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Utilization Review Case Manager Jobs in Kansas (NOW HIRING)

Hospitals Case Manager

Olathe, KS ยท On-site

$22 - $24/hr

Case Manager As a Case Manager, you will manage client care and interface with referral sources ... Conducting utilization review functions and reporting to insurance providers. * Facilitating ...

Providence Medical Center- Kansas City, KS The Case Manager LPN is responsible for coordinating patient care, discharge planning, and utilization review to ensure patients receive appropriate, cost ...

Experience in Case Management, Discharge Planning, or Utilization Review. * Inpatient clinical experience. Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO ...

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 ...

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 ...

Experience in Case Management, Discharge Planning, or Utilization Review. * Inpatient clinical experience. Equal employment opportunity employer Ascension provides Equal Employment Opportunities (EEO ...

$18.25 - $23.75/hr

The role integrates and coordinates resource utilization management, care facilitation and ... Quality Review Department. * Ensures that all elements critical to the plan of care have been ...

Case Manager

Lenexa, KS

$18.25 - $23.50/hr

Responsible for utilization review, discharge planning and care coordination with the patient ... Two years Managed Care and/or Hospital Case Management experience preferred Research Medical Center ...

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Utilization Review Case Manager information

See Kansas salary details

$14

$32

$53

How much do utilization review case manager jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for utilization review case manager in Kansas is $32.54, according to ZipRecruiter salary data. Most workers in this role earn between $26.35 and $34.28 per hour, depending on experience, location, and employer.

What are some common challenges Utilization Review Case Managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What is a Utilization Review Case Manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

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

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a Utilization Review Case Manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are popular job titles related to Utilization Review Case Manager jobs in Kansas? For Utilization Review Case Manager jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Kansas look for? The top searched job categories for Utilization Review Case Manager jobs in Kansas are:
Infographic showing various Utilization Review Case Manager job openings in Kansas as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $67,683 per year, or $32.5 per hour.
Hospitals Case Manager

Hospitals Case Manager

KVC Health Systems

Olathe, KS โ€ข On-site

$22 - $24/hr

Full-time

Posted 3 days ago


Job description

Join a Top-Tier Team Where Wellbeing and Purpose Meet

At Children's Mercy Camber Olathe, we are driven by a singular vision: to ensure every person is safe and connected to a strong family and a healthy community. Our work is centered on authenticity, compassion, and the fundamental question, "What would you want for your child?"

We are currently seeking a dedicated Case Manager to join our multi-disciplinary team. In this role, you will be the vital link between clients, families, and external stakeholders, ensuring that care is coordinated with precision and heart.

Why Choose Camber?

Our people are our greatest asset, and we are committed to a culture where you can thrive.

  • Top 1% in the Nation: Based on the voices of our employees, Camber holds a Work Wellbeing score of 83 on Indeed. This rare rating places us among the top 1% of employers nationally.
  • Meaningful Connection: 90% of our team members feel their work has deep meaning and is directly connected to our mission.
  • A Culture of Belonging: We foster a supportive and inclusive environment where diverse perspectives fuel our progress and every team member is treated with respect.
The Role: Case Manager

As a Case Manager, you will manage client care and interface with referral sources, insurance companies, and other care providers. Your focus will be on ensuring accuracy in utilization reviews, discharge planning, and maintaining the flow of critical information for the internal treatment team.

Key responsibilities include:

  • Coordinating parental involvement and linkages to community resources.
  • Conducting utilization review functions and reporting to insurance providers.
  • Facilitating seamless communication between mental health liaisons, parents, and clinical staff.
  • Maintaining precise electronic health records and ensuring compliance with standards of care.
Qualifications

Minimum Requirements:

  • Education: A Bachelorโ€™s degree in a human service field (human services, social work, education, sociology, psychology, counseling, applied behavioral sciences) or criminal justice is preferred.
  • Experience: At least two years of experience in case management, utilization review, or wellness coordination.
  • Specialized Experience: A minimum of one year of experience working with economically disadvantaged, vulnerable, or at-risk youth and/or adults.
  • Licensure: A valid driverโ€™s license and auto insurance are required.
  • Must be at least 21 years old.

Preferred Skills:

  • Intermediate proficiency in Microsoft Office Suite (Word, Excel, and Outlook).
  • Strong interpersonal, oral, and written communication skills.
  • High attention to detail, reliability, and strong time management.
Our Values in Action

We expect our staff to be role models who are focused on solutions and building upon strengths. Our work is guided daily by the values of Respect, Accountability, Integrity, Open Honest Communication, Teamwork, and Continuous Improvement.

If you are a self-motivated professional ready to make a lasting impact in a culture that truly cares for its employees, we invite you to apply.