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 ...
Registered Nurse (RN) Supervisor
Wichita, KS ยท On-site
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is ... weekends, telephone calls, and emergency response may be required to meet operational needs.
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Registered Nurse (RN) Supervisor
Wichita, KS ยท On-site
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is ... weekends, telephone calls, and emergency response may be required to meet operational needs.
Registered Nurse (RN) Supervisor
Wichita, KS ยท On-site
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is ... weekends, telephone calls, and emergency response may be required to meet operational needs.
Registered Nurse (RN) Supervisor
Wichita, KS ยท On-site
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is ... weekends, telephone calls, and emergency response may be required to meet operational needs.
Manager Utilization Management
Topeka, KS ยท Hybrid
Health & fitness benefits, discounts and resources Job Summary The Manager of Utilization Management leads medical necessity review functions, including precertifications, concurrent reviews ...
Manager Utilization Management
Topeka, KS ยท Hybrid
Health & fitness benefits, discounts and resources Job Summary The Manager of Utilization Management leads medical necessity review functions, including precertifications, concurrent reviews ...
Manager Utilization Management
Topeka, KS ยท On-site
Health & fitness benefits, discounts and resources Job Summary The Manager of Utilization Management leads medical necessity review functions, including precertifications, concurrent reviews ...
Manager Utilization Management
Topeka, KS ยท On-site
Health & fitness benefits, discounts and resources Job Summary The Manager of Utilization Management leads medical necessity review functions, including precertifications, concurrent reviews ...
Registered Nurse
Wichita, KS ยท 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 ยท 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.
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 ...
Regional Director Care Management RN
$104K - $194K/yr
Day-Weekend (United States of America) Address: 9100 W 74TH ST City: SHAWNEE MISSION State: Kansas ... Utilization Review, Care Coordination, Social Services, or a related field. * Valid driver ...
Regional Director Care Management RN
$104K - $194K/yr
Day-Weekend (United States of America) Address: 9100 W 74TH ST City: SHAWNEE MISSION State: Kansas ... Utilization Review, Care Coordination, Social Services, or a related field. * Valid driver ...
RN Case Manager
Wichita, KS ยท On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
RN Case Manager
Wichita, KS ยท On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
RN Case Manager
Overland Park, KS ยท On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
RN Case Manager
Overland Park, KS ยท On-site
Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...
Supervisor Care Progression
Overland Park, KS ยท On-site
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Supervisor Care Progression
Overland Park, KS ยท On-site
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Supervisor Care Progression
Overland Park, KS ยท On-site
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Supervisor Care Progression
Overland Park, KS ยท On-site
Key Responsibilities * Staffing & Scheduling * 40 Hours - M-F - in person, some weekend ... Minimum of 3 years in case management, discharge planning, or utilization review. Supervisory or ...
Weekend LPN Supevisor
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
Weekend LPN Supevisor
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
Weekend LPN Supevisor
Overland Park, KS ยท On-site
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
Weekend LPN Supevisor
Overland Park, KS ยท On-site
$38 - $40/hr
Performs utilization review activities to provide resident appropriate, timely and cost effective care. Coordinate care with resident, care providers, facilities financial services, and third party ...
Physician (Family Practice)/Supervisory Physician (Family Practice)
Leavenworth, KS ยท On-site +1
$124K - $335K/yr
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... This position may include shift work (evenings, weekends, holidays). * This position may require ...
Physician (Family Practice)/Supervisory Physician (Family Practice)
Leavenworth, KS ยท On-site +1
$124K - $335K/yr
Direct clinics quality assurance, utilization review, risk management, and peer review activities ... This position may include shift work (evenings, weekends, holidays). * This position may require ...
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 ...
Case Manager LPN
Kansas City, KS ยท 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 ...
Case Manager LPN
Kansas City, KS ยท 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 ...
Case Manager LPN
Kansas City, KS ยท 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 ...
Case Manager LPN
Kansas City, KS ยท 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 ...
Weekend 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 weekend utilization review jobs pay per hour?
What does a weekend utilization review professional do?
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.
What is a weekend utilization review?
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.
What are the key skills and qualifications needed to thrive in the weekend utilization review position?
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.
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RN Case Manager - Behavioral Health Utilization Review
Goddard, KS โข On-site
Other
Re-posted 5 days ago
Job description
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 healthcare providers and members to evaluate patient needs and benefit requirements, ensuring optimal resource use. You will manage patient cases within the behavioral health unit, reviewing medical necessity for admissions, continued stays, and services.
Essential Responsibilities:
- Assess patient situations and conduct reviews to ensure compliance with eligibility, benefits, policies, and contracts.
- Manage appeals and coordinate comprehensive reviews of medical records to verify accurate admission and diagnosis information.
- Promote improved quality of care and support reduced hospital stays when safe and appropriate.
- Advise pre-certification staff and maintain records and reports related to non-clinical activities.
- Coordinate with insurance companies to secure authorizations for behavioral health services, ensuring adherence to payer requirements and facility standards.
- Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests.
- Assist with triage screenings for incoming behavioral health patients to determine immediate care needs and facilitate timely care delivery.
- Provide psychosocial support to patients and families, addressing emotional, social, and financial barriers.
- Serve as a liaison between healthcare teams and patients/families to ensure smooth care transitions.
- Support discharge planning processes when needed, ensuring safe and appropriate discharge plans.
- Conduct safety assessments and make protective reports for adults and children as indicated.
- Participate in ongoing professional development and mandatory training, including de-escalation techniques.
- Adhere to privacy and security regulations regarding Protected Health Information (PHI).
- Maintain effective communication and professional relationships with patients, team members, physicians, and external agencies.
- Graduate of a nursing or Bachelor of Social Work (BSW) program.
- Experience in behavioral health settings, particularly crisis management and inpatient care.
- Current licensure as a Registered Nurse (RN) or BSW in the relevant state.
- Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross within 30 days of hire.
- De-escalation training required within six months of start date.
- Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
- Advanced degrees such as BSN or MSW are a plus.
- Strong collaboration skills with interdisciplinary teams to ensure high-quality care.
- Familiarity with community resources, mental health services, and post-acute care.
- Basic computer proficiency and experience documenting in electronic health records.
- Ability to multitask, prioritize, and communicate effectively.
Physical Requirements: Medium work involving occasional exertion up to 50 lbs and frequent standing or walking (26-50% of the day).
This position offers a competitive salary and benefits package, providing a meaningful opportunity to impact behavioral health care in a supportive regional healthcare environment.