Top 6 Utilization review 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
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8h
Registered Nurse Case Manager
Ascension —Wichita, KS
- Full-time
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
7d
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —Wichita, KS
- $2,566 a week
- No weekends
- RN License
- BLS Certification
- Mid-level
Quick Apply
Clinical Review Manager
Specialized Health Agency, LLC —Wichita, KS
- Full-time
- RN License
- Mid-level
- Leadership
Quick Apply
2d
Remote Utilization Management Nurse (RN or LVN – CA Lic. Req.) | Preservice/Denials Dept.
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Travel reimbursement
- Health savings account
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11h

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Registered Nurse (RN) Supervisor
ProviDRs Care —Wichita, KS
Because this is an exempt leadership position, occasional evenings, weekends, telephone calls, and emergency response may be required to meet operational needs.
Quick Apply
8h
RN Case Manager PRN
Wesley Medical Center —Wichita, KS
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of…
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Clinical Review Nurse Supervisor (Medicaid Health Systems Administrator 1)
State of Ohio - Medicaid —Columbus, OH
Or, in order to operate a state vehicle, you must have a valid driver's license from state of residence. Exp. in the delivery of a health services program or…
$40.40 an hour
8d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
8d

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utilization review nurse jobs near wichita ks

Registered Nurse (RN) Supervisor

ProviDRs Care -
Wichita, KS

Quick Apply

Job Details

8 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.

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Refine Your Search

utilization review nurse jobs in wichita ks

Registered Nurse (RN) Supervisor

Registered Nurse Case Manager

Travel RN - Case Management/Utilization Review - Case Management

Clinical Review Manager

Remote Utilization Management Nurse (RN or LVN – CA Lic. Req.) | Preservice/Denials Dept.

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