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Utilization Case Manager Jobs in Wichita, KS (NOW HIRING)

Experience in Case Management, Discharge Planning, or Utilization Review. * Inpatient clinical experience. Life at Ascension: Where purpose meets opportunity Ascension is a leading nonprofit Catholic ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Wesley Medical Center, offers a total rewards package that supports the health, life, career ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Wesley Medical Center, offers a total rewards package that supports the health, life, career ...

RN Case Manager

Wichita, KS

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

RN Case Manager

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

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

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

RN Case Manager in Wichita, KS

Wichita, KS · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Certification in case management or utilization review is preferred * InterQual experience is preferred Benefits Wesley Medical Center, offers a total rewards package that supports the health, life ...

Community Case Manager

Newton, KS

$17.50 - $22.50/hr

Work cooperatively with Utilization Review staff and Treatment Team to assure authorization is in ... Demonstrated skills in the provision of case management * Must be at least 20 years of age * Must ...

Case Management Schedule: Day l Full-time Via Christi associates are eligible for tuition discounts ... the Utilization Management Nurses looped in so they can own the full documentation and patient ...

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Utilization Case Manager information

See Wichita, KS salary details

$14

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$53

How much do utilization case manager jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for utilization case manager in Wichita, KS is $32.64, according to ZipRecruiter salary data. Most workers in this role earn between $26.44 and $34.42 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

What is the difference between Utilization Case Manager vs Utilization Review Nurse?

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Case Manager jobs in Wichita, KS?

For Utilization Case Manager jobs in Wichita, KS, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Wichita, KS look for?

The top searched job categories for Utilization Case Manager jobs in Wichita, KS are:

Registered Nurse Case Manager

Ascension

Wichita, KS • On-site

Full-time

Medical, PTO

Re-posted 15 days ago


Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,039 frontline employees who took The Breakroom Quiz

415th of 887 rated healthcare providers


Job description

Your future role at a glance

Location: Wichita, KS 

Facility: Via Christi, St. Francis

Department: Case Management  

Schedule: Day  l  Full-time 

Sign-On Bonus: Up to $7,500

Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.

How you'll make an impact in this role
  • Create comprehensive care plans that span the entire continuum, ensuring that a patient's unique values and family preferences are at the heart of every clinical decision.
  • Serve as the primary champion for your patients, proactively identifying and removing barriers to care and securing the essential resources they need to thrive.
  • Act as a vital liaison, coordinating between the hospital and post-acute services, ensuring that the hand-off is safe, clear, and supportive.
  • Use your expertise to guide medical record documentation and provide level-of-care recommendations that align treatment options with the best possible outcomes.
  • Advocate for the efficient and effective use of clinical resources, balancing high-quality care with smart operational stewardship.
What minimum qualifications you'll need

Licensure / Certification / Registration:

  • Licensed Registered Nurse credentialed from the Kansas Board of Nursing obtained prior to hire date or job transfer date required.
  • Case Manager credentialed from the American Case Management Association (ACMA) preferred.
  • Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
What additional requirements you'll need
  • Experience in Case Management, Discharge Planning, or Utilization Review. 
  • Inpatient clinical experience. 
Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.

Equal employment opportunity employer

Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: FULL_TIME

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US