Pays $65k-$86kRegistered Nurse market median is ~$90k (14 jobs) · Top 25% in Utilization Review (RN) for work-life (6.5/10, vs 46 in this specialty)

Managed Care Utilization Review LTSS Nurse

Registered Nurse Top 25% in Utilization Review (RN)No nightsFull-Time
Posted 1h ago · Verified live

About the Role

Full-time Managed Care Utilization Review LTSS Nurse. Telework eligible. Day shift. Paris, TX.

Join Texas Health & Human Services Commission as a Managed Care Utilization Review LTSS Nurse – Telework in Paris, Texas, United States. Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey.

Benefits & Compensation

  • Pay rate: $5425.33 - $7155.75/month.
  • Pension plan offered.
  • 100% Paid Employee Health Insurance
  • Generous Time Off Benefits
  • Career Advancement Opportunities
  • Telework Eligible

Work Schedule

  • Full-Time position.
  • On-site position.
  • Day shift only - no nights.

This position offers day shifts only. Work with Texas Health & Human Services Commission in Paris, Texas, United States.

Key Responsibilities

The nurse conducts reviews of assessments and individual service plans to evaluate long-term services and supports in Medicaid managed care. They also collaborate with managed care organizations and providers to ensure compliance with state and federal laws.

Requirements

Candidates must hold a current State of Texas Registered Nurse license. A degree in nursing is required, with preference given to those with experience in utilization review and managed care.

Qualifications

Experience
2+ years of experience

Key Skills

Utilization reviewNursingMedicaid regulationsManaged careLong-term services and supportsClinical documentation reviewMedical necessity determinationCase managementReport writingPolicy interpretationPatient assessmentData analysisCommunicationMicrosoft OfficeRegulatory compliance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Managed Care Utilization Review LTSS Nurse at Texas Health & Human Services Commission a 6.5 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Utilization Review (RN) — ranked against 46 active Utilization Review (RN) listings on WeekdayDoc. Contributing factors include no night shifts.

Utilization Review — Registered Nurse Career Context

Of the 50 active Utilization Review listings this role was benchmarked against, 42% are remote, 22% have no call, 62% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$75k midpoint carries the purchasing power of roughly $78k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$75k midpoint, that is roughly $3k–$5k a year versus a typical 4–7% state rate.

Position Insights

AI ANALYSIS

This role scores 6.5/10 on work-life balance for Registered Nurse roles.

Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...

Benefits analysis: Compared to 14 similar roles, this listing's benefits package ranks...

Top Registered Nurse Jobs

26 matches · ranked by pay

Salary Distribution26 jobs · 22 employers

12
<$95k
4
$95k-110k
3
$110k-125k
1
$130k
6
$140k+

Annual compensation range

Benefits & Perks24 jobs · 22 employers

401k / retirement match
96% this job
CME allowance
13%
Sign-on bonus
8%
PSLF eligible
4%

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Texas Health & Human Services Commission logo

About Texas Health & Human Services Commission

Government Administration
Austin, TX
1,001-5,000 employees

Benefits & Perks

100% Paid Employee Health Insurance
Defined Benefit Pension Plan
Generous Time Off Benefits
Career Advancement Opportunities
Telework Eligible