Wichita, KS · On-site
$18/hr
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 ...
Quick apply
Wichita, KS · On-site
$18/hr
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 ...
Revenue Utilization Review Nurse The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and ...
New
Revenue Utilization Review Nurse The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and ...
New
Revenue Utilization Review Registered Nurse The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of a Nurse Manager, Assistant Nurse Manager, or designee, who provides the ...
New
Revenue Utilization Review Registered Nurse The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of a Nurse Manager, Assistant Nurse Manager, or designee, who provides the ...
New
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Leavenworth, KS · On-site +1
$78K - $137K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
Leavenworth, KS · On-site +1
$78K - $137K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the ...
The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the ...
KS · On-site
$85K/yr
The Revenue Utilization Review (RUR) Assistant Nurse Manager role is a highly specialized leadership position that requires extensive knowledge of revenue cycle operations, utilization review ...
KS · On-site
$85K/yr
The Revenue Utilization Review (RUR) Assistant Nurse Manager role is a highly specialized leadership position that requires extensive knowledge of revenue cycle operations, utilization review ...
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 ...
Mission, KS · On-site
This role will collaborate with the medical providers, Utilization Review Department, and Accounts Receivable Department to ensure all legal requirements regarding coding procedures and practices are ...
New
Mission, KS · On-site
This role will collaborate with the medical providers, Utilization Review Department, and Accounts Receivable Department to ensure all legal requirements regarding coding procedures and practices are ...
New
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services. Supports effective ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
Quick apply
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
El Dorado, KS · On-site
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
... in reviewing patient goals; revise and complete goals as appropriate. 10) Facilitate ... Communicate regularly with director, staff and physicians. 16) Communicate the Resource Utilization ...
Responsible for assisting in the discharge planning and utilization review process for all patients. Responsible for accurately entering patient data and documentation into records systems while ...
Responsible for assisting in the discharge planning and utilization review process for all patients. Responsible for accurately entering patient data and documentation into records systems while ...
Overview We are seeking a RN Case Management Supervisor , also referred to as our RN Case Management and Utilization Review Supervisor or RN Care Coordination and Utilization Review Supervisor. The ...
Overview We are seeking a RN Case Management Supervisor , also referred to as our RN Case Management and Utilization Review Supervisor or RN Care Coordination and Utilization Review Supervisor. The ...
Chanute, KS · On-site
Utilization review phone calls. * Responsible for department functions in the absence of the Case Management Director. * Perform utilization management, discharge planning and resource management in ...
Chanute, KS · On-site
Utilization review phone calls. * Responsible for department functions in the absence of the Case Management Director. * Perform utilization management, discharge planning and resource management in ...
Pretty Prairie, KS · On-site
Perform utilization reviews for all patients and assist nursing staff with patient care as needed. * Support rehabilitation training and education for staff when required. * Ensure compliance with ...
New
Pretty Prairie, KS · On-site
Perform utilization reviews for all patients and assist nursing staff with patient care as needed. * Support rehabilitation training and education for staff when required. * Ensure compliance with ...
New
Direct clinics quality assurance, utilization review, risk management, and peer review activities. Review and consider recommendations to change policies, procedures and programs needed for the ...
Direct clinics quality assurance, utilization review, risk management, and peer review activities. Review and consider recommendations to change policies, procedures and programs needed for the ...
$19.08 - $22.94
2% of jobs
$22.94 - $26.80
9% of jobs
$29.44 is the 25th percentile. Wages below this are outliers.
$26.80 - $30.66
21% of jobs
The median wage is $33.78 / hr.
$30.66 - $34.52
23% of jobs
$34.52 - $38.38
13% of jobs
$41.38 is the 75th percentile. Wages above this are outliers.
$38.38 - $42.23
10% of jobs
$42.23 - $46.09
8% of jobs
$46.09 - $49.95
5% of jobs
$49.95 - $53.81
5% of jobs
$53.81 - $57.67
2% of jobs
$57.67 - $61.53
2% of jobs
$19
$37
$61
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
$18/hr
Full-time
Re-posted 24 days ago
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 SummaryThe 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.
ScheduleMonday–Friday | 8:00 AM – 5:00 PM
Hybrid Work OpportunityCandidates 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 DoCoordinate 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
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
Valid driver’s license
Current auto insurance
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
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
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.
Sourced by ZipRecruiter
Individual, family and community social assistance
1,001 - 5,000 Employees
Olathe, KS, US
1970
