Works in collaboration with Care Progression Manager for training and development of staff ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Works in collaboration with Care Progression Manager for training and development of staff ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Care Coordinator
Mcpherson, KS · On-site
$24.15/hr
... Utilization Review for service authorizations. * Timely Documentation: Maintain exceptionally ... training programs (including Wrap-Around Facilitator training). If you are looking for a highly ...
Care Coordinator
Mcpherson, KS · On-site
$24.15/hr
... Utilization Review for service authorizations. * Timely Documentation: Maintain exceptionally ... training programs (including Wrap-Around Facilitator training). If you are looking for a highly ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
$15/hr
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
$15/hr
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Therapist - Behavioral Health
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... CPR certification and Crisis Prevention Training (CPI) within 30 days. Why Join us: We believe that ...
Therapist - Behavioral Health
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... CPR certification and Crisis Prevention Training (CPI) within 30 days. Why Join us: We believe that ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Case Manager, Registered Nurse (Oncology experience required)
Home, KS · On-site
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Case Manager, Registered Nurse (Oncology experience required)
Home, KS · On-site
$54K - $155K/yr
Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...
Therapist - Behavioral Health
Olathe, KS · On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... CPR certification and Crisis Prevention Training (CPI) within 30 days. Why Join us: We believe that ...
Therapist - Behavioral Health
Olathe, KS · On-site
$58K - $77K/yr
Works well with the interdisciplinary team including physicians, utilization review and nursing ... CPR certification and Crisis Prevention Training (CPI) within 30 days. Why Join us: We believe that ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Residency Training for GP-15 : Applicants must have successfully completed the required accredited ...
Occupational Therapist-OT Full-Time
Garden City, KS · On-site
$55 - $60/hr
... training of Restorative Aides as appropriate * Communicate resident progress, challenges, and plans ... Participate in patient care conferences, utilization review meetings, and rehab conferences as ...
Occupational Therapist-OT Full-Time
Garden City, KS · On-site
$55 - $60/hr
... training of Restorative Aides as appropriate * Communicate resident progress, challenges, and plans ... Participate in patient care conferences, utilization review meetings, and rehab conferences as ...
Physical Therapist PT-Full-Time
Garden City, KS · On-site
$55 - $60/hr
... training of Restorative Aides * Communicate resident progress, challenges, and plans with rehab and interdisciplinary teams * Participate in patient care conferences, utilization review, and rehab ...
Physical Therapist PT-Full-Time
Garden City, KS · On-site
$55 - $60/hr
... training of Restorative Aides * Communicate resident progress, challenges, and plans with rehab and interdisciplinary teams * Participate in patient care conferences, utilization review, and rehab ...
Peer Review Coordinator
Wichita, KS · On-site
Education, training, and/or experience in performance improvement methodologies (i.e., Plan-Do ... Wellbeing support, including free counseling and referral services * Time away from work programs ...
Peer Review Coordinator
Wichita, KS · On-site
Education, training, and/or experience in performance improvement methodologies (i.e., Plan-Do ... Wellbeing support, including free counseling and referral services * Time away from work programs ...
Financial Counselor-Full Time-Days
$16.50 - $21.50/hr
... utilization review personnel, as necessary. Ensure authorization matches test(s) ordered * Pre ... Education and Formal Training : * High school graduate or equivalent required * Associates Degree ...
Financial Counselor-Full Time-Days
$16.50 - $21.50/hr
... utilization review personnel, as necessary. Ensure authorization matches test(s) ordered * Pre ... Education and Formal Training : * High school graduate or equivalent required * Associates Degree ...
PRN RPh Pharmacist
Wichita, KS · On-site
$80 - $100/hr
... reviews and drug utilization reviews. * Manage proper handling, usage, storage and shipping of ... opportunities, comprehensive training program, and employee prescription discounts. Equal ...
New
PRN RPh Pharmacist
Wichita, KS · On-site
$80 - $100/hr
... reviews and drug utilization reviews. * Manage proper handling, usage, storage and shipping of ... opportunities, comprehensive training program, and employee prescription discounts. Equal ...
New
Pharmacy Intern - Girard Giant Eagle
Girard, KS · On-site
$12.75 - $15.75/hr
Enter all prescription information including calculations, free form directions, medication and ... Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party ...
Pharmacy Intern - Girard Giant Eagle
Girard, KS · On-site
$12.75 - $15.75/hr
Enter all prescription information including calculations, free form directions, medication and ... Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party ...
PTA
Wichita, KS · On-site
$25 - $33/hr
Completion of required compliance training and processes * Utilizes evidence-based practice to ... utilization review meetings, rehabilitation meetings, etc. * Participate in facility and company ...
PTA
Wichita, KS · On-site
$25 - $33/hr
Completion of required compliance training and processes * Utilizes evidence-based practice to ... utilization review meetings, rehabilitation meetings, etc. * Participate in facility and company ...
Physical Therapy Assistant
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Physical Therapy Assistant
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... Graduate Training: Subsequent to obtaining a Doctor of Medicine or Doctor of Osteopathic Medicine ...
Free Utilization Review Training information
What is free utilization review training?
Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.
What are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?
To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.
What are some common challenges faced by professionals during utilization review training, and how can they be overcome?
During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.
What is the difference between Free Utilization Review Training vs Utilization Review Nurse?
| Aspect | Free Utilization Review Training | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically no formal credentials required; focus on training programs | Registered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials |
| Work Environment | Training sessions, online courses, workshops | Hospitals, insurance companies, healthcare facilities |
| Employer & Industry Usage | Used for skill development and certification prep | Performing reviews, making coverage decisions, ensuring appropriate care |
Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.
How to become a free utilization review training?
To pursue free utilization review training, individuals can seek online courses, webinars, or workshops offered by healthcare organizations or professional associations. Gaining knowledge of medical terminology, insurance processes, and review protocols is essential, and some programs may require prior healthcare experience or certification in related fields.
What are popular job titles related to Free Utilization Review Training jobs in Kansas?
For Free Utilization Review Training jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Free Utilization Review Training jobs in Kansas look for?
The top searched job categories for Free Utilization Review Training jobs in Kansas are:
- Aetna Utilization Review Nurse
- Utilization Review Manager
- Utilization Review
- Flex Schedule Utilization Review
- Utilization Review Coordinator
- Remote Chiropractic Utilization Review
- Remote Physical Therapy Utilization Review
- Work From Home Utilization Review
- Discharge Planner Utilization Review
- Remote Utilization Review
What cities in Kansas are hiring for Free Utilization Review Training jobs?
Cities in Kansas with the most Free Utilization Review Training job openings:
Full-time
PTO
Re-posted 14 hours ago
Job description
Job Description
Position Summary
The Care Progression Supervisor is responsible for providing day-to-day operational oversight and leadership for Case Management and Social Work activities across inpatient units. This role supports the department's goals of timely and effective patient discharges, coordinating with multidisciplinary teams, ensuring appropriate staffing coverage, and fostering cross-unit collaboration. The Care Progression Supervisor plays an active and instrumental role in department onboarding for new hires, initial and ongoing education, and identification of departmental opportunities to drive facility length of stay management.
Key Responsibilities
- Staffing & Scheduling
40 Hours - M-F - in person, some weekend requirements possible
- Oversees daily staffing assignments to ensure appropriate coverage across care progression roles.
- Remains active team member and is expected to absorb a case load as necessitated by coverage demand.
- Manages scheduling needs, including approval and tracking of PTO requests and shift adjustments.
- Care Coordination & Patient Flow
- Conducts daily long-stay patient reviews to assess discharge barriers and drive resolution.
- Facilitates communication and collaboration among interdisciplinary teams to promote timely and effective discharges.
- Leads or participates in site-level and unit-based huddles.
- Contributes to patient round efforts at a site-level.
- Discharge Planning Support
- Provides coaching and instruction to staff on complex discharge planning cases.
- Serves as a resource for clinical and non-clinical teams in resolving discharge delays.
- Departmental Leadership & Development
- Identifies trends, barriers, and opportunities to improve care progression workflows.
- Participates in and/or leads quality improvement initiatives related to discharge planning and patient throughput.
- Contributes to ongoing departmental education, including the development and delivery of training materials.
- Participates in hiring decisions, discipline and evaluations.
- Onboarding & Staff Education
- Works in collaboration with Care Progression Manager for training and development of staff.
- Coordinates onboarding activities for new hires, ensuring training is timely, effective, and aligned with departmental standards.
- Supports continuing education efforts for the care progression team to enhance competencies and stay current with best practices.
- Partners in responsibility for all resources and functions related to regulatory compliance adherence
Education:Bachelor's degree in Nursing or Master's in Social Work
Experience:Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or lead experience strongly preferred.
Licensure/Certification:Active RN, LMSW/LCSW, or related licensure required, depending on background. Certification in Case Management (CCM, ACMA) preferred
Job RequirementsApplicable Experience:
3-5 yearsLicensed Masters Social Worker - VariousMaster's Degree - Social WorkJob DetailsFull TimeDay (United States of America)The best place to get care. The best place to give care. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based, nonprofit, locally owned health system in Kansas City. Joining Saint Luke's means joining a team of exceptional professionals who strive for excellence in patient care. Do the best work of your career within a highly diverse and inclusive workspace where all voices matter.
Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.