Top 10 Utilization management nurse Jobs in Wichita Ks

Registered Nurse (RN) Supervisor
ProviDRs Care —Wichita, KS
- Weekends as needed
- Nursing
- RN License
- Bachelor of Science in Nursing
- Health insurance
- Dental insurance
Quick Apply
14h
RN Case Manager PRN
Wesley Medical Center —Wichita, KS
- PRN
- Mid-level
- 3 years
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
Case Management Assistant
Ascension —Wichita, KS
- Full-time
- Hospital
- High school diploma or GED
- Case management
- Disability insurance
- Health insurance
13h
RN Case Manager
Wesley Medical Center —Wichita, KS
- Full-time
- Mid-level
- 3 years
- Children
- Employee stock purchase plan
- Disability insurance
Quick Apply
Registered Nurse Case Manager
Ascension —Wichita, KS
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
8d
Clinical Nurse Coordinator Rehabilitation
Wesley Rehabilitation Center —Wichita, KS
- Full-time
- No experience needed
- Mid-level
- No travel
- Employee stock purchase plan
- Disability insurance
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Clinical Nurse Coordinator Acute Care
Wesley Medical Center —Wichita, KS
- Full-time
- Mid-level
- Children
- Pediatrics
- Employee stock purchase plan
- Disability insurance
Quick Apply
PICU Clinical Nurse Coordinator
Wesley Medical Center —Wichita, KS
- Full-time
- Mid-level
- Children
- Pediatrics
- Employee stock purchase plan
- Disability insurance
Quick Apply
Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Chief Financial Officer (CFO)
Presbyterian Manors of Mid-America, Inc —Wichita, KS
Bachelor’s Degree in accounting, business administration or related field. Master’s Degree in accounting, business administration or related field preferred.
From $250,000 a year
Quick Apply
Vice President of Human Resources (VPHR)
Presbyterian Manors of Mid-America, Inc —Wichita, KS
Bachelor’s Degree in human resources, business administration or related field. Master’s Degree in human resources, business administration or related field…
From $180,000 a year
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Licensure/Certification: Current OH RN license; RN license in IN a plus. Tuition Reimbursement up to $5,250 per year for ANY field of study.
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Valeris, Inc. —Columbus, OH
Must have active RN licensure in current state of practice. 2-3 years of nursing experience with relevant disease state experience preferred.
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6d

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Registered Nurse (RN) Supervisor

ProviDRs Care -
Wichita, KS

Quick Apply

Job Details

14 hours ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Nursing
RN License
Team leadership
Associate's degree
Nursing

Full Job Description

Registered Nurse (RN) Supervisor – Integrated Health Management

Department: Integrated Health Management (IHM)
Reports To: Director of Integrated Health Management
FLSA Status: Exempt (Salary)
Supervises: Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators

This position is located in Wichita, KS. Applicant must be able to work on-site.

Position Summary

The RN Supervisor provides operational and clinical leadership for the Integrated Health Management Department by supervising Utilization Review, Case Management, and Care Navigation staff. This position oversees daily operations, supports staff development, ensures regulatory compliance, monitors departmental performance, and serves as the Director's designee when needed.

The RN Supervisor also participates in Utilization Review activities (approximately 3–4 hours daily, based on operational needs) and assists with Care Navigation functions as necessary while serving as a clinical resource for staff, providers, employer groups, brokers, PBMs, stop-loss carriers, and executive leadership.

Clinical Responsibilities

Perform Utilization Review activities as assigned.
Support Care Navigation operations as needed.
Provide clinical guidance on complex UR, Case Management, and Care Navigation cases.
Review documentation for quality, completeness, and regulatory compliance.
Ensure compliance with organizational policies, accreditation standards, and evidence-based guidelines.

Performance & Staff Development

Train and onboard new employees.
Complete competency assessments and identify educational needs.
Monitor employee performance and productivity.
Participate in evaluations, coaching, corrective action, attendance management, and employee recognition.
Recommend performance improvement and disciplinary actions to the Director.

Stakeholder Collaboration

Serve as a resource for members, providers, employer groups, brokers, PBMs, stop-loss carriers, vendors, and internal departments by:

Resolving operational and clinical issues.
Responding to escalated questions.
Coordinating communication.
Representing the department professionally.

Administrative Responsibilities

Monitor timekeeping, staffing schedules, productivity, KPIs, documentation audits, and departmental reports.
Assist with recruiting, interviewing, onboarding, policy development, and departmental projects.
Keep the Director informed of significant clinical, operational, personnel, or regulatory concerns.

After-Hours Expectations

Because this is an exempt leadership position, occasional evenings, weekends, telephone calls, and emergency response may be required to meet operational needs.

Authority & Decision-Making

The RN Supervisor has delegated authority by the Director to manage daily department operations, assign work, coordinate staffing, monitor quality and productivity, provide clinical guidance, coach staff, and resolve routine operational issues. Final authority for hiring, termination, compensation, formal disciplinary action, and significant financial or regulatory decisions remains with the Director and executive leadership.

Requirements

Required:

Current unrestricted Kansas RN license.
BSN preferred; Associate Degree with significant leadership experience considered.
Five years of progressive nursing experience.
Two years of supervisory or leadership experience.
Strong leadership, communication, organizational, and problem-solving skills.

Preferred:

Experience in Utilization Review, Case Management, Managed Care, Population Health, or Health Plan operations.
CCM, ACM, or UR certification.
Experience with TPAs and self-funded health plans.
Knowledge of PBMs, specialty medications, stop-loss, and NCQA/URAC or state UR standards.

Core Competencies

Leadership
Clinical judgment
Regulatory compliance
Operational excellence
Communication
Accountability
Collaboration
Adaptability
Strategic thinking
Continuous improvement
Member-centered service

Confidentiality

This position routinely handles confidential employee information, protected health information (PHI), employer information, payroll, performance management, and organizational business matters. Strict confidentiality and sound professional judgment is required at all times.

Benefits

Medical insurance

Dental insurance

Vision insurance

Employer-paid life insurance

401K with 7% employer contribution

Paid Time Off (PTO)

• Current unrestricted Kansas RN license. • BSN preferred; Associate Degree with significant leadership experience considered.

Quick Apply

Refine Your Search

utilization management nurse jobs in wichita ks

Registered Nurse (RN) Supervisor

RN Case Manager PRN

Case Management Assistant

RN Case Manager

Registered Nurse Case Manager

Clinical Nurse Coordinator Rehabilitation

Clinical Nurse Coordinator Acute Care

PICU Clinical Nurse Coordinator

Utilization Management Reviewer

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