Clinical Case Review Jobs in Texas
Clinical Case Review jobs in Texas are in strong demand, concentrated in managed care organizations, large health insurance carriers, hospital utilization management departments, and workers' compensation carriers, with openings at every level from entry-level reviewers through senior clinical review specialists. The busiest hiring markets are Houston, Dallas, and San Antonio, where employers like Aetna, UnitedHealth Group, and Humana maintain major operational centers. The most consistently requested specialties are utilization management, workers' compensation case review, and behavioral health clinical review. Find a role that fits below and apply directly.
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INTRODUCTION
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.
ROLE AND RESPONSIBILITIES
A Clinical Case Educator requires the credentials of a Registered Nurse. In this role, a registered nurse is passionate and is committed to provide a high level of patient care and counseling patients enrolled in the Medication Therapy Program. The ideal candidate has great communication skills, problem solving skills, and must be self-motivated. This person will be driven to help team members to achieve the mission of providing high level of care to patients. This position is a telehealth position. The nurse will report adverse events and provide clinical interventions to the patient based on assessed need.
Must reside within a commutable distance of Cary, NC or Fort Worth, TX.
Shift Information
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Cary, NC – Monday-Friday from 9am-6pm EST and one night per week rotating to work 11-8pm.
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Fort Worth, TX - Monday-Friday from 8am-5pm CST and one night per week rotating to work 10-9pm.
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The nurses are required to report to the office twice a week.
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One rotating Saturday.
Key Responsibilities
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Counsel and educate new/existing patients on specialty drug therapies.
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Adherence to contracted and accrediting regulations as indicated by drug specification.
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Complete, thorough, and accurate documentation utilizing good documentation practice and compliance to industry standards and regulations.
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Discuss potential/current side effects with patients to educate about treatment alternatives and facilitate ongoing therapy adherence.
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Identify and report adverse events (AEs) and product complaints (PCs) to the manufacturer, FDA, and/or other governing authorities.
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Specialty drug verification and education. Provider/patient conduit to support therapeutic longevity.
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Adherence to patient management programs through call cadence schedules, medication management programing, drug counseling and provider collaboration.
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Maintenance of patient demographic records, medical history, and records in accordance with federal HIPAA standards.
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Collaboration with Pharmacy Support teams to ensure timely and accurate delivery of specialty drugs.
MINIMUM QUALIFICATIONS
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Degree or equivalent and typically requires 4+ of relevant experience or a combination of education and experience.
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Active RN license in NC/TX.
Education
Associates, Bachelor or higher degree in Nursing or accredited nursing diploma.
CRITICAL SKILLS
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4+ years of nursing experience with at least 1 year of acute.
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Experience in Oncology or other specialties.
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Registered Nurse with current unrestricted compact state license or primary NC licensure. TX RN license is required for residents of TX.
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Ability to obtain licensing in all states and United States territories serviced within 3 months of employment through Biologics supported programming (minimal application guidelines apply).
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Computer skills, including e-mail, word processing, spreadsheet and web-based programs.
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Effective orally and in writing communication, experience with motivational interviewing preferably.
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Ability to read, analyze and interpret practice standards, professional journals, technical procedures and government standards and regulations.
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PTO Blackout Dates – around Thanksgiving, Christmas, and New Years holidays.
Physical Requirements
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Large percent of time performing computer-based work is required.
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Hybrid position-Office days required.
COMPENSATION
- Our Base Pay Range for this position: $31.00 - $51.66
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: careers.mckesson.com.
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
McKesson welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. If you require accommodation please contact us by sending an email to Disability_Accommodation@McKesson.com.
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See All 6 Clinical Case Review Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Clinical Case Review JobsClinical Case Review Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Clinical Case Review Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Memorial Hermann Health System2

- AmTrust Financial Services1

- CorVel Corporation1

- Kindred Hospitals1

- McKesson1

Top Industries Hiring
- Healthcare & Medical Services3
- Technology & Software2
- Insurance1
What Texas Employers Look For
The qualifications that appear most often in clinical case review jobs across Texas.
- Active Texas RN license or a compact license recognized in Texas
- Minimum two to three years of clinical nursing or direct patient care experience
- Working knowledge of InterQual or Milliman criteria for clinical review decisions
- Experience with utilization management, case management, or insurance claims review
- Proficiency in electronic health records and clinical documentation platforms
- Strong written communication skills for producing compliant clinical review determinations
Clinical Case Review Jobs in Texas: Frequently Asked Questions
How do you become a clinical case review in Texas?
Most clinical case review roles in Texas require an active Registered Nurse license issued or recognized by the Texas Board of Nursing, which oversees RN licensure and compact license endorsements in the state. Employers typically expect a background in acute care, utilization management, or case management before moving into review work. Some employers also accept licensed clinical social workers credentialed through the Texas State Board of Social Worker Examiners for behavioral health review positions.
Which companies hire clinical case reviews in Texas?
Employers hiring clinical case reviews in Texas right now include Memorial Hermann Health System, AmTrust Financial Services, and CorVel Corporation, based on current listings on Migrate Mate as of June 2026. Texas's large managed care and workers' compensation insurance market means many of these employers run dedicated clinical review teams out of their Houston or Dallas regional offices.
Which Texas cities have the most clinical case review jobs?
Dallas, Arlington, and Fort Worth have the most clinical case review openings in Texas. Houston leads because of its concentration of major health insurance regional headquarters and large hospital systems running in-house utilization management departments, while Dallas draws volume from national payer operations and corporate health plan offices, and San Antonio's large military and veterans' health infrastructure adds consistent demand.
Are there remote clinical case review jobs in Texas?
Yes, and more than most clinical roles, because clinical case review is an analytical and documentation-driven function that does not require hands-on patient contact. About 50% of clinical case review openings tied to Texas are remote or hybrid as of June 2026, reflecting how fully the major payers and managed care organizations have adopted distributed review teams. Utilization management and prior authorization review positions tend to be the most consistently offered as fully remote.
How can I get hired as a clinical case review in Texas with little or no experience?
The most realistic entry path is transitioning from bedside nursing or a case management coordinator role at a Texas hospital system, since employers like Baylor Scott and White Health and Memorial Hermann run utilization management departments that hire nurses from within and train them on review criteria. Completing a case management certification through the Texas-based chapters of ACMA or earning the CCM credential gives candidates a measurable edge. Applying to associate reviewer or pre-authorization nurse roles at regional managed care plans is a concrete first step that builds the documentation and criteria experience larger employers require.
Where can I find and apply to clinical case review jobs in Texas?
You can find and apply to clinical case review jobs in Texas on Migrate Mate, which lists current Texas openings across managed care, hospital utilization management, and workers' compensation sectors. Find roles that fit your experience and apply directly to the employers posting them.
See All 6 Clinical Case Review Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Clinical Case Review Jobs