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Part Time Utilization Review Jobs in Kansas (NOW HIRING)

Behavioral Health Therapist, PRN

Olathe, KS · On-site

$58K - $77K/yr

Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage - tailored benefit options for part-time and ...

Behavioral Health Therapist, PRN

Olathe, KS · On-site

$58K - $77K/yr

Works well with the interdisciplinary team including physicians, utilization review and nursing ... Multiple levels of medical, dental and vision coverage - tailored benefit options for part-time and ...

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Part Time Utilization Review information

What is a Part Time Utilization Review job?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part-time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review Nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Kansas? The most popular types of Utilization Review jobs in Kansas are:
What are popular job titles related to Part Time Utilization Review jobs in Kansas? For Part Time Utilization Review jobs in Kansas, the most frequently searched job titles are:
What cities in Kansas are hiring for Part Time Utilization Review jobs? Cities in Kansas with the most Part Time Utilization Review job openings:
Part-time Crisis Clinician - COMCARE

Part-time Crisis Clinician - COMCARE

Sedgwick County

Wichita, KS

$38.12/hr

Full-time, Part-time

Medical, Retirement, PTO

Posted 25 days ago


Sedgwick County rating

7.0

Company rating: 7.0 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

498th of 649 rated public administrative organizations


Job description

Department: COMCARE  

Pay:  $38.12 per hour. | This position may be eligible for shift pay of $3.00 per hour for hours worked between 6:00 pm and 6:00 am.

Work Schedule: Varied shifts; no more than 999 hours in a twelve-month period

Sedgwick County offers a comprehensive benefits package for full-time employees that includes health coverages, paid leave, regular compensation reviews, retirement plans, and professional development opportunities.  For more detailed information, please visit our benefits page at SCBenefits.

Work as part of a team providing crisis intervention services and pre-admission assessments to meet the needs of members of the community and Certified Community Behavioral Health Clinic (CCBHC) who are in crisis. This includes performing clinical assessments for individuals who present as a danger to self or others at Crisis or other community locations. In addition, completion of intake, follow-up, and outreach appointments, as well as answering crisis telephone lines as needed is required. Pre-admission assessments entail evaluating for appropriate level of care. Support suicide prevention efforts in the community while upholding the mission and vision of COMCARE of Sedgwick County.

Service Provision

  • Complete risk assessments for appropriate level of care.
  • Provide brief focused therapy to address the immediate mental health needs of clients who present as currently dangerous.
  • Conduct mental health assessments in the community with the mobile crisis unit (MCU) to determine a client’s immediate mental health needs.
  • Provide assessment and brief focused therapy services to COMCARE and CCBHC Assessment Program for Seniors (CAPS) clients.
  • Other duties as assigned by supervisor.
  • Intake/assessment to include history, presenting problems and diagnoses using DSM-V criteria.
  • Initiates outreach to increase engagement.

Documentation

  • Complete progress notes in accordance with COMCARE guidelines which meet requirements for medical necessity, goal-directed therapy and client response to treatment within prescribed timelines.
  • Complete Notes for Record, precautions, authorization for release of records, releases of information, safety documents and other documentation as required and/or recommended within established deadlines.
  • Completes call logs to ensure important information is available to other providers.
  • Assessment tools are to be accurate and completed within the timeframe established for the particular screen.
  • Monitor treatment plans and update within the required timeframe.
  • Respond to Utilization Review staff feedback forms and make corrections as needed.
  • Enter AIMS data as needed.
  • Completes court reports or treatment summaries within required timelines as set by the entity requesting these documents.

Specialized Activities

  • Spent time coordinating and assisting with a special program or project at CIS which enhances or aids in the delivery of services to mental health consumers.
  • Activities may include but not be limited to competency evaluations, stress trauma assistance team, crisis assessment program for seniors, mobile crisis unit, or the collection and dissemination of data collected from local agencies.
  • Coordinate admission to appropriate level of care.

Minimum Qualifications: Master’s Degree or higher. Must be licensed by the Behavioral Sciences Regulatory Board as an LMSW, LMFT, LMLP, LPC, or LP. Employees hired with a temporary license must test for permanent licensure within 90 days of hire.  Per Sedgwick County Policy, this is a driving level position that requires a valid US driver’s license and current proof of automobile insurance. Must have access to personal passenger vehicle to complete the driving duties of the position. Meet the specifications as outlined in the CMHC/CCBHC licensing standards and pass KBI, DCF child abuse check, DCF adult abuse registry, KDADS Criminal Record and Nurse Registry Checks, National Sex Offender Registry, and motor vehicle screens. Must complete orientations provided by Sedgwick County and COMCARE.

Preferred Qualifications: May be clinically licensed by the Behavioral Sciences Regulatory Board as an LCP or LCPC, LCMFT, or LSCSW.

Applicants have rights under Federal Employment Laws. Please find more information under the following link.  Apply for a Job | Sedgwick County, Kansas


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