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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- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Sep 14, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Case Management RN for a 13-week contract requiring 2 years of acute case management experience and a TX or compact RN license.
Details
- Work in the Case Management department of an acute care hospital setting
- Provide case management services for both inpatient and observation patients
- Patient ratio of approximately 25:1 for case managers
- Uses MIDAS, CarePort, and InterQual systems
- Charts using the Meditech EMR
- Day shift schedule from 8:00 AM to 4:30 PM
- 5 eight-hour shifts per week with rotating weekends
- No on-call requirements
Requirements
- Active TX or compact RN license
- 2 years of recent acute care case management experience required
- No gaps in work history of 90 days or more within the past 12 months
Additional Information
- Perform comprehensive assessments of psychosocial, medical, and discharge needs for patients and families
- Coordinate the plan of care and drive discharge planning by collaborating with the multidisciplinary team
- Evaluate progression of care using InterQual throughout the episode of care
- Business casual dress code
- Must reside outside a 50-mile radius of the facility to be considered for this role
Assignment Overview
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Sep 14, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring a Case Management RN for a 13-week contract requiring 2 years of acute case management experience and a TX or compact RN license.
Details
- Work in the Case Management department of an acute care hospital setting
- Provide case management services for both inpatient and observation patients
- Patient ratio of approximately 25:1 for case managers
- Uses MIDAS, CarePort, and InterQual systems
- Charts using the Meditech EMR
- Day shift schedule from 8:00 AM to 4:30 PM
- 5 eight-hour shifts per week with rotating weekends
- No on-call requirements
Requirements
- Active TX or compact RN license
- 2 years of recent acute care case management experience required
- No gaps in work history of 90 days or more within the past 12 months
Additional Information
- Perform comprehensive assessments of psychosocial, medical, and discharge needs for patients and families
- Coordinate the plan of care and drive discharge planning by collaborating with the multidisciplinary team
- Evaluate progression of care using InterQual throughout the episode of care
- Business casual dress code
- Must reside outside a 50-mile radius of the facility to be considered for this role
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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
Top Industries Hiring
- Healthcare & Medical Services
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 American Traveler, JPS Health Network, and TEXOMA MEDICAL CENTER, based on current listings on Migrate Mate as of August 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?
Fort Worth, Denison, and El Paso 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.
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.
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