Top 435 Intake manager Jobs in Plano, Tx

Utilization Review Nurse
Cobalt Benefits Group LLC —Dallas, TX
- $90,000 - $98,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
Home Health & Home Care Community Liaison
BrightStar Care® —Grapevine, TX
- $70,000 - $150,000 a year
- Full-time
- Background check
- Skilled nursing facility
- LVN
- Travel reimbursement
- Paid time off
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10d
Massage Therapist ~ evenings + weekends needed!
Elements Massage Frisco —Frisco, TX
- $60,000 - $80,000 a year
- Part-time
- Computer literacy
- HIPAA
- Driver's License
- Wellness program
- Continuing education credits
Quick Apply
Warehouse Lead – Inbound, QC & FBA - Carrollton , TX
IPS Industries, Inc. —Carrollton, TX
- From $18 an hour
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
Quick Apply
8d
Clinical Liaison
Adaptive Home Health —Dallas, TX
- $65,000 - $80,000 a year
- Weekends as needed
- Spanish
- LVN
- English
- Health insurance
- Dental insurance
Quick Apply
Case Manager
SOUTHWEST KEY PROGRAMS INC —Dallas, TX
- $24.03 an hour
- Full-time
- Background check
- Computer literacy
- Adults
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3d
QMHP(Garland/Coppell)
PATHWAYS YOUTH & FAMILY SERVICES INC —Garland, TX
- Weekends as needed
- Microsoft Excel
- Current TB test
- Writing skills
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Specialist - Talent Acquisition (TEST)
Energy Transfer Partners —Dallas, TX
- Full-time
- Office
- Microsoft Office
- Bachelor's degree
- Profit sharing
- Paid time off
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Director of Sales (Remote)
Michael & Associates, Attorneys at Law —Texas
- $150,000 - $200,000 a year
- Full-time
- No degree
- In-person
- Senior level
Quick Apply
KITTEN NURSERY TECHNICIAN OVERNIGHT PT
OPERATION KINDNESS HUMANE SOCIETY —Carrollton, TX
- $20.50 an hour
- Part-time
- High school diploma or GED
- Entry level
- Under 1 year
- Paid time off
Quick Apply
4d
Case Manager II, Jail COC, MHA, Pos. #561, Corpus Christi, TX
Nueces County MHMR Community Center —Texas
- $22.20 an hour
- Full-time
- Spanish
- Nursing
- Clean driving record
- Mileage reimbursement
- Loan repayment program
8d
Regional Talent Acquisition Partner
Premier Truck Group —Dallas, TX
- Full-time
- Dealership
- Research
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Case Manager IV, IDD Intake Services, Pos. #223, Corpus Christi, TX
Nueces County MHMR Community Center —Texas
- $24.90 an hour
- Full-time
- Spanish
- Nursing
- Clean driving record
- Mileage reimbursement
- Loan repayment program
Regional Support Specialist - Dallas, TX
Anywhere Real Estate —Dallas, TX
- Full-time
- Computer literacy
- Mid-level
- Office
- Wellness program
- Paid parental leave
Imaging Center Office Manager
EverVita —Plano, TX
- $75,000 - $95,000 a year
- Full-time
- Background check
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
11d
Manager I, Resource Center (226 Days)
Dallas Independent School District —Dallas, TX
- $74,996 - $91,458 a year
- Full-time
- Inventory management
- Mid-level
- Office
Senior Manager, Associate Relations
GEICO —Richardson, TX
- $115,825 - $189,625 a year
- Full-time
- 5 years
- Office
- Analysis skills
Case Manager I
Solstice Southwest LLC —Irving, TX
- $63,000 - $68,000 a year
- 8 hour shift
- Experience working with individuals with developmental disabilities
- Psychiatry
- Addiction Medicine
Quick Apply
Assistant Operations Manager
Ethos Risk Services —Irving, TX
- $41,600 - $52,000 a year
- Full-time
- Remote
- Mid-level
- Administrative experience
- High school diploma or GED
- Disability insurance
- Health insurance
Quick Apply
Clinical Director of Intake and Assessment Service
Medical City Mental Health and Wellness Center - Frisco —Frisco, TX
- Full-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply

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Utilization Review Nurse

Cobalt Benefits Group LLC -
Dallas, TX

Quick Apply

Job Details

Full-time
$90,000 - $98,000 a year

Benefits

Health savings account
AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Vision insurance

Qualifications

Computer operation
Microsoft Excel
Microsoft Outlook
RN License
Patient care
Desktop applications
Resource utilization in healthcare

Full Job Description

Description:

Join our team at Cobalt Benefits Group and start an exciting new career in employee benefits solutions. As a Utilization Review Nurse (UR Nurse), you’ll play an important role in helping us offer customized, self-funded insurance options to our clients and members.

The UR Nurse is responsible for reviewing clinical information to determine the medical necessity, appropriateness, and efficiency of healthcare services, procedures, and levels of care in accordance with established criteria, payer guidelines, and organizational policies. This role involves evaluating healthcare services and facilities under the provisions of applicable health benefit plans to ensure quality and cost-effective patient care.

The UR Nurse collaborates closely with intake staff, physicians, specialists, case managers, and other members of the care team to facilitate timely and effective care authorizations, transitions, and utilization determinations. Strong communication, clinical judgment, and attention to detail are essential to ensure services meet both clinical standards and benefit requirements.

Responsibilities

Perform utilization and concurrent reviews of inpatient cases using Milliman, Aetna, and BCBS criteria.
Conduct medical necessity reviews for services requiring prior authorization, applying utilization-specific criteria.
Request and evaluate clinical information needed to review requested services.
Discuss cases and determinations with healthcare professionals and physician reviewers.
Identify cases requiring intervention and collaborate with Case Managers as needed.
Maintain appropriate and accurate documentation, ensuring compliance with audit standards.
Participate in team meetings, educational sessions, and related activities.
Review medical claims and pre-determinations for medical necessity and appropriateness.
Identify opportunities for process improvement and enhance communication among departments.
Consult with Physician Reviewers for complex or challenging cases.

Requirements:

Current, unrestricted RN license (State license required).
Minimum 3 years of clinical nursing experience.
Minimum 1 year of Utilization Management (UM) or Utilization Review (UR) experience.
Strong analytical, critical thinking, and problem-solving skills.
Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and familiarity with utilization management systems.
Excellent verbal and written communication skills, with the ability to interact effectively with internal and external stakeholders.
Strong organizational and time management skills, with the ability to handle multiple priorities independently.

Preferred Qualifications

Experience with Milliman or Aetna criteria.
Background in healthcare administration, medical necessity determination, or benefits management.
Experience in data interpretation and medical trend analysis.

Work Environment & Physical Demands

Prolonged periods of sitting may be required.
Regular use of a computer, keyboard, and mouse is necessary; reasonable accommodations will be provided upon request.
Employees should ensure an ergonomically appropriate desk and chair setup.
Comfort with being on camera for virtual meetings (e.g., Microsoft Teams)

Benefits:

After successfully completing a waiting period, eligible full-time employees have access to our comprehensive benefits package, including:

Fantastic medical, dental, and vision insurance*
Twice annual employer HSA contributions, covering 50% of the HDHP plan’s annual deductible!
Company-provided Basic Life and AD&D
Company-paid Short-Term and Long-Term Disability**
Flexible Spending Accounts*
401(k) Retirement Plan with up to a 6% employer match** (100% fully vested after 3 years)
10+ paid holidays
Half-day Summer Fridays
Generous paid vacation and sick time
Annual paid Volunteer Day
Annual Tuition reimbursement
Annual Health and Wellness reimbursement
Lots of fun company events

Benefit Waiting Period Notes: *60-day waiting period, **90-day waiting period

Who We Are

As a trusted Third-Party Administrator (TPA) specializing in self-funded benefit plans, Cobalt Benefits Group (CBG) is committed to helping employers find high-quality coverage at a cost they can afford. We administer self-funded insurance benefits through our four companies: EBPA, Blue Benefit Administrators of Massachusetts, CBA Blue, and Great Bay Administrators. With over 30 years of experience and a dedicated team of nearly 300 employees, we work collaboratively to build customized self-funded health plans, manage claim payments and disputes, and administer other specialized programs such as FSAs, HSAs, COBRA, and retiree billing. Cobalt Benefits Group is one of the fastest growing TPA's in the country and the fastest growing in New England. Join us as we match employers across our region with the right solutions for their employee benefit needs. To learn more about working at CBG, visit www.cobaltbenefitsgroup.com/careers.

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Refine Your Search

intake manager jobs in plano, tx

Utilization Review Nurse

Home Health & Home Care Community Liaison

Massage Therapist ~ evenings + weekends needed!

Warehouse Lead – Inbound, QC & FBA - Carrollton , TX

Clinical Liaison

Case Manager

QMHP(Garland/Coppell)

Specialist - Talent Acquisition (TEST)

Director of Sales (Remote)

KITTEN NURSERY TECHNICIAN OVERNIGHT PT

Case Manager II, Jail COC, MHA, Pos. #561, Corpus Christi, TX

Regional Talent Acquisition Partner

Case Manager IV, IDD Intake Services, Pos. #223, Corpus Christi, TX

Regional Support Specialist - Dallas, TX

Imaging Center Office Manager

Manager I, Resource Center (226 Days)

Senior Manager, Associate Relations

Case Manager I

Assistant Operations Manager

Clinical Director of Intake and Assessment Service

I want to receive the latest job alert for intake manager in plano, tx

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