Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
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Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Utilization Management Nurse Consultant
Topeka, KS · On-site
$26.01 - $56.14/hr
Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process ...
Utilization Management Nurse Consultant
Topeka, KS · On-site
$26.01 - $56.14/hr
Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process ...
Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Psychiatrist
Kansas City, KS · On-site
Performs utilization review responsibilities including review of treatment planning. * Assists with ongoing education and clinical supervision of the clinical staff. * Participates in ...
Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Part Time)
Topeka, KS · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Physician Reviewer-Radiology (Part Time)
Topeka, KS · On-site
$95 - $100/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Travel RN Case Manager - $2,566 per week
Wichita, KS · On-site
$2.5K/wk
The RN Case Manager is responsible for discharge planning, utilization review, care coordination, and facilitating smooth transitions of care. Key Responsibilities * Coordinate and oversee patient ...
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Travel RN Case Manager - $2,566 per week
Wichita, KS · On-site
$2.5K/wk
The RN Case Manager is responsible for discharge planning, utilization review, care coordination, and facilitating smooth transitions of care. Key Responsibilities * Coordinate and oversee patient ...
New
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Rheumatologist-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Otolaryngologist-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Endocrinology-Physician Reviewer-Radiology (Full-Time)
Topeka, KS · On-site
$95 - $109/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
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.
Medical Director
Kansas City, KS · On-site
Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate with the Health Services Administrator to enhance patient care and outcomes * Maintain clinical ...
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Medical Director
Kansas City, KS · On-site
Oversee chronic care clinics, utilization review, and quality improvement initiatives * Collaborate with the Health Services Administrator to enhance patient care and outcomes * Maintain clinical ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise clients on network strategy, provider capacity,utilizationtrends, access challenges, and market ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Topeka, KS · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Family Medicine-Physician Reviewer-Radiology (Full-Time or Part-time)
Topeka, KS · On-site
$95 - $96/hr
Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as ...
Board-Certified Orthopedic Surgeon
Harper, KS · On-site
$150 - $250/hr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
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Board-Certified Orthopedic Surgeon
Harper, KS · On-site
$150 - $250/hr
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams
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Clinical Licensed Crisis Counselor (Full-Time)
Pittsburg, KS · On-site
$45K - $60K/yr
Complete utilization reviews and CEUs as required. * Therapy: Conduct treatment interventions directly with the client. This includes but is not limited to individual therapy, group psychotherapy ...
Clinical Licensed Crisis Counselor (Full-Time)
Pittsburg, KS · On-site
$45K - $60K/yr
Complete utilization reviews and CEUs as required. * Therapy: Conduct treatment interventions directly with the client. This includes but is not limited to individual therapy, group psychotherapy ...
Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems ...
Work with Utilization Review staff relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system and any other systems ...
Completing Utilization Review This is a small and very cohesive program with a supportive group and hospital. Join us and become a member of a visionary team of professionals establishing these life ...
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Completing Utilization Review This is a small and very cohesive program with a supportive group and hospital. Join us and become a member of a visionary team of professionals establishing these life ...
Intake Care Coordinator
Andover, KS · On-site
$16.50 - $22.50/hr
Monitor payer authorizations and collaborate with Utilization Review to support continued stay requirements. * Communicate changes in client needs with clinical, medical, nursing, and recovery ...
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Intake Care Coordinator
Andover, KS · On-site
$16.50 - $22.50/hr
Monitor payer authorizations and collaborate with Utilization Review to support continued stay requirements. * Communicate changes in client needs with clinical, medical, nursing, and recovery ...
Utilization Review information
See Kansas salary details
$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
How much do utilization review jobs pay per hour?
What jobs make $3,000 a day?
What jobs pay 4000 a week without a degree?
What does a typical day look like for someone working in Utilization Review?
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.
What skills do you need for utilization review?
What is a Utilization Review job?
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.
What are the key skills and qualifications needed to thrive in the Utilization Review position, and why are they important?
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.
How do I get into a utilization review?
- Utilization Review Coordinator
- Remote Chiropractic Utilization Review
- Remote Optum Utilization Review
- Work From Home Utilization Review
- Temporary Aetna Utilization Review Nurse
- Remote Utilization Review
- Utilization Review Nurse Compact License
- Remote International Utilization Review Nurse
- Discharge Planner Utilization Review
- Utilization Review Assistant

Job description
Description
Purpose:
Provides psychiatric assessment, medication reviews, treatment and consultation on behalf of a variety of clients. The staff psychiatrist understands the medical responsibility of Wyandot Center clients will be vested in him/her as a licensed physician.Â
Accountabilities:
- Provides direct psychiatric services through the comprehensive evaluation, diagnosis, treatment planning, and treatment of clients assigned to him/her.
- Provides clinical direction to ARNP's and nursing staff.
- Participates in administrative duties as assigned, which could include, for example, being a member of or chairing the relevant committees.
- Performs utilization review responsibilities including review of treatment planning.
- Assists with ongoing education and clinical supervision of the clinical staff.
- Participates in interdisciplinary  assessment and treatment planning with clinical staff.
Requirements
  Qualifications:
Education: Licensed as a psychiatrist in the State of Kansas.
Skills & Abilities:
- Ability to work positively with a variety of mental health professionals.
- Ability to recognize and be sensitive to cultural and ethnic differences.
- Ability to safely perform essential job functions, with or without reasonable accommodationsÂ
About Wyandot Behavioral Health Network
Sourced by ZipRecruiter
Industry
Offices of mental health practitioners
Company size
201 - 500 Employees
Headquarters location
Kansas City, KS, US
Year founded
1953