RN - Care Manager
Pretty Prairie, KS · On-site
Manage patient data related to case management, care planning, and quality improvement analysis ... Perform utilization reviews for all patients and assist nursing staff with patient care as needed.
RN - Care Manager
Pretty Prairie, KS · On-site
Manage patient data related to case management, care planning, and quality improvement analysis ... Perform utilization reviews for all patients and assist nursing staff with patient care as needed.
RN - Care Manager
Alden, KS · On-site
Manage patient data related to case management, care planning, and quality improvement analysis ... Perform utilization reviews for all patients and assist nursing staff with patient care as needed.
RN - Care Manager
Alden, KS · On-site
Manage patient data related to case management, care planning, and quality improvement analysis ... Perform utilization reviews for all patients and assist nursing staff with patient care as needed.
RN - Care Manager
Assaria, KS · On-site
Perform utilization reviews and assist nursing staff with patient care as needed. * Support ... Preferred: Bachelor of Science in Nursing (BSN) and care management experience. Licensure and ...
RN - Care Manager
Assaria, KS · On-site
Perform utilization reviews and assist nursing staff with patient care as needed. * Support ... Preferred: Bachelor of Science in Nursing (BSN) and care management experience. Licensure and ...
RN Care Manager
Mcpherson, KS · On-site
Join a dynamic healthcare team as an RN Care Manager, providing comprehensive coordinated care for ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
RN Care Manager
Mcpherson, KS · On-site
Join a dynamic healthcare team as an RN Care Manager, providing comprehensive coordinated care for ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
The Care Manager collaborates with all members of the health care team to enhance the provision of ... Provides utilization reviews requirements and assists in the Peer-to-Peer process if needed.
Quick apply
The Care Manager collaborates with all members of the health care team to enhance the provision of ... Provides utilization reviews requirements and assists in the Peer-to-Peer process if needed.
RN Care Manager
Viola, KS · On-site
Join a dynamic healthcare team as an RN Care Manager, providing comprehensive coordinated care for ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
RN Care Manager
Viola, KS · On-site
Join a dynamic healthcare team as an RN Care Manager, providing comprehensive coordinated care for ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
Join a compassionate healthcare team as an RN Care Manager, providing coordinated care for adult ... Maintain ongoing communication with utilization review staff and perform utilization reviews for ...
Join a compassionate healthcare team as an RN Care Manager, providing coordinated care for adult ... Maintain ongoing communication with utilization review staff and perform utilization reviews for ...
The Care Manager functions as a coordinator of patient care, assesses, plans, implements, monitors ... Optimizes patient care transitions by: o Assuring an appropriate post-acute plan and utilization of ...
The Care Manager functions as a coordinator of patient care, assesses, plans, implements, monitors ... Optimizes patient care transitions by: o Assuring an appropriate post-acute plan and utilization of ...
Perform utilization reviews for all patients and assist nursing staff with patient care as needed ... Preferred: Bachelor of Science in Nursing (BSN) and care management experience. Licensure and ...
Perform utilization reviews for all patients and assist nursing staff with patient care as needed ... Preferred: Bachelor of Science in Nursing (BSN) and care management experience. Licensure and ...
The Care Manager functions as a coordinator of patient care, assesses, plans, implements, monitors ... Optimizes patient care transitions by: o Assuring an appropriate post-acute plan and utilization of ...
The Care Manager functions as a coordinator of patient care, assesses, plans, implements, monitors ... Optimizes patient care transitions by: o Assuring an appropriate post-acute plan and utilization of ...
Join a dedicated healthcare team as an RN Care Manager, providing comprehensive coordinated care ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
Join a dedicated healthcare team as an RN Care Manager, providing comprehensive coordinated care ... Perform utilization reviews and assist nursing staff with patient care as needed. * Support ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ... Join an industry-recognized healthcare leader with more than 20,000 global healthcare professionals ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ... Join an industry-recognized healthcare leader with more than 20,000 global healthcare professionals ...
Registered Nurse (RN) - Care Manager
Salina, KS · On-site
$30.11/hr
... utilization of healthcare services, and help patients achieve the best possible outcomes through effective care planning and collaboration. -> Responsibilities * Coordinate patient care plans and ...
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Registered Nurse (RN) - Care Manager
Salina, KS · On-site
$30.11/hr
... utilization of healthcare services, and help patients achieve the best possible outcomes through effective care planning and collaboration. -> Responsibilities * Coordinate patient care plans and ...
Utilization Reviewer
Lawrence, KS · On-site
$65K - $70K/yr
The Utilization Reviewer's primary responsibility is to manage and complete monthly clinical record reviews to ensure provision of clinically appropriate care is delivered to clients in the least ...
Utilization Reviewer
Lawrence, KS · On-site
$65K - $70K/yr
The Utilization Reviewer's primary responsibility is to manage and complete monthly clinical record reviews to ensure provision of clinically appropriate care is delivered to clients in the least ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Position Summary The Care Progression Supervisor is responsible for providing day-to-day ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Demonstrates Human Resource Management and Financial Management competencies, critical thinking skills, and the utilization of technology in relation to unit operations and patient care. * Acts as a ...
Demonstrates Human Resource Management and Financial Management competencies, critical thinking skills, and the utilization of technology in relation to unit operations and patient care. * Acts as a ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with health ...
Regional Director Care Management RN
$104K - $194K/yr
This executive leadership role is responsible for overseeing Care Management, Care Coordination, Social Services, Utilization Management, Transitions of Care, and the Post-Acute Care Collaborative.
Regional Director Care Management RN
$104K - $194K/yr
This executive leadership role is responsible for overseeing Care Management, Care Coordination, Social Services, Utilization Management, Transitions of Care, and the Post-Acute Care Collaborative.
Utilization Care Manager information
How does a utilization care manager collaborate with medical and administrative teams to ensure effective patient care?
Utilization Care Managers work closely with physicians, nursing staff, and administrative teams to review patient cases, determine medical necessity, and coordinate appropriate care plans. They frequently participate in interdisciplinary meetings, communicate with insurance providers regarding authorizations, and ensure compliance with regulatory guidelines. This collaborative approach helps to optimize resource utilization, improve patient outcomes, and support smooth transitions of care. Being proactive in communication and documentation is key to success in this role.
What is a utilization care manager?
Utilization Care Managers are healthcare professionals responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They work to ensure that patients receive the right care at the right time, while also helping healthcare organizations manage costs and comply with regulations. Utilization Care Managers often review patient cases, coordinate with medical staff, and interact with insurance companies to authorize or deny services. Their goal is to optimize healthcare delivery, reduce unnecessary procedures, and improve patient outcomes.
What are the key skills and qualifications needed to thrive as a utilization care manager, and why are they important?
To thrive as a Utilization Care Manager, you need a background in healthcare, typically as a registered nurse or social worker, with expertise in care coordination and utilization review. Familiarity with utilization management software, medical necessity guidelines (such as Milliman or InterQual), and knowledge of insurance regulations are important. Strong analytical thinking, attention to detail, and effective communication skills help you advocate for patients while working with healthcare teams and payers. These skills ensure appropriate resource use, quality patient outcomes, and compliance with regulatory standards.
What is the difference between Utilization Care Manager vs Utilization Review Nurse?
| Aspect | Utilization Care Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, case management certification | RN, certification in utilization review |
| Work Environment | Healthcare facilities, insurance companies | Hospitals, insurance companies, outpatient clinics |
| Primary Focus | Coordinating patient care, managing resources | Reviewing medical necessity, approving treatments |
Utilization Care Managers focus on coordinating patient care and managing resources, while Utilization Review Nurses primarily evaluate medical necessity for treatments. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.
What are popular job titles related to Utilization Care Manager jobs in Kansas?
For Utilization Care Manager jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Utilization Care Manager jobs in Kansas look for?
The top searched job categories for Utilization Care Manager jobs in Kansas are:
- Utilization Review Nurse Compact License
- Er Case Manager
- Remote Dental Utilization Management
- Work From Home Dental Utilization Review
- Utilization Review Case Manager
- Utilization Review
- Behavioral Case Manager Nurse
- Registered Nurse Reviewer
- Chart Utilization Review
- Remote International Utilization Review Nurse
What cities in Kansas are hiring for Utilization Care Manager jobs?
Cities in Kansas with the most Utilization Care Manager job openings:
Job description
Join a dedicated healthcare team as a Registered Nurse Care Manager, providing comprehensive care coordination for adult patients across an interdisciplinary environment. You will develop, monitor, and evaluate individualized care plans while maintaining respectful and effective communication with patients, families, and healthcare staff.
Essential Functions
- Conduct needs assessments and identify care options and services.
- Manage patient data related to case management, care planning, and quality improvement analysis.
- Monitor care delivery through patient rounds, documentation, and communication with utilization review staff.
- Perform utilization reviews for all patients and assist nursing staff with patient care as needed.
- Support rehabilitation training and education for staff when required.
- Ensure compliance with healthcare regulations, including HIPAA privacy and security standards.
- Perform other duties as assigned by leadership.
- Ability to develop patient care plans and communicate effectively.
- Strong critical thinking skills to assess patient care needs.
- Integrity: Demonstrate honesty and ethical behavior, inspiring others to uphold organizational values.
- Compassion: Show empathy and provide excellent customer service while managing conflicts constructively.
- Accountability: Take ownership of projects and adapt flexibly to changing priorities.
- Respect: Collaborate effectively with diverse populations and maintain a positive service orientation.
- Excellence: Exhibit strong communication and leadership skills, guiding teams through strategic and tactical processes, including process improvement initiatives.
- Completion of an accredited nursing program.
- At least one year of experience as a registered nurse.
- Bachelor of Science in Nursing (BSN).
- Experience in care management.
- Current RN licensure in the relevant state.
- American Heart Association Basic Life Support (BLS) certification preferred.
This role offers competitive compensation, a comprehensive benefits package, and the opportunity to make a meaningful impact in a regional healthcare setting serving the Midwest community.
About McCall and Lee
Sourced by ZipRecruiter
McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.
Industry
Recruiting and staffing services and human resources consulting services
Company size
11 - 50 Employees
Headquarters location
Austin, TX, US