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Part Time Utilization Review Jobs in Kansas (NOW HIRING)

Program Manager

Leavenworth, KS · On-site

$99K - $225K/yr

Experience with utilization of simulations in support of Army, Joint, and multinational exercises ... Full-time and part-time employees working at least 20 hours a week on a regular basis are eligible ...

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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:
Ambulatory Clinic RN Care Coordinator - Radiation Oncology

Ambulatory Clinic RN Care Coordinator - Radiation Oncology

The University of Kansas Health System

Kansas City, KS

Part-time

Posted yesterday


University Of Kansas Health System rating

7.4

Company rating: 7.4 out of 10

Based on 170 frontline employees who took The Breakroom Quiz

252nd of 872 rated healthcare providers


Job description

Position Title
Ambulatory Clinic RN Care Coordinator - Radiation OncologyDays - PRNBloch Radiation Oncology PavilionPosition Summary / Career Interest:The PRN Ambulatory Clinic RN Care Coordinator is a licensed registered professional nurse who is a clinical expert who provides ethical, evidence-based, safe and compassionate nursing care. The PRN Ambulatory Clinic RN Care Coordinator focuses on patient safety and the quality of nursing care by identifying and clarifying patient needs, conducting health education, promoting patient advocacy, coordinating healthcare services, and evaluating patient outcomes. The RN Care Coordinator will provide support to their assigned physicians by communicating with the patient/family/caregiver and relaying the information to the physician. They will provide support during the physician's clinic sessions and ensuring the patient/family/caregiver understands the plan of care. They will verify all orders placed during the clinic session have been completed and the physician has been notified of the results.

Responsibilities and Essential Job Functions

  • Responsible for management of patient flow, triage, and direct patient care.
  • Liaison of communication between front desk staff, nursing staff, physicians, and clinic manager
  • Manage the care of the patient population by developing expected patient outcomes, defining appropriate resource utilization, and working with the provider to set patient goals.
  • Provide nursing support/coordination to the practice in order to optimize patient outcomes and to improve patient's quality of life through clinical and educational programs and/or support services.
  • Support patient self-management of disease.
  • Coordinate continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
  • Manage high risk patient care, including management of patients with multiple co-morbidities or high risk for readmission to a hospital setting, including a registry.
  • Develop relationships with patients and competently uses assessment skills to identify physical, psychosocial, financial, and environmental health care needs of the patient.
  • Educate the patient and appropriate ancillary personnel about the health care needs, safety issues and benefits which include patient education.
  • Utilize available electronic tools, such as EMR, to efficiently document assessments, clinical finds, plans of treatment and progress toward goals.
  • Observes, records and reports patient's condition and reaction to drugs and treatments to physicians. Educates patient/family about diagnostic procedures, medications, nutrition and maintenance of health and wellness.
  • Maintains/reviews patient records, charts and other pertinent information. Records tests and examination results and then follows up with patient. Posts tests and examination results.
  • Responds to/refers incoming patient treatment-related phone calls. Instructs patient and family regarding medications and treatment instructions.
  • Maintains patient confidentiality.
  • In providing patient care, document using EMR to maintain and/or develop patient records in compliance with practice standards.
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.


Required Education and Experience

  • High School Graduate
  • Bachelor Degree Nursing (For existing employees in role, BSN required within 5 years)
  • 2 or more years RN experience.


Preferred Education and Experience

  • Will consider in lieu of RN experience a TUKHS Ambulatory Clinic LPN with 4 years of TUKHS experience that would remain in the same clinic setting.
  • Previous medical office experience.


Required Licensure and Certification

  • Basic Life Support Heartsaver (BLS HS) (Non-Clinical) - American Heart Association (AHA) or obtained within 14 days
  • Licensed Registered Nurse (LRN) - Multi-State - State Board of Nursing Licensed in the state in which they will be working and proof of compact licensure submitted/applied for in the state in which the employee lives.
    Must have current active multistate Register Nurse (RN) license in good standing in state in which you live OR active single state RN license in good standing in the state you will be working with proof of application of a multistate RN license in the state in which you live.
    Staff hired prior to 2/1/2024 are required to obtain a multistate state RN license from the state in which they live at the time of their next RN license renewal by 3/31/2026.
Time Type:Part timeJob Requisition ID:R-49223Important information for you to know as you apply:
  • The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.

  • The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.

  • Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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About University of Kansas Health System

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Operating within the healthcare industry, The University of Kansas Health System is a renowned medical institution located in Kansas City, KS, United States. Established in 1905, this not-for-profit health system has evolved to offer an extensive range of products and services, which spans across a variety of specialist areas such as cancer care, neurology, cardiology, and organ transplants, among others. The core mission of The University of Kansas Health System is to enhance the health and wellness of individuals and communities by providing world-class healthcare services, quality education and conducting advanced research. They are also known for their unwavering commitment to academic medicine, which sets them apart from their peers.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Kansas City, KS, US