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Utilization Manager Jobs in Wichita, KS (NOW HIRING)

US Tech Solutions

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.

Pharmacy Careers

Formulary Management Pharmacist

Wichita, KS · On-site

$57.50 - $69/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

HomeGrown

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 ...

Addison Group

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 ...

HiFyve

HSE Manager

Wichita, KS · On-site

$90K - $100K/yr

Identify and implement sustainability initiatives that reduce waste, improve resource utilization ... Experience supporting or maintaining ISO management systems * Experience conducting incident ...

RIA Employment Solutions

RN CASE MANAGER

Wichita, KS · On-site

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 ...

RIA Employment Solutions

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 ...

MLee Medical Employment

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 ...

NOV, Inc.

Regional Sales Manager, C&I

Wichita, KS · On-site

Drive disciplined sales execution, including activity tracking, pipeline management, and CRM utilization to deliver regular reporting on sales performance, opportunities, and market conditions.

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Utilization Manager information

See Wichita, KS salary details

$34.9K

$81.4K

$149.8K

How much do utilization manager jobs pay per year?

As of Aug 28, 2026, the average yearly pay for utilization manager in Wichita, KS is $81,419.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,200.00 and $98,000.00 per year, depending on experience, location, and employer.

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

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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.

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

What cities near Wichita, KS are hiring for Utilization Manager jobs?

Cities near Wichita, KS with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Wichita, KS as of August 2026, with employment types broken down into 84% Full Time, 13% Part Time, and 3% Contract. Highlights an 83% Physical, 2% Hybrid, and 15% Remote job distribution, with an average salary of $81,419 per year, or $39.1 per hour.

RN Case Manager - Behavioral Health Utilization Review

Goddard, KS • On-site

MLee Medical Employment
Recruiting and Staffing Services • 11 - 50 employees
Learn more about MLee Medical Employmentexternal

Other

Re-posted 28 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.
Education and Experience:
  • Graduate of a nursing or Bachelor of Social Work (BSW) program.
  • Experience in behavioral health settings, particularly crisis management and inpatient care.
Licenses and Certifications:
  • 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.
Preferred Qualifications:
  • Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
  • Advanced degrees such as BSN or MSW are a plus.
Skills and Abilities:
  • 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.
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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

Social media

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