TEXASCONNECT INC

UM Support Specialist

Posted on

January 3, 2026

Job Type

Full-Time

Role Type

Utilization Review

License

LPN/LVN

State License

California

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Help & Resources

Company Description

Texas Connect, Inc. (TCI) is a Management Services Organization (MSO). As an MSO, we are dedicated to providing business and administrative services for healthcare providers, such as medical practices and hospital systems, allowing them to focus on patient care. TCI handles crucial backend functions, such as Information Technology, Billing, and Medical Coding. This allows our client healthcare organizations to delegate these and other essential, but non-medical tasks to TCI to improve operational efficiency. 

Job Description

Open to remote work for Texas, Idaho, Missouri, Oklahoma and Tennessee ONLY.

Requirements

SPECIFIC SKILLS NEEDED: Current knowledge of Managed Care and Health Plan Division of Financial Responsibilities (DOFR) Ability to apply appropriate UM criteria Excellent communication skills Strong organizational capabilities. EDUCATION/EXPERIENCE/TRAINING Required: High school diploma or GED Active California LVN License Minimum two years’ experience in a health plan or managed care IPA or Medical Group in UM. Preferred: Passed the Bilingual Fluency Assessment for Clinicians (BFAC Certified) by Language Line Solutions

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Responsibilities

The UM Nurse Specialist provides organizational support in the Utilization Management Department; efficiently processes Pre-Service Authorization requests within regulated turn-around times. Works closely and efficiently with UM Coordinators.

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