Utilization Manager Jobs in Kansas City
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Search Results - Utilization Manager Jobs in Kansas City
CommunityCare-Kansas City
to support timely utilization decisions
• Provide clinical consultation on complex medication requests and coverage determinations
• Support development and maintenance of medical drug utilization management programs
• Develop and maintain evidence-based...
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Prime Staffing-Kansas City
AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
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UnitedHealth Group-Kansas City
Overview
In this leadership role, you steer a diverse training and quality team across multiple sites to elevate utilization management operations. You will design and deliver onboarding and ongoing education, align quality initiatives...
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Prime Staffing-Kansas City
AHA
Must-Have: Strong assessment, discharge planning, and utilization review skills
Description: The RN Case Manager coordinates patient care plans and services across the continuum of care. Works closely with providers, social workers, and external...
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Banner Health-Kansas City
to drive system changes, mentor team members, and lead or participate in cross-functional initiatives. Your work enables data-driven insights that improve care quality, utilization management, and operational efficiency. This role offers remote flexibility...
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AaraTechnologies Inc-Kansas City
in gathering, documenting, and validating business requirements, data definitions, and reporting logic
• Collaborate with cross-functional teams including Behavioral Health, Contact Center, Utilization Management (UM), and IT
• Translate business requirements...
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Alignment Healthcare-Kansas City
Overview
In this Regional Medical Director role, you lead non-acute utilization management across markets to optimize clinical outcomes, quality, and total cost of care. You collaborate with regional leaders and provider networks to advance prior...
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UnitedHealth Group-Kansas City
Overview
As Medical Director, you guide clinical coverage determinations within Enterprise Clinical Services, collaborating with leadership to ensure high-quality, cost-effective patient care. You lead utilization management activities and engage...
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Huron Consulting Group-Kansas City
quality incentive programs, and network optimization
• Experience leading complex healthcare analytics and modeling (e.g., HCC risk adjustment, RAF optimization, clinical risk stratification, cost trend analysis, utilization management, population health...
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UnitedHealth Group-Kansas City
Overview
In this role you support authorization decisions for psychiatric and chemical dependency care, working within Utilization Management to ensure medical necessity and efficient care transitions. You will handle data entry, coordination...
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