Top 21 Utilization review nurse Jobs in Lenexa, Ks

Care Management Registered Nurse RN PRN
AdventHealth Shawnee Mission —Shawnee Mission, KS
- $33.70 - $62.69 an hour
- Weekends as needed
- Acute care
- Nursing
- Microsoft Outlook
Clinical Review Nurse Care Manager
Children's Mercy KC —Kansas City, MO
- From $36.16 an hour
- Full-time
- Nursing
- RN License
- Pass drug screening
Weekend LPN Supevisor
Overland Park Post Acute —Overland Park, KS
- $38 - $40 an hour
- Part-time
- Nursing
- LVN
- RN License
- Paid holidays
- Health insurance
Quick Apply
Case Manager - PRN Weekends | Overland Park Rehab
PAM Health, LLC —Overland Park, KS
- Weekends as needed
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply
10d
Medical Field Case Manager
Enlyte —Lenexa, KS
- $65,000 - $70,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- RN License
- Travel reimbursement
- Health savings account
Case Manager Care Continuity Services RN - Care Continuity - UH Truman Medical Center (4 days per week; 6a-4:30p)
University Health KC —Kansas City, MO
- Full-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Clinical Manager, RN
Tallgrass Creek by Erickson Senior Living —Overland Park, KS
- From $100,000 a year
- 18 years or older
- CPR Certification
- Nursing
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Clinical Manager
Centerwell —Overland Park, KS
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Emergency Room RN | Manager
HRC-R —Olathe, KS
- $120,000 - $160,000 a year
- Full-time
- Nursing
- Blood sampling
- Vital signs
- Loan repayment program
- Disability insurance
Quick Apply
14d
Nurse Care Manager (RN or LPN)
Burrell Behavioral Health —Independence, MO
- Full-time
- Background check
- Nursing
- Clean driving record
- Mileage reimbursement
- Health insurance
Quick Apply
1d

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utilization review nurse jobs near lenexa, ks

Care Management Registered Nurse RN PRN

AdventHealth Shawnee Mission -
Shawnee Mission, KS

Apply Now

Job Details

PRN
$33.70 - $62.69 an hour

Qualifications

RN License
Employee relationship building
Associate's degree
Associate Degree in Nursing

Full Job Description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule:

PRN

Shift:

Day (United States of America)

Address:

9100 W 74TH ST

City:

SHAWNEE MISSION

State:

Kansas

Postal Code:

66204

Job Description:

Care Management Registered Nurse (RN) – PRN

Location: AdventHealth Shawnee Mission

Schedule: PRN | As Needed | Must be available to work some weekend shifts

Coordinate Care. Advocate for Patients. Transform Outcomes.

At AdventHealth, as a Care Management Registered Nurse (RN), you'll play a vital role in helping patients safely transition through the continuum of care by coordinating services, advocating for patient needs, and collaborating with interdisciplinary teams to achieve exceptional outcomes.

If you're passionate about care coordination, patient advocacy, and improving the healthcare experience for patients and families, we'd love to have you join our team.

The Care Management Registered Nurse (RN) evaluates patients for discharge planning needs and collaborates with physicians, nurses, and interdisciplinary team members to coordinate safe, timely, and effective transitions of care. This role provides patient advocacy, discharge planning, utilization support, care progression, and post-acute care coordination while addressing social drivers of health and connecting patients with appropriate community resources. The Care Management RN ensures compliance with CMS Conditions of Participation (CoPs) for Discharge Planning, federal and state regulations, and organizational standards while supporting length of stay goals, reducing avoidable readmissions, and enhancing the patient experience.

Key Responsibilities

Coordinate comprehensive discharge planning for patients throughout the acute care hospitalization.
Evaluate patients for post-acute care needs and develop individualized transition of care plans in collaboration with the interdisciplinary healthcare team.
Receive and respond to referrals for patients requiring care coordination, discharge planning, patient advocacy, or other case management interventions.
Participate in multidisciplinary rounds to review patient progression, level of care, discharge readiness, and barriers to timely discharge.
Identify and escalate delays in patient progression and discharge planning to appropriate leadership.
Educate patients and families regarding the emotional, social, financial, and healthcare impacts of illness while empowering them to participate in healthcare decision-making.
Connect patients and families with community resources, social programs, and post-acute services to address social drivers of health.
Assess readmitted patients to identify contributing factors and opportunities to reduce future avoidable readmissions.
Organize and facilitate patient and family care conferences with physicians and interdisciplinary team members.
Monitor medical necessity, care progression, and utilization to support appropriate length of stay and resource utilization.
Document discharge planning evaluations, ongoing assessments, multidisciplinary rounds, barriers to care progression, avoidable days, patient needs, and discharge plans in accordance with departmental standards.
Maintain compliance with CMS Conditions of Participation, regulatory requirements, and AdventHealth policies governing discharge planning and care coordination.
Collaborate with physicians, nurses, social workers, case managers, and post-acute providers to promote safe, efficient, and patient-centered transitions of care.

Knowledge, Skills & Abilities

Leadership and patient advocacy skills
Critical thinking and complex problem-solving abilities
Knowledge of care coordination, discharge planning, and care progression
Knowledge of CMS Conditions of Participation (CoPs) for Discharge Planning
Knowledge of community resources and post-acute care services across the continuum of care
Understanding of clinical, psychosocial, and social factors that influence safe discharge planning
Ability to analyze clinical, process, and outcome data to support quality patient care
Strong organizational skills with the ability to prioritize multiple responsibilities in a fast-paced environment
Excellent communication and interpersonal skills with patients, families, physicians, and interdisciplinary healthcare teams
Conflict resolution and relationship-building skills
Commitment to patient-centered care and interdisciplinary collaboration
Ability to work effectively with individuals from diverse social, cultural, and economic backgrounds
Computer proficiency with Microsoft Outlook and Electronic Medical Record (EMR) systems
Ability to adapt to a dynamic and changing healthcare environment

Education

Associate Degree in Nursing (ADN) — Required
Bachelor of Science in Nursing (BSN) — Preferred

Experience

Two years of acute care or hospital nursing experience — Required
Previous Care Management or Utilization Management experience — Preferred

Licensure & Certifications

Registered Nurse (RN) — Required
Certified Case Manager (CCM) — Preferred
Accredited Case Manager (ACM) — Preferred

Why Join AdventHealth?

At AdventHealth, you'll find more than a job—you'll discover a career with purpose. As part of our faith-based, mission-driven organization, you'll help patients navigate complex healthcare journeys while working alongside a collaborative team dedicated to improving outcomes through compassionate, whole-person care.

Flexible PRN scheduling
Opportunity to make a meaningful impact on patient outcomes and care transitions
Collaborative interdisciplinary care team
Mission-driven culture focused on whole-person healing
Professional growth and continuing education opportunities
Supportive leadership and team environment
The opportunity to positively impact patients, families, and the communities we serve

Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/2vvwrzem

Pay Range:

$33.70 - $62.69

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Apply Now

Refine Your Search

utilization review nurse jobs in lenexa, ks

Care Management Registered Nurse RN PRN

Clinical Review Nurse Care Manager

Weekend LPN Supevisor

Case Manager - PRN Weekends | Overland Park Rehab

Medical Field Case Manager

Case Manager Care Continuity Services RN - Care Continuity - UH Truman Medical Center (4 days per week; 6a-4:30p)

Clinical Manager, RN

Registered Nurse Clinical Manager

Emergency Room RN | Manager

Nurse Care Manager (RN or LPN)

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