Top 27 Utilization review nurse Jobs in Overland Park Ks

Inpatient Care Management Nurse - Remote
Optum —Kansas City, MO
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
4d
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
Care Mgr RN Nonexempt
AdventHealth Shawnee Mission —Shawnee Mission, KS
- $33.70 - $62.69 an hour
- 8 hour shift
- Nursing
- Microsoft Outlook
- RN License
- Paid parental leave
- Disability insurance
5d
Case Manager -13-week assignment $50/HR | Overland Park Rehab
PAM Health, LLC —Overland Park, KS
- $50 an hour
- RN License
- Hospital
- BLS Certification
- Opportunities for advancement
- Referral program
Quick Apply
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
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Overland Park, KS
- $2,301 a week
- Contract
- RN License
- Hospital
- BLS Certification
Quick Apply
11d
Registered Nurse Case Manager
Providence Medical Center —Kansas City, KS
- Per diem
- Nursing
- RN License
- Hospital
RN Clinical Nurse Manager Med-Surg (Charge)
TribalEM —Kansas City, MO
- $36.65 - $47.64 an hour
- Full-time
- Nursing
- Patient monitoring
- RN License
- Health savings account
- Employee stock purchase plan
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Clinical Review Nurse Care Manager
Children's Mercy KC —Kansas City, MO
- $36.16 an hour
- Full-time
- Nursing
- RN License
- Pass drug screening
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
Weekend LPN Supevisor
Overland Park Post Acute —Overland Park, KS
- $38 - $40 an hour
- Part-time
- Nursing
- LVN
- RN License
- Paid holidays
- Health insurance
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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
Advanced Practice Provider
Spira Care, LLC —Kansas City, MO
- Weekends as needed
- BLS Certification
- Mid-level
- Clinic
- 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
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2d

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Inpatient Care Management Nurse - Remote

Optum -
Kansas City, MO

Quick Apply

Job Details

Full-time
$60,200 - $107,400 a year
4 days ago

Qualifications

Nursing
Microsoft Excel
Microsoft Outlook
Inpatient experience
RN License
Windows
Nursing

Full Job Description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Can you feel it? Bring that energy to a role that helps us offer a higher level of care than you'll find anywhere else. Put your skills and talents to work in an effort that is seriously shaping the way health care services are delivered.

As an Inpatient Care Management Nurse, you will be responsible for ensuring proper utilization of our health services. This means you will be tasked with assessing and interpreting member needs and identifying solutions that will help our members live healthier lives. This is an inspiring job at a truly inspired organization.

What makes your nursing career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You will work within an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.

Schedule will vary to include some weekend requirements based off the business needs.

If you are located in Missouri, you will have the flexibility to work remotely* as you take on some tough challenges.

Primary Responsibilities:

Perform initial and concurrent review of inpatient cases applying evidenced-based criteria (InterQual criteria)
Discuss cases with facility healthcare professionals to obtain plans-of-care
Collaborate with Optum Enterprise Clinical Services Medical Directors on performing utilization management
Participation in discussions with the Clinical Services team to improve the progression of care to the most appropriate level
Consult with the Medical Director, as needed, for complex cases and make appropriate referrals to downstream partners
Apply clinical expertise when discussing case with internal and external Case Managers and Physicians
Identify delays in care or services and manage with MD
Follow all Standard Operating Procedures in end-to-end management of cases
Obtain clinical information to assess and expedite alternate levels of care
Facilitate timely and appropriate care and effective discharge planning
Participate in team meetings, education, discussions, and related activities
Maintain compliance with Federal, State and accreditation organizations
Identify opportunities for improved communication or processes
Participate in audit activities and meetings

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Active, unrestricted RN license in state of MO
3+ years of clinical nursing experience in a Hospital setting
Proficiency in computer skills - Windows, IM, Excel (Microsoft Suite), Outlook, clinical platforms
Designated workspace and access to install secure high-speed internet via cable / DSL in home
Reside in MO

Preferred Qualifications:

Bachelor's degree
Compact RN license
2+ years of acute inpatient case management experience/utilization review
1+ years of experience in Utilization Review, either within an Acute Inpatient Hospital setting or within a health insurance company
Managed care experience
Experience performing discharge planning

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Refine Your Search

utilization review nurse jobs in overland park ks

Inpatient Care Management Nurse - Remote

Care Management Registered Nurse RN PRN

Care Mgr RN Nonexempt

Case Manager -13-week assignment $50/HR | Overland Park Rehab

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

Travel RN - Case Management/Utilization Review - Case Management

Registered Nurse Case Manager

RN Clinical Nurse Manager Med-Surg (Charge)

Clinical Review Nurse Care Manager

Medical Field Case Manager

Weekend LPN Supevisor

Clinical Manager, RN

Registered Nurse Clinical Manager

Advanced Practice Provider

Emergency Room RN | Manager

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