359 utilization management jobs at 156 companies in League City, TX
2d
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Utilization Management Assistant
Bellaire, Texas, United States
OnsiteFull Time
2+ YOEHigh school diploma or GED required; some college preferred. Requires two years of managed care experience, preferably in medical management, claims, or member services, plus healthcare or insurance experience.
fax
1w
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Utilization Management Assistant
Houston, Texas, United States
OnsiteFull Time
1+ YOEHigh school diploma or GED and one year of experience in a hospital, physician's office, medical group, admitting, business office, payer communications, or managed care.
1w
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Utilization Management Assistant
Houston, Texas, United States
$23-$32/hr OnsiteFull Time
1+ YOEHigh school diploma or GED and one year of hospital, physician office, medical group, admitting, business office, payer communication, or managed care experience required.
data entry
3d
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Director, Utilization Management - CMC - Clear Lake Center
Galveston, Texas, United States
OnsiteFull Time
5+ YOE5+ MgmtMaster's degree, five years of progressive healthcare leadership and clinical experience including four years in utilization management, and an unrestricted Texas RN license are required.
InterQual
1w
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Dir Utilization Mgmt CMC - Clear Lake Center - Full-Time
Webster or Galveston
OnsiteFull Time
4+ YOE5+ MgmtRequires an accredited RN program, unrestricted Texas RN license, 5 years clinical experience, 5 years healthcare management, 4 years utilization management, and a master's degree.
InterQual
2mo
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UTILIZATION REVIEW NURSE - RN
Houston, Texas, United States
OnsiteFull Time
2+ YOERN with ADN or BSN; 2+ years acute care; 3+ years utilization review/case management; InterQual/MCG experience; TX RN license; strong analytical and communication skills.
InterQual, MCG, EHR, Meditech, Microsoft Office
1w
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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
3w
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R1422H - Manager of Organ Utilization
Houston, Texas, United States
OnsiteFull Time
3+ YOEBachelor's in biological science or related field required; 3+ years organ operations experience; supervisory experience preferred; knowledge of OPTN policies and quality/regulatory compliance.
1w
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Director, Construction & Oversight Management
Houston, Texas, United States
$232k/yr OnsiteFull Time
Bachelor's degree or equivalent utility construction experience; extensive transmission/substation construction and contractor oversight experience; strong leadership, safety, and project execution skills; preferred OSHA 30/PMP/CCM/PE.
2w
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Utilization Management Clinical Educator, RN
Pearland, Texas, United States
$73k-$130k/yr OnsiteFull Time
3+ YOEActive RN license and BSN, current BLS, 3+ years clinical experience, experience in education and patient/staff teaching, Windows computer skills; Masters and BLS instructor preferred.
Windows
2mo
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Utility Management Services Team Leader
Houston, Texas, United States
OnsiteFull Time
15+ YOEBachelor’s degree in a relevant field; Master’s preferred; 15-20 years in utility management services; PE preferred; strong leadership and project management skills; proficient with ArcGIS, CMMS, and hydraulic modeling; experience with municipal/investor-owned utilities.
ArcGIS, CMMS, Hydraulic modeling software
1w
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Util Mgmt (UM) Coord (CHC)
Houston, Texas, United States
OnsiteFull Time
3+ YOEHigh school diploma or equivalent and three years of referral or authorization experience, including one year in managed care or insurance; Microsoft Office proficiency required.
Microsoft Word, Microsoft Excel, Microsoft Outlook
1mo
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Case Management Director
Houston, Texas, United States
OnsiteFull Time
3+ YOEThree years hospital-based case management experience including utilization review and discharge planning. CCM or ACMTM preferred. Must complete assessments within scope; active discipline licensure required if applicable. BSN + RN for nursing; bachelor's required for other clinicians.
1d
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Manager Case Management & Social Services RN
Houston, Texas, United States
OnsiteFull Time
5+ YOE1+ MgmtBachelor's degree in nursing, active Texas RN license, and 5 years of inpatient case management, social work, utilization management, or payer experience including 1 year of healthcare people management; case management certification required within 1 year.
LEAN
1w
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Senior Consultant - Organizational Change Management
Houston, Texas, United States
$170k-$185k/yr OnsiteFull Time
9+ YOEProsci certification, bachelor's degree, and 9+ years of professional experience required; utility consulting, change management, client-facing, communication, and project leadership experience needed.
Distributed Energy Resource Management System, Demand Response Management System, Geographic Information Systems, Outage Management System, Advanced Distribution Management System, Work Management, Automated Metering Infrastructure, Energy Management Systems, Information Technology (IT), Operational Technology (OT)
3w
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Transaction Management Analyst ll
Houston, Texas, United States
$35/hr HybridFull Time
2+ YOE2+ years processing utility market transactions (ERCOT/PJM/NYISO/MISO/ISO-NE), familiarity with EDI and exception handling, high accuracy under urgency, CRM and reporting tool experience.
CRM, EDI, Microsoft SharePoint, Oracle, Microsoft Excel, Microsoft Access, PowerBI, Microsoft Teams, MarkeTrak, Adminitrak, Right Now
1mo
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Manager of Engineering Project Management
Houston, Texas, United States
OnsiteFull Time
8+ YOEBachelors in engineering or construction management required; 8+ years engineering project management in power delivery/utility/EPC; experience leading teams; PMP preferred; strong schedule, budget, and contract management skills.
1mo
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Licensed Therapist (LPHA) - Utilization Management/Continuity of Care
Houston, Texas, United States
$67k/yr OnsiteFull Time
2+ YOEMaster's in social/behavior/human services, Texas clinical license (LCSW,LPC,or LMFT), 2+ years mental health experience, valid Texas driver, crisis intervention and assessment/treatment planning skills.
1w
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Manager Electrical Engineering
Houston, Texas, United States
$154k-$197k/yr HybridFull Time
10+ YOEBachelor's in electrical engineering, 10+ years in electrical power systems, prior leadership, experience with MV/HV systems, BESS/solar projects, EPC coordination, protection and control, SCADA and relay integration, codes and permitting.
SCADA
3w
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Pipeline Operator - Lead
Weldona or Houston or North Dakota or Colorado or Wyoming or Texas
$45-$53/hr FieldFull Time
7+ YOEHigh school diploma or equivalent, 7+ years of pipeline or related industry experience, valid driver's license, strong regulatory and safety knowledge, communication skills, and ability to perform strenuous outdoor industrial work.
Maximo, CYGNET, Department of Transportation (DOT), Pipeline and Hazardous Materials Safety Administration (PHMSA), Federal Motor Carrier Safety Administration (FMCSA), OSHA, EPA, Lock-out/Tag-out
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