Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
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Wichita, KS · On-site
$18/hr
Job Summary The Utilization Review department manages all aspects of a patient's stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR ...
Leavenworth, KS · On-site
$78K/yr
The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the ...
Leavenworth, KS · On-site
$78K/yr
The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
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El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
Wichita, KS · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
Wichita, KS · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
$45K - $55K/yr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Responsibilities Qualifications: * Kansas Master's level social ...
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$45K - $55K/yr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Responsibilities Qualifications: * Kansas Master's level social ...
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Requirements/Qualifications Qualifications: * Kansas Master ...
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Requirements/Qualifications Qualifications: * Kansas Master ...
$45K - $55K/yr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Responsibilities Qualifications: * Kansas Master's level social ...
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$45K - $55K/yr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Responsibilities Qualifications: * Kansas Master's level social ...
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Qualifications: * Kansas Master's level social work licensure.
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Qualifications: * Kansas Master's level social work licensure.
Wamego, KS · On-site
$25/hr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Requirements/Qualifications Qualifications: * Kansas Master ...
Wamego, KS · On-site
$25/hr
PRN, in-person, day position with hourly pay starting at $25/hr; more, depending on experience. As ... Completing Utilization Review #ZR Requirements/Qualifications Qualifications: * Kansas Master ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
$17 - $23/hr
Also, assists with review and analysis of utilization data, staff development, peer review, staff ... Hourly Non-Exempt Department: Schedule: M-W; 7am - 7pm Location / Category: On site; Salina ...
$17 - $23/hr
Also, assists with review and analysis of utilization data, staff development, peer review, staff ... Hourly Non-Exempt Department: Schedule: M-W; 7am - 7pm Location / Category: On site; Salina ...
Wichita, KS · On-site
$16 - $20.25/hr
Work closely with healthcareproviders, case manager, utilization review nurse, and other members ... Benefits • Competitive hourly rate based on experience. • Benefits include Medical Insurance ...
Wichita, KS · On-site
$16 - $20.25/hr
Work closely with healthcareproviders, case manager, utilization review nurse, and other members ... Benefits • Competitive hourly rate based on experience. • Benefits include Medical Insurance ...
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
New
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
New
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... This position may include shift work (evenings, weekends, holidays). * This position may require ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... This position may include shift work (evenings, weekends, holidays). * This position may require ...
$17 - $21/hr
Work closely with healthcare providers, case manager, utilization review nurse, and other members ... Benefits · Competitive hourly rate based on experience. · Benefits include Medical Insurance ...
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$17 - $21/hr
Work closely with healthcare providers, case manager, utilization review nurse, and other members ... Benefits · Competitive hourly rate based on experience. · Benefits include Medical Insurance ...
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
Kansas City, KS · On-site
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
Kansas City, KS · On-site
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...
| Aspect | Hourly Weekend Utilization Review | Medical Billing Specialist |
|---|---|---|
| Credentials | Typically requires healthcare-related certifications, such as RHIT or RHIA | Requires coding certifications like CPC or CCS |
| Work Environment | Healthcare facilities, insurance companies, or utilization review organizations, often during weekends | Medical offices, billing companies, or hospitals, primarily weekdays |
| Job Focus | Assessing patient care and resource utilization during weekends | Processing insurance claims, coding, and billing |
Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.
$18/hr
Full-time
Posted 28 days ago
At Camber Mental Health, we are committed to helping children, youth and families thrive through compassionate, high-quality behavioral healthcare. With an Indeed Work Wellbeing Score of 83, Camber offers a supportive and mission-driven environment where employees can grow while making a meaningful difference every day.
Job SummaryThe Utilization Review department manages all aspects of a patient’s stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR Specialist serves as the primary contact with insurance providers and works closely with admissions, physicians, nurses, therapists and treatment teams to ensure timely, accurate and complete assessments and service coordination for children and youth.
This position requires exceptional attention to detail, organization and communication skills in a fast-paced healthcare environment focused on quality care and compliance.
ScheduleMonday–Friday | 8:00 AM – 5:00 PM
Hybrid Work OpportunityCandidates may elect to work a hybrid schedule of 2 days in office and 3 days remote after successfully completing their first 90 days in office and receiving a positive 90-day performance evaluation.
What You’ll DoCoordinate communication with health plans and insurance companies
Review and manage authorizations and child-specific contracts
Ensure accurate documentation within electronic health records
Compile, summarize and enter clinical and assessment information
Assist with intake assessments and discharge summaries
Support admissions paperwork and utilization review functions
Prepare reports, forms and appeals for insurance providers
Conduct documentation reviews to ensure compliance and quality standards
Assist with audits, quality assurance initiatives and special projects
Maintain strict confidentiality of child, youth and family information
Collaborate with internal teams, referral sources and community partners
Bachelor’s degree in a human services field preferred, including:
Social Work
Education
Sociology
Psychology
Counseling
Applied Behavioral Sciences
Criminal Justice
High school diploma or GED required
Valid driver’s license
Current auto insurance
Minimum two years of experience in:
Case management
Utilization review
Wellness coordination
At least one year working with economically disadvantaged, vulnerable or at-risk youth and/or adults
Intermediate Microsoft Office Suite skills including Word, Excel and Outlook
Strong verbal and written communication skills
Excellent organizational and interpersonal abilities
Ability to manage detailed work in a fast-paced environment
Mission-driven work supporting children and families
Collaborative and inclusive workplace culture
Professional development and ongoing training opportunities
Hybrid work flexibility after successful onboarding period
Monday–Friday schedule with consistent daytime hours
Opportunity to work alongside multidisciplinary healthcare teams
Meaningful career growth in behavioral health services
At Camber, employees are expected to lead with authenticity, compassion and collaboration while supporting positive outcomes for children, youth and families.
Apply today and become part of a team dedicated to changing lives.
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Individual, family and community social assistance
1,001 - 5,000 Employees
Olathe, KS, US
1970
