Wichita, KS · On-site
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
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 ...
Topeka, KS · On-site
$73K - $75K/yr
To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive ...
Topeka, KS · On-site
$73K - $75K/yr
To provide timely, evidence-based utilization review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive ...
... Management and Utilization Review responsibilities within a Third-Party Administrator (TPA ... No on-call and no weekends Why Join Our Team * Opportunity to utilize both clinical and analytical ...
... Management and Utilization Review responsibilities within a Third-Party Administrator (TPA ... No on-call and no weekends Why Join Our Team * Opportunity to utilize both clinical and analytical ...
RN Case Manager - Behavioral Health Utilization Review Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review.
RN Case Manager - Behavioral Health Utilization Review Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health 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 ...
Pratt, KS · On-site
The hospitals' utilization review plan and discharge planning procedures outline a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost ...
Pratt, KS · On-site
The hospitals' utilization review plan and discharge planning procedures outline a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost ...
Pratt, KS · On-site
The hospitals' utilization review plan and discharge planning procedures outline a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost ...
Pratt, KS · On-site
The hospitals' utilization review plan and discharge planning procedures outline a collaborative practice to improve quality through coordination of care impacting length of stay, minimizing cost ...
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 Case ...
New
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 Case ...
New
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 ...
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.
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.
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 ...
Leawood, KS · On-site
$231K - $396K/yr
... review determinations. * Will participate in a physician on-call weekend rotation for a 24x7 unit ... Utilization management experience preferred. For candidates working in person or virtually in the ...
Leawood, KS · On-site
$231K - $396K/yr
... review determinations. * Will participate in a physician on-call weekend rotation for a 24x7 unit ... Utilization management experience preferred. For candidates working in person or virtually in the ...
Overland Park, KS · On-site
$231K - $396K/yr
Will participate in a physician on-call weekend rotation for a 24x7 unit. Minimum Requirements ... when conducting utilization review or an appeals consideration and cannot be located on a US ...
Overland Park, KS · On-site
$231K - $396K/yr
Will participate in a physician on-call weekend rotation for a 24x7 unit. Minimum Requirements ... when conducting utilization review or an appeals consideration and cannot be located on a US ...
Kansas City, KS · On-site
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 ...
Kansas City, KS · On-site
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 ...
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 ...
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 ...
Kansas City, KS · On-site
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 ...
Kansas City, KS · On-site
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 ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
... utilization management review programs. The Manager will lead the nurse case management team to strategize with claim professionals in management of medical and disability exposure, delivering ...
$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
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
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
