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Utilization Review Manager information

See Kansas salary details

$34.8K

$81.2K

$149.4K

How much do utilization review manager jobs pay per year?

As of Jun 14, 2026, the average yearly pay for utilization review manager in Kansas is $81,168.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,100.00 and $97,700.00 per year, depending on experience, location, and employer.

What jobs pay $2000 a day?

Utilization Review Managers typically do not earn $2000 a day; such high daily rates are more common in specialized consulting, executive roles, or highly paid medical professionals. Most jobs with daily earnings of this level require extensive experience, certifications, or work in high-demand industries like finance, law, or executive management.

What are some common challenges faced by Utilization Review Managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What job makes $10,000 a month without a degree?

A Utilization Review Manager can potentially earn around $10,000 per month, especially with extensive experience and certifications in healthcare management or medical review. These roles typically require strong analytical skills, knowledge of medical billing and coding, and the ability to oversee utilization review processes in healthcare settings. While a degree can be helpful, some professionals advance through experience and industry certifications such as Certified Professional in Healthcare Quality (CPHQ).

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

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What jobs in the US pay 300,000 a year?

Utilization Review Managers in healthcare or insurance industries can earn around $300,000 annually with extensive experience, advanced certifications, and leadership responsibilities. High-paying roles often require strong analytical skills, knowledge of medical billing and coding, and proficiency with healthcare management software. Executive-level positions in healthcare organizations may also reach or exceed this salary level.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

What does a utilization review manager do?

A utilization review manager oversees the process of evaluating medical services to ensure they are necessary, appropriate, and cost-effective. They coordinate with healthcare providers, review patient records, and ensure compliance with insurance and regulatory standards, often using specialized software. This role requires strong analytical skills and knowledge of healthcare policies and insurance guidelines.
What are the most commonly searched types of Utilization Review jobs in Kansas? The most popular types of Utilization Review jobs in Kansas are:
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What job categories do people searching Utilization Review Manager jobs in Kansas look for? The top searched job categories for Utilization Review Manager jobs in Kansas are:
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Utilization Review Manager jobs near you
Utilization Review Specialist

Utilization Review Specialist

KVC Health Systems

Wichita, KS • On-site

Full-time

Posted 25 days ago

Job description

UR Specialist – Join Camber and Make an Impact

At Camber Mental Health, we are committed to helping children, youth and families thrive through compassionate, high-quality behavioral healthcare. With an Indeed Work Wellbeing Score of 83, Camber offers a supportive and mission-driven environment where employees can grow while making a meaningful difference every day.

Job Summary

The Utilization Review department manages all aspects of a patient’s stay related to initial authorization, concurrent reviews and discharge coordination with health plans. The UR Specialist serves as the primary contact with insurance providers and works closely with admissions, physicians, nurses, therapists and treatment teams to ensure timely, accurate and complete assessments and service coordination for children and youth.

This position requires exceptional attention to detail, organization and communication skills in a fast-paced healthcare environment focused on quality care and compliance.

Schedule

Monday–Friday | 8:00 AM – 5:00 PM

Hybrid Work Opportunity

Candidates may elect to work a hybrid schedule of 2 days in office and 3 days remote after successfully completing their first 90 days in office and receiving a positive 90-day performance evaluation.

What You’ll Do

  • Coordinate communication with health plans and insurance companies

  • Review and manage authorizations and child-specific contracts

  • Ensure accurate documentation within electronic health records

  • Compile, summarize and enter clinical and assessment information

  • Assist with intake assessments and discharge summaries

  • Support admissions paperwork and utilization review functions

  • Prepare reports, forms and appeals for insurance providers

  • Conduct documentation reviews to ensure compliance and quality standards

  • Assist with audits, quality assurance initiatives and special projects

  • Maintain strict confidentiality of child, youth and family information

  • Collaborate with internal teams, referral sources and community partners

QualificationsEducation

  • Bachelor’s degree in a human services field preferred, including:

    • Social Work

    • Education

    • Sociology

    • Psychology

    • Counseling

    • Applied Behavioral Sciences

    • Criminal Justice

  • High school diploma or GED required

Licensure/Certification

  • Valid driver’s license

  • Current auto insurance

Experience

  • Minimum two years of experience in:

    • Case management

    • Utilization review

    • Wellness coordination

  • At least one year working with economically disadvantaged, vulnerable or at-risk youth and/or adults

Preferred Skills

  • Intermediate Microsoft Office Suite skills including Word, Excel and Outlook

  • Strong verbal and written communication skills

  • Excellent organizational and interpersonal abilities

  • Ability to manage detailed work in a fast-paced environment

Why Join Camber?

  • Mission-driven work supporting children and families

  • Collaborative and inclusive workplace culture

  • Professional development and ongoing training opportunities

  • Hybrid work flexibility after successful onboarding period

  • Monday–Friday schedule with consistent daytime hours

  • Opportunity to work alongside multidisciplinary healthcare teams

  • Meaningful career growth in behavioral health services

At Camber, employees are expected to lead with authenticity, compassion and collaboration while supporting positive outcomes for children, youth and families.

Apply today and become part of a team dedicated to changing lives.