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Texas Licensed Utilization Management RN

Location: Remote
Compensation: To Be Discussed
Reviewed: Wed, Aug 19, 2026
This job expires in: 30 days

Job Summary

Responsible for determining admission status and care level recommendations, the full-time Texas Licensed Utilization Management RN will conduct initial reviews for inpatient, observation, and outpatient admissions remotely, working from 6:45am to 3:15pm with rotating days, weekends, and holidays.

Key responsibilities
  • Conduct initial admission reviews for various patient types according to established criteria
  • Ensure proper authorization and pre-certification processes are met for all admissions
  • Provide consultation to medical staff and facilitate communication regarding the utilization review process
Required qualifications
  • Associate's degree in Nursing required; Bachelor's degree preferred
  • Five years of inpatient clinical nursing experience in an acute hospital setting
  • One year of Utilization Management experience
  • Texas RN license upon hire
  • Case management certification within 12 months of hire preferred

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