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 ...
Registered Nurse
Wichita, KS · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
Registered Nurse
Wichita, KS · On-site
MUST HAVE UM experience, inpatient utilization management review. * MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. * MUST HAVE 6 months of Prior Authorization.
Social Worker
Newton, KS · On-site
Knowledge of care management, resource utilization, and utilization management required * Strong critical thinking, communication, and organizational skills * Ability to manage multiple priorities in ...
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Social Worker
Newton, KS · On-site
Knowledge of care management, resource utilization, and utilization management required * Strong critical thinking, communication, and organizational skills * Ability to manage multiple priorities in ...
Clinical Review Manager
Wichita, KS · On-site
The CRM ensures clinical accuracy, regulatory compliance, appropriate utilization of services, and adherence to Medicare Conditions of Participation and agency standards. The CRM serves as a clinical ...
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Clinical Review Manager
Wichita, KS · On-site
The CRM ensures clinical accuracy, regulatory compliance, appropriate utilization of services, and adherence to Medicare Conditions of Participation and agency standards. The CRM serves as a clinical ...
Assistant General Manager
Wichita, KS · On-site
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Assistant General Manager
Wichita, KS · On-site
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Quick apply
Restaurant Kitchen Manager
Wichita, KS · On-site
$45K - $58K/yr
Manage food inventory, including record keeping and utilization * Manage cost of labor and productivity * Schedule staff hours * Resolve personnel problems including, but not limited to issues such ...
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS.Applicant must be able to work on-site. Position Summary The RN Supervisor provides ...
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS.Applicant must be able to work on-site. Position Summary The RN Supervisor provides ...
Registered Nurse (RN) Supervisor
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS. Applicant must be able to work on-site. Position Summary The RN Supervisor ...
New
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Registered Nurse (RN) Supervisor
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS. Applicant must be able to work on-site. Position Summary The RN Supervisor ...
New
Plant Manager
Wichita, KS · On-site
The Plant Manager is accountable for driving operational excellence through continuous improvement ... Develop and implement manufacturing strategies that improve throughput, equipment utilization, and ...
Plant Manager
Wichita, KS · On-site
The Plant Manager is accountable for driving operational excellence through continuous improvement ... Develop and implement manufacturing strategies that improve throughput, equipment utilization, and ...
Plant Manager
Wichita, KS · On-site
The Plant Manager is accountable for driving operational excellence through continuous improvement ... Develop and implement manufacturing strategies that improve throughput, equipment utilization, and ...
Quick apply
Plant Manager
Wichita, KS · On-site
The Plant Manager is accountable for driving operational excellence through continuous improvement ... Develop and implement manufacturing strategies that improve throughput, equipment utilization, and ...
Case Management Assistant
$19.65/hr
Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...
Case Management Assistant
$19.65/hr
Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...
Case Management Assistant
Wichita, KS · On-site
Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...
Case Management Assistant
Wichita, KS · On-site
Facilitate the documentation process with payers, meticulously recording interactions and keeping the Utilization Management Nurses looped in so they can own the full documentation and patient ...
Rental General Sales Manager
Wichita, KS · On-site
Provide input and direction on fleet inventory, utilization, and availability to support ... Monitor Rental Manager performance in areas including customer engagement, territory and ...
Rental General Sales Manager
Wichita, KS · On-site
Provide input and direction on fleet inventory, utilization, and availability to support ... Monitor Rental Manager performance in areas including customer engagement, territory and ...
Rental General Sales Manager
Wichita, KS · On-site
Provide input and direction on fleet inventory, utilization, and availability to support ... Monitor Rental Manager performance in areas including customer engagement, territory and ...
Rental General Sales Manager
Wichita, KS · On-site
Provide input and direction on fleet inventory, utilization, and availability to support ... Monitor Rental Manager performance in areas including customer engagement, territory and ...
HSE Manager
$90K - $100K/yr
Identify and implement sustainability initiatives that reduce waste, improve resource utilization ... Experience supporting or maintaining ISO management systems * Experience conducting incident ...
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HSE Manager
$90K - $100K/yr
Identify and implement sustainability initiatives that reduce waste, improve resource utilization ... Experience supporting or maintaining ISO management systems * Experience conducting incident ...
RN CASE MANAGER
Wichita, KS · On-site
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
Wichita, KS · On-site
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 ...
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 and ... Qualifications RN with case management experience Additional Information All your information will ...
DC MANAGER - 2nd Shift REPORTS TO: SR. DC OPERATIONS MANAGER STATUS: EXEMPT SCHEDULE: Tuesday ... Partner with WMS administrators and support teams to optimize system utilization and improve ...
DC MANAGER - 2nd Shift REPORTS TO: SR. DC OPERATIONS MANAGER STATUS: EXEMPT SCHEDULE: Tuesday ... Partner with WMS administrators and support teams to optimize system utilization and improve ...
Utilization Manager information
See Wichita, KS salary details
$34.9K - $45.3K
9% of jobs
$53.1K is the 25th percentile. Wages below this are outliers.
$45.3K - $55.8K
22% of jobs
$55.8K - $66.2K
11% of jobs
The median wage is $72.7K / yr.
$66.2K - $76.7K
14% of jobs
$76.7K - $87.1K
12% of jobs
$93.7K is the 75th percentile. Wages above this are outliers.
$87.1K - $97.6K
13% of jobs
$97.6K - $108K
13% of jobs
$108K - $118.5K
5% of jobs
$118.5K - $128.9K
2% of jobs
$128.9K - $139.4K
0% of jobs
$139.4K - $149.8K
0% of jobs
$34.9K
$81.4K
$149.8K
How much do utilization manager jobs pay per year?
What does a utilization manager do?
What jobs pay 4000 a week without a degree?
What are the key skills and qualifications needed to thrive as a Utilization Manager, and why are they important?
What is the highest paying job in healthcare management?
What are some common challenges faced by Utilization Managers, and how can they be addressed?
What Is a Utilization Manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
Is being a MOA a good entry level job?

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Re-posted 3 days ago
Job description
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 healthcare providers and members to evaluate patient needs and benefit requirements, ensuring optimal resource use. You will manage patient cases within the behavioral health unit, reviewing medical necessity for admissions, continued stays, and services.
Essential Responsibilities:
- Assess patient situations and conduct reviews to ensure compliance with eligibility, benefits, policies, and contracts.
- Manage appeals and coordinate comprehensive reviews of medical records to verify accurate admission and diagnosis information.
- Promote improved quality of care and support reduced hospital stays when safe and appropriate.
- Advise pre-certification staff and maintain records and reports related to non-clinical activities.
- Coordinate with insurance companies to secure authorizations for behavioral health services, ensuring adherence to payer requirements and facility standards.
- Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests.
- Assist with triage screenings for incoming behavioral health patients to determine immediate care needs and facilitate timely care delivery.
- Provide psychosocial support to patients and families, addressing emotional, social, and financial barriers.
- Serve as a liaison between healthcare teams and patients/families to ensure smooth care transitions.
- Support discharge planning processes when needed, ensuring safe and appropriate discharge plans.
- Conduct safety assessments and make protective reports for adults and children as indicated.
- Participate in ongoing professional development and mandatory training, including de-escalation techniques.
- Adhere to privacy and security regulations regarding Protected Health Information (PHI).
- Maintain effective communication and professional relationships with patients, team members, physicians, and external agencies.
- Graduate of a nursing or Bachelor of Social Work (BSW) program.
- Experience in behavioral health settings, particularly crisis management and inpatient care.
- Current licensure as a Registered Nurse (RN) or BSW in the relevant state.
- Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross within 30 days of hire.
- De-escalation training required within six months of start date.
- Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
- Advanced degrees such as BSN or MSW are a plus.
- Strong collaboration skills with interdisciplinary teams to ensure high-quality care.
- Familiarity with community resources, mental health services, and post-acute care.
- Basic computer proficiency and experience documenting in electronic health records.
- Ability to multitask, prioritize, and communicate effectively.
Physical Requirements: Medium work involving occasional exertion up to 50 lbs and frequent standing or walking (26-50% of the day).
This position offers a competitive salary and benefits package, providing a meaningful opportunity to impact behavioral health care in a supportive regional healthcare environment.