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RN Care Manager – Clinical Utilization & Authorizations

Job in Kansas City, Jackson County, Missouri, 64101, USA
Listing for: Children's Mercy KC
Full Time position
Listed on 2026-08-13
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 75000 - 86000 USD Yearly USD 75000.00 86000.00 YEAR
Job Description & How to Apply Below

Children’s Mercy seeks a Clinical Review Nurse Care Manager to ensure appropriate utilization and reimbursement from admission through discharge. You will determine medical necessity, secure payer authorizations, collaborate with physicians and the multidisciplinary team, and support denials resolution.

The role emphasizes professional development, quality improvements, and cost-reduction initiatives within a hospital setting in Missouri/Kansas.

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