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Hca Utilization Review Jobs in Kansas (NOW HIRING)

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

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Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Certification in case management or utilization review is preferred * InterQual experience is ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

Operating Room Nurse PRN

Lenexa, KS · On-site

$35 - $47.75/hr

Consistently review your charts for completeness, in accordance with documentation protocols prior ... HCA Healthcare has been recognized as one of the World's Most Ethical Companies ® by the ...

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Hca Utilization Review information

What is an HCA Utilization Review?

An HCA Utilization Review job involves evaluating medical services to ensure they are necessary, cost-effective, and meet quality standards. Professionals in this role review patient records, coordinate with healthcare providers, and ensure treatments align with insurance guidelines and hospital policies. They play a key role in optimizing resource utilization, preventing unnecessary procedures, and ensuring compliance with regulations. Strong analytical skills and knowledge of medical terminology are essential for success in this position.

What are the key skills and qualifications needed for an HCA Utilization Review?

To thrive as a HCA Utilization Review professional, you need a solid foundation in medical terminology, clinical assessment, and insurance guidelines, often supported by a healthcare-related degree or nursing license. Familiarity with utilization review software, electronic health records (EHR) systems, and certifications like CCM (Certified Case Manager) are highly beneficial. Excellent analytical thinking, attention to detail, and strong communication skills help you effectively evaluate patient records and collaborate with providers. These competencies are key to ensuring appropriate care utilization, supporting cost-effective treatment decisions, and maintaining regulatory compliance.

What does an HCA Utilization Review do?

In HCA Utilization Review, your day usually involves reviewing patient medical records, assessing the necessity and appropriateness of proposed treatments, and communicating decisions to physicians and case managers. You may also participate in interdisciplinary meetings, liaise with insurance providers for authorization, and document your findings in healthcare management systems. The role is collaborative, requiring you to interact with diverse medical and administrative teams to align patient care with policy guidelines. This blend of independent evaluation and team collaboration makes each day varied and impactful for patient outcomes.

What are popular job titles related to Hca Utilization Review jobs in Kansas? For Hca Utilization Review jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Hca Utilization Review jobs in Kansas look for? The top searched job categories for Hca Utilization Review jobs in Kansas are:
Infographic showing various Hca Utilization Review job openings in Kansas as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

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Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New


Job description

RN Case Manager

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.

Job Summary and Qualifications

As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that reflect each patient's unique needs. By partnering with physicians, nurses, and department leaders, you will help ensure safe transitions, clear communication, and consistent quality across the continuum of care.

Your responsibilities will include:

  • Guiding patients and families through program orientation, explaining the rehabilitation philosophy, Medicare and insurance benefits, discharge criteria, and patient rights
  • Coordinating education for patients, families, and caregivers to encourage participation in treatment planning, goal discussions, and family conferences
  • Developing and implementing individualized treatment plans that reflect the patient's strengths, needs, and personal recovery goals
  • Completing psychosocial assessments and discharge planning evaluations, clearly documenting findings and communicating needs across the care team
  • Collaborating closely with the Rehab Program Director, Facility Case Management Director, and interdisciplinary team to ensure seamless, patient-centered care
  • Promoting HCA Healthcare's values of compassion, respect, and excellence through every patient and family interaction
Qualifications
  • Current Licensure in the State of Kansas as a Registered Nurse (RN) or Current Multi-State Licensure as a Registered Nurse (RN)
  • Current Basic Life Support (BLS) verification course through American Heart Assoc. and American Red Cross - Healthcare Provider CPR
  • 3 years of experience in a clinical setting hospital nursing experience.
  • Bachelor's degree from an accredited institution is preferred
  • 2 years of case management experience or 2 years of critical care experience is preferred
  • Certification in case management or utilization review is preferred
  • InterQual experience is preferred

Wesley Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

For more than 100 years, Wesley Healthcare has provided exceptional care to thousands of families in Wichita and throughout Kansas and Northern Oklahoma. Wesley Medical Center is a member of the Wesley Healthcare network within Greater Wichita and has been an HCA Healthcare hospital since 1985.

Our physicians treat more than 24,000 patients annually, making Wesley Medical Center the most preferred hospital in Kansas and northern Oklahoma. Additionally, our obstetricians and childbirth staff deliver more than 6,000 babies each year, more than any hospital in a 13-state region.

Home to Wesley Children's Hospital, the region's first and Wichita's only children's hospital, we care for children in a unique space designed specially for kids and their families. And as a Level I Trauma Center and the only Level II Pediatric Trauma Center in Kansas, we are prepared to treat any medical emergency, any time of day.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you find this opportunity compelling, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.