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Director Utilization Management Jobs in Kansas (NOW HIRING)

Jobtailor

Medical Director - LTSS

Overland Park, KS · On-site

$200 - $260/hr

Responsible for utilization management across the Kansas Medicaid population, focusing on long-term ... Preferred: Five years of experience in directing health care services for frail elderly or ...

AMR

Clinical Educations Specialist

Liberal, KS · On-site

$80K/yr

... managed care utilization review. Minimum Required Qualifications: * High school diploma or GED. * Minimum 3 years experience in the direct delivery of pre-hospital care. * Minimum 1 year experience ...

AMR

Clinical Educations Specialist

Liberal, KS · On-site

$80K/yr

... managed care utilization review. Minimum Required Qualifications: * High school diploma or GED. * Minimum 3 years experience in the direct delivery of pre-hospital care. * Minimum 1 year experience ...

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Director Utilization Management information

What are the key skills and qualifications needed to thrive in the Director Utilization Management position, and why are they important?

To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.

What is a Director Utilization Management job?

A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.

What are the typical daily responsibilities of a Director Utilization Management?

A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.

What are the most commonly searched types of Utilization Management jobs in Kansas? The most popular types of Utilization Management jobs in Kansas are:
What are popular job titles related to Director Utilization Management jobs in Kansas? For Director Utilization Management jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Director Utilization Management jobs in Kansas look for? The top searched job categories for Director Utilization Management jobs in Kansas are:
Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Kansas as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 11% Part Time, 1% Temporary, and 1% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution.

Regional Director Care Management RN

AdventHealth Shawnee Mission

Shawnee Mission, KS

$104K - $194K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 27 days ago

AdventHealth rating

7.4

Company rating: 7.4 out of 10

Based on 1,267 frontline employees who took The Breakroom Quiz

266th of 887 rated healthcare providers

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

  • Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

  • Paid Time Off from Day One

  • 403-B Retirement Plan

  • 4 Weeks 100% Paid Parental Leave

  • Career Development

  • Whole Person Well-being Resources

  • Mental Health Resources and Support

  • Pet Benefits

Schedule:

Full time

Shift:

Day-Weekend (United States of America)

Address:

9100 W 74TH ST

City:

SHAWNEE MISSION

State:

Kansas

Postal Code:

66204

Job Description:

Regional Executive Director, Care Management (RN)
Full-Time | Days
Location: AdventHealth MidAmerica Region (MAR) – Shawnee Mission, South Overland Park, Lenexa, and Ottawa

AdventHealth is seeking an experienced Regional Executive Director of Care Management to provide strategic leadership across the MidAmerica Region (MAR), supporting our hospitals in Shawnee Mission, South Overland Park, Lenexa, and Ottawa.

This executive leadership role is responsible for overseeing Care Management, Care Coordination, Social Services, Utilization Management, Transitions of Care, and the Post-Acute Care Collaborative. Working closely with regional and campus executive leaders, physicians, and interdisciplinary teams, the Regional Executive Director will develop and implement strategies that improve patient outcomes, optimize resource utilization, strengthen care transitions, reduce avoidable readmissions, and support exceptional patient experiences.

The ideal candidate has a strong background in acute care nursing and Care Management leadership, with experience leading multidisciplinary teams, driving operational improvement, ensuring regulatory compliance, and using data to improve quality and financial performance across a complex healthcare system.

Required Qualifications

  • Current Registered Nurse (RN) license.

  • Minimum of 10 years of acute care clinical nursing experience.

  • Minimum of 5 years of progressive leadership experience in Care Management, Case Management, Utilization Review, Care Coordination, Social Services, or a related field.

  • Valid driver's license with the ability to travel throughout the MidAmerica Region.

Preferred Qualifications

  • Master's degree in Nursing, Healthcare Administration, Business Administration, or a related healthcare field.

  • Certified Case Manager (CCM).

  • Leadership experience in a multi-hospital health system.

  • Knowledge of Clinical Documentation Integrity (CDI), ICD-10 coding principles, InterQual and/or Milliman criteria.

At AdventHealth, our mission is to Extend the Healing Ministry of Christ by providing whole-person care to every patient, every day. As a faith-based, not-for-profit healthcare system, we are committed to fostering an inclusive workplace where every team member is valued and supported.

AdventHealth is an equal opportunity employer and is committed to providing reasonable accommodations throughout the application and employment process. Qualified applicants will be considered for employment without regard to legally protected characteristics. Essential job functions may be performed with or without reasonable accommodation.

Education

  • Required: Bachelor's degree in Nursing or equivalent education required for RN licensure.
  • Preferred: Master's degree in Nursing, Healthcare Administration, Business Administration, or a related healthcare field.


Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/msy4mja2

Pay Range:

$104,795.46 - $194,919.56

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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