ZipRecruiter

Log In

1

Utilization Care Manager Jobs in Kansas (NOW HIRING)

RIA Employment Solutions

RN CASE MANAGER

Wichita, KS · On-site

... care. Training 1-2 weeks onsite • Assess the member's current health status, resource utilization ... Qualifications RN with case management experience Additional Information All your information will ...

CVS Health

Case Manager, Registered Nurse

Home, KS · On-site

$54K - $155K/yr

Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...

previous pagenext page

Showing results 21-40

All JobsUtilization Care JobsUtilization Care Manager JobsUtilization Care Manager Jobs in Kansas

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?

AspectUtilization Care ManagerUtilization Review Nurse
CredentialsRN, case management certificationRN, certification in utilization review
Work EnvironmentHealthcare facilities, insurance companiesHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing resourcesReviewing 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:

What cities in Kansas are hiring for Utilization Care Manager jobs?

Cities in Kansas with the most Utilization Care Manager job openings:

Utilization Care Manager jobs near you
Infographic showing various Utilization Care Manager job openings in Kansas as of August 2026, with employment types broken down into 2% As Needed, 72% Full Time, 19% Part Time, and 7% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution.

RN CASE MANAGER

RIA Employment Solutions

Wichita, KS • On-site

Full-time

Re-posted 14 days ago

Job description

Company Description
At Home Health of Kansas, LLC we are locally owned, zero deficiency company that strives to achieve our mission of making lives better by providing compassionate healthcare. We develop a comprehensive care plan of your goals to improve health and to foster independence as well as maintaining and enhancing the quality and dignity of life in the face of disease, disability or aging process for all we serve. Join our growing
Job Description
Perform care management duties to assess, plan and coordinate all aspects of medical and supportive services across the continuum of care for select members to promote quality, cost-effective care.
Training 1-2 weeks onsite
Job description
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, treatment and provider option
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs and promote desired outcomes
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Provide patient and provider education
• Facilitate member access to community-based services
• Monitor referrals made to community-based organizations, medical care, and other services to support the members' overall care management plan
• Actively participate in integrated team care management rounds
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
Qualifications
RN with case management experience
Additional Information
All your information will be kept confidential according to EEO guidelines.
Videos To Watch
https://www.youtube.com/watch?v=VfcvqhuuN6g
https://www.youtube.com/watch?v=NfA3bxjxl7U

Apply