Current jobs related to Utilization Review Team Leader - Kansas City, Missouri - Elevance Health

  • Utilization Review Nurse

    3 weeks ago

    Kansas City, Missouri, United States Saint Luke's Health System Full time

    Job Title: Utilization Review RN PRNAt Saint Luke's Health System, we are seeking a skilled Utilization Review RN PRN to join our team. As a key member of our multidisciplinary team, you will play a vital role in ensuring the delivery of high-quality, cost-effective medical outcomes through utilization review and management.Key Responsibilities:Monitor...

  • Travel Nurse RN Utilization Review

    2 weeks ago

    Kansas City, Missouri, United States PHP Full time

    Job Title: Travel Nurse RN Utilization ReviewPHP is seeking a skilled travel nurse RN to fill a Utilization Review position in Manhattan, Kansas.Job Details:Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: Medical, Dental & Vision, 401K, Weekly payAt PHP, we prioritize our...

  • Travel Nurse RN Utilization Review

    2 weeks ago

    Kansas City, Missouri, United States PHP Full time

    Job Title: Travel Nurse RN Utilization ReviewPHP is seeking a skilled travel nurse RN to fill a Utilization Review position in Manhattan, Kansas.Job Details:Specialty: Utilization ReviewDiscipline: RNDuration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelPerks: Medical, Dental & Vision, 401K, Weekly payAt PHP, we prioritize our staff's...

  • Transportation Team Leader

    2 months ago

    Kansas City, Missouri, United States Ryder Full time

    Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. We are currently seeking a dedicated overnight Logistics Operations Supervisor for our Supply Chain Solutions division. This role is essential for ensuring efficient logistics operations and team management. Pay Type: Exempt / Salary paid Twice Per Month Annual Salary Pay: $65,000 -...

  • Assistant Team Leader

    1 month ago

    Kansas City, Missouri, United States Elim Housing Group Full time

    About the RoleWe are seeking an experienced and ambitious individual to join our team as an Assistant Team Leader. In this role, you will be responsible for providing leadership to services designed to reduce repeat homelessness and improve outcomes for vulnerable adults.As a key member of our team, you will work closely with the Team Leader to monitor the...

  • Physician Reviewer

    4 weeks ago

    Kansas City, Missouri, United States Dane Street, LLC Full time

    Job Title: Physician ReviewerDane Street, LLC is seeking a skilled Physician Reviewer to join our team. As a Physician Reviewer, you will utilize your clinical expertise to review medical records and provide an interpretation of the medical appropriateness of services provided by other healthcare professionals.Job Summary:The Physician Reviewer will be...

  • Clinical Review Specialist

    3 days ago

    Kansas City, Missouri, United States UnitedHealth Group Full time

    Job SummaryAs a Clinical Review Coordinator at UnitedHealth Group, you will play a critical role in ensuring the quality and accuracy of clinical information. Your primary responsibility will be to request and review members' clinical information from providers, utilizing Interqual Criteria to perform utilization reviews and update authorizations in a timely...

  • Team Leader

    4 weeks ago

    Kansas City, Missouri, United States KMO Burger, LLC Full time

    {"h1": "Job Title: Team Leader", "p": "As a Team Leader at KMO Burger, LLC, you will be responsible for leading and teaching our team members to provide excellent customer service and ensure a smooth dining experience for our guests. You will work closely with your team to achieve quality standards, maintain a clean and safe environment, and meet fiscal...

  • Team Leader

    4 weeks ago

    Kansas City, Missouri, United States Ford Motor Company Full time

    Job Title: Team ManagerAt Ford Motor Company, we are seeking a highly skilled Team Manager to lead our Process and Quality engineering teams in production, staffing, procurement, and Quality of Final Department equipment. As a key member of our team, you will be responsible for implementing the Quality Operating System processes and procedures across the...

  • Maintenance Leader

    1 month ago

    Kansas City, Missouri, United States Veterans Affairs, Veterans Health Administration Full time

    Maintenance Leader Job DescriptionThe Maintenance Leader position is located within the Facilities Management Service (FMS) at the Kansas City VA Medical Center (KCVAMC).ResponsibilitiesAssists section supervisor in leading staff in work assigned.Reviews work of team personnel to ensure compliance with established standards.Trains section personnel in...

  • Clinical Review Nurse

    3 days ago

    Kansas City, Missouri, United States Axelon Full time

    Job Summary:As a Clinical Review Nurse - Concurrent Review Specialist at Axelon, you will play a critical role in ensuring the quality and appropriateness of care delivered to our members. Your expertise in concurrent review will enable you to evaluate the necessity and setting of care being delivered, contributing to discharge planning according to care...

  • Team Leader

    4 weeks ago

    Kansas City, Missouri, United States Chick-fil-A Barry Road Full time

    Job Title: Team LeaderWe are seeking a highly motivated and guest-focused individual to join our Chick-fil-A team as a Team Leader. In this role, you will be responsible for assisting the director team in overseeing the day-to-day operations of the restaurant and ensuring that our high standards of quality, service, and cleanliness are met.Key...

  • Team Leader

    3 days ago

    Kansas City, Missouri, United States KMO Burger, LLC Full time

    Job DescriptionAs a Team Leader at KMO Burger, LLC, you will be responsible for leading and teaching our team to provide excellent customer service and ensure a smooth dining experience for our guests. You will work to bring out the best in each individual on your team, ensuring that our customers receive top-notch service each and every time they dine with...

  • Assistant Team Leader

    2 weeks ago

    Kansas City, Missouri, United States pOpshelf Full time

    About pOpshelfpOpshelf is a fun and stress-free shopping destination for everyday and special items. Our mission is to provide "Fun Finds for Less" through a unique and engaging shopping experience. We strive to make it easy for customers to affordably treat themselves with most items priced under $5 and a selection of extreme value items priced above $5.Job...

  • Global Travel Coordinator

    3 days ago

    Kansas City, Missouri, United States LEADER Worldwide Full time

    Travel Coordinator OpportunityLEADER Worldwide is seeking a skilled Travel Coordinator to join our team. As a central coordinator for all activities, you will reserve transportation for clients traveling locally and in over 500 cities worldwide.Key Responsibilities:Answer phone calls and emails, handle accordinglyTake Reservations via phone, email, or online...

  • Associate Team Leader

    3 weeks ago

    Kansas City, Missouri, United States Arkansas Department of Workforce Services Full time

    Job SummaryWe are seeking a highly motivated and organized Associate Team Leader to join our team during tax season. As a key member of our retail office, you will be responsible for supporting the Multi-Unit Team Leader and ensuring the delivery of exceptional client service experiences.Key ResponsibilitiesSupport the Multi-Unit Team Leader in managing...

  • Plan Review Specialist

    1 week ago

    Kansas City, Missouri, United States City of North Kansas Full time

    Job SummaryWe are seeking a highly skilled Plan Review Specialist to join our team at the City of North Kansas. The successful candidate will be responsible for reviewing plans and construction documents to ensure compliance with City Codes.Key ResponsibilitiesReview plans, specifications, and calculations for building code compliance and assist with the...

  • Associate Team Leader

    2 weeks ago

    Kansas City, Missouri, United States Arkansas Department of Workforce Services Full time

    About the RoleWe are seeking a highly motivated and organized Associate Team Leader to join our team. As a key member of our retail operations team, you will be responsible for supporting a single retail office during tax season to consistently exceed client expectations and provide daily operations direction for the tax office.Key ResponsibilitiesSupport...

  • Assistant Team Leader

    2 weeks ago

    Kansas City, Missouri, United States pOpshelf Full time

    About pOpshelfpOpshelf is a fun and stress-free shopping destination for everyday and special items. Our mission is to provide "Fun Finds for Less" through a unique and engaging shopping experience. We strive to make it easy for customers to affordably treat themselves with most items priced under $5 and a selection of extreme value items priced above $5.Job...

  • Assistant Team Leader

    2 weeks ago

    Kansas City, Missouri, United States pOpshelf Full time

    About pOpshelfpOpshelf is a fun and stress-free shopping destination for everyday and special items. Our mission is to provide "Fun Finds for Less" through a unique and engaging shopping experience. We strive to make it easy for customers to affordably treat themselves with most items priced under $5 and a selection of extreme value items priced above $5.Job...

Utilization Review Team Leader

2 months ago

Kansas City, Missouri, United States Elevance Health Full time

Job Overview

Position: Manager of Utilization Review

Location: This role operates in a hybrid work environment, requiring residence within a specified commuting distance of an Elevance Health facility.

The Manager of Utilization Review plays a pivotal role in overseeing a team of healthcare professionals dedicated to optimizing member services, ensuring effective utilization, and managing care delivery for diverse patient populations with varying medical needs. This position is essential in facilitating access to necessary healthcare services while maintaining cost efficiency.

Key Responsibilities:

Directs and supervises a team focused on identifying and managing cases with complex health conditions. Coordinates comprehensive service delivery, including assessments of physical health factors. Collaborates with healthcare providers to set achievable short- and long-term objectives tailored to member needs and capabilities. Identifies members at risk for potential health complications. Analyzes benefit structures and conducts cost-benefit evaluations. Reviews medical data to ensure cost-effective healthcare solutions. Promotes program compliance and identifies areas for enhancing customer service and quality outcomes. Supports quality improvement initiatives, ensuring adherence to industry standards and reporting requirements. Responsible for recruiting, training, mentoring, and assessing the performance of team members.

Required Qualifications:

Bachelor’s degree with a minimum of five years in healthcare management, or an equivalent combination of education and experience. Possession of a current, unrestricted professional license (such as RN, PA, LSW, LCSW, LPC, LMHC) as mandated by state regulations.

Job Level:

Manager

Workshift:

Hybrid

Job Family:

Healthcare Management

About Elevance Health:

Elevance Health is committed to enhancing the health and well-being of our communities by simplifying healthcare. As a leading organization in the healthcare sector, we seek passionate leaders who are dedicated to making a positive impact on the lives of our members.

Our Culture:

At Elevance Health, we foster a culture that promotes both organizational strategy and individual growth. Our core values and behaviors drive our success and influence our business outcomes, benefiting our consumers, associates, and communities.

We offer competitive total rewards, including merit increases, paid time off, and comprehensive benefits packages, to support the well-being of our associates.

Elevance Health values the health of our workforce and communities, requiring vaccinations for specific roles to ensure safety and compliance with applicable laws.

Elevance Health is an Equal Employment Opportunity employer, welcoming all qualified applicants without regard to protected characteristics.