ years leading teams, Ohio/region utility project experience, PMP/PE preferred, proficiency with PM processes and MS Office/Primavera, strong communication and analytical skills.
Primavera P6, Microsoft Word, Microsoft Excel, Microsoft Visio, Microsoft Project, Microsoft SharePoint
1w
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Field Service Management Consultant
Hartford or Indianapolis or Oakland or Phoenix or Raleigh or Richardson
$120k-$156k/yr OnsiteFull Time
Experience in utilities EAM/FSM, solution architecture, asset/work management, regulatory compliance knowledge, bachelor\u0002s degree or equivalent experience, ability to travel/relocate, U.S. work authorization required.
Oracle Cloud, Oracle Field Service Cloud, SAP S/4HANA, SAP PM/EAM, IBM Maximo, Oracle Utilities, GIS, ADMS, OMS, SCADA, CRM, Salesforce FSL, KloudGin, ServiceNow FSM, OverIT, LiDAR
2mo
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Utility Construction Management Associate 2
Irving or Delaware
HybridPart Time
5+ YOEKnowledge of AREMA standards; general construction practices; proficiency with electronic communications; High School Diploma; 5-7 years railroad/utility experience.
6d
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Supervisor - Water Treatment Plant (Dallas Water Utilities - Civil Service)
Dallas, Texas, United States
$28-$34/hr OnsiteFull Time
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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