Top 8 Utilization review nurse Jobs in Ennis, Tx

Case Manager
Ennis Regional Medical Center —Ennis, TX
- Acute care
- Master of Social Work
- Nursing
3d
Case Manager ( RN / RT / SW / LPN )
Select Specialty Hospital - Dallas Downtown —DeSoto, TX
- Full-time
- RN License
- Inpatient
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
9d
CSCD JTC LVN
Community Supervision and Corrections Dept - Dallas County —Lancaster, TX
- $31.59 an hour
- Full-time
- Nursing
- LVN
- Addiction Medicine
- Dental insurance
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

Discover related jobs

Based on your search for utilization review nurse jobs.

RN Home Health Case Manager
Abounding Hospice and Home Health Care, Inc. —Dallas, TX
Develop and implement individualized care plans for patients receiving outpatient care. As a Registered Nurse in Home Health, you will play a crucial role in…
Quick Apply
TX, RN Certified Case Manager - Workers Compensation
The Reny Company —Dallas, TX
Remote position- 85% telephonic & 15% field cases. The ideal candidate will be a RN with Pre Auth/Case Management experience in worker’s compensation and also…
$80,000 - $90,000 a year
Quick Apply

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Case Manager / PRN ( RN / RT / SW / LPN )
Select Specialty Hospital - Columbus Vic Village(Grant) —Columbus, OH
Current licensure in a clinical discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current license / certified Social Work license per…
Quick Apply
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in ennis, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near ennis, tx

Case Manager jobs in Ennis, TX

Fertility Nurse jobs in Dayton, OH

Remote Document Review jobs in Michigan

Utilization Review Nurse jobs in Abilene, TX

Utilization Review Nurse jobs in Boca Raton, FL

Utilization Review Nurse jobs in Olympia, WA

Utilization Review Nurse jobs in Fort Lauderdale, FL

Case Manager jobs in Michigan

Case Manager jobs in Vacaville, CA

Case Manager jobs in Des Moines, IA

Social Work Case Manager jobs in New Jersey

Case Manager jobs in Pittsburgh, PA

Case Manager jobs in St. Louis, MO

Case Management jobs in Atlanta, GA

Case Manager Entry Level Chicago jobs in Chicago, IL

Licensed Nursing Home Administrator jobs in Texas

Licensed Practical Nurse jobs in Warner Robins, GA

Nurse Practitioner jobs in Starkville, MS

Licensed Practical Nurse jobs in Rincon, GA

Licensed Practical Nurse jobs in Bloomington, IN

Case Manager

Ennis Regional Medical Center -
Ennis, TX

Apply Now

Job Details

3 days ago

Qualifications

Master's degree in social work
Patient care outcome improvement
Computer operation
Patient and family consultation
Master of Social Work
Nursing
Patient resource coordination
LSW
Medicare
Utilization review
Bachelor's degree in social work
LVN
Psychosocial assessment
Electronic health records (EHR) management
RN License
Interdisciplinary collaboration in health services social work
Health insurance policy knowledge
Nursing Diploma
Regulatory compliance
Licensed Clinical Social Worker
Social work
Patient advocacy
Mid-level
Community resource coordination in health services social work
Managing patients as a nurse case manager
Care planning in social services
Transitional care planning in clinical case management
Acute care facility experience
Overseeing care coordination
Medical-surgical

Full Job Description

Facility Ennis Regional Medical Center
Req ID 557651 Post Date 08/13/2026

Description

table {mso-displayed-decimal-separator: "\."; mso-displayed-thousand-separator: "\,";} tr {mso-height-source: auto;} col {mso-width-source: auto;} td {padding-top: 1px; padding-right: 1px; padding-left: 1px; mso-ignore: padding; color: black; font-size: 11.0pt; font-weight: 400; font-style: normal; text-decoration: none; font-family: "Aptos Narrow", sans-serif; mso-font-charset: 0; text-align: general; vertical-align: bottom; border: none; white-space: nowrap; mso-rotate: 0;} .xl145 {color: black; font-family: Calibri, sans-serif; mso-font-charset: 0; border-top: none; border-right: .5pt solid black; border-bottom: .5pt solid black; border-left: none; white-space: normal;}

Join Ennis Regional Medical Center in Ennis, TX, a full-service healthcare facility that provides an array of services, including advanced digital imaging, 24-hour emergency care, physical and occupational therapy, and same-day surgery. At Ennis, your daily contributions will contribute to a culture of high standards, meaningful impact, and local connection.

Job Summary

The Case Manager-Professional coordinates and facilitates the care of patients throughout the continuum of care in an acute-care hospital setting. The role involves effective collaboration and communication with Interdisciplinary Care Transitions (ICT) team members, physicians, patients, and families to ensure optimum utilization of resources, service delivery, and compliance with external review agencies. The Case Manager-Professional conducts comprehensive assessments, develops care plans, implements and evaluates interventions to enhance patient management, promote continuity of care, and support cost-effective outcomes.

Essential Functions

Coordinate clinical and psycho-social activities with the Interdisciplinary Team to provide comprehensive care coordination and discharge planning.
Conduct comprehensive biopsychosocial assessments to provide timely and safe discharge planning, referring cases to Social Workers as applicable.
Monitor patient care to ensure effective coordination and efficient care facilitation from admission through discharge.
Perform medical necessity reviews and assess the appropriateness of clinical resource utilization.
Develop and implement discharge plans that address both immediate and post-discharge needs, coordinating with community resources as needed.
Serve as a patient advocate, promoting informed decision-making and maximizing patient and family understanding of care plans.
Participate in interdisciplinary patient care rounds and conferences to review treatment goals and optimize resource utilization.
Maintain accurate documentation of patient care, discharge planning activities, and third-party payor reviews according to regulatory requirements.
Stay informed about government and non-government payor practices, regulations, standards, and reimbursement policies.

Knowledge/Skills/Abilities/Expectations

Knowledge of government and non-government payor practices, regulations, standards, and reimbursement.
Knowledge of Medicare benefits and insurance processes and contracts.
Excellent interpersonal, verbal, and written communication skills to effectively interact with patients, families, and healthcare providers.
Strong organizational and critical thinking skills to manage multiple patient cases simultaneously.
Basic computer skills, including proficiency in Microsoft Office Suite and electronic medical records systems.
Ability to work collaboratively within a multidisciplinary team to achieve optimal patient outcomes.
Must maintain regular attendance and adhere to hospital policies and procedures.

Qualifications

Education

Postsecondary (Certificate, Diploma, or Program Graduate) – RN or LPN/LVN Diploma, Associate’s, or Bachelor’s Degree from an accredited school of nursing (required) OR

Bachelor’s Degree or higher in Social Work (BSW or MSW) (required)

Licenses/Certifications

LPN or LVN – Licensed Practical or Vocational Nurse – State Licensure in the state of practice upon hire (required) OR

RN – Registered Nurse – State Licensure and/or Compact State Licensure in the state of practice upon hire (required) OR

LCSW – Licensed Clinical Social Worker or LSW in the state of practice upon hire (required)

Experience

One (1) or more years of experience in a healthcare setting, with experience in case management, utilization review, or discharge planning (preferred)

Prior experience in acute care, medical/surgical, or ICU/CCU settings (preferred)

Apply Now

Refine Your Search

utilization review nurse jobs in ennis, tx

Case Manager

Case Manager ( RN / RT / SW / LPN )

CSCD JTC LVN

Utilization Management Reviewer

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in ennis, tx

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected