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Hybrid Utilization Management Leader (RN
Job in
Topeka, Shawnee County, Kansas, 66652, USA
Listed on 2026-08-18
Listing for:
bcbsks
Full Time
position Listed on 2026-08-18
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
Blue Cross and Blue Shield of Kansas seeks a Manager of Utilization Management to lead pre-service, concurrent reviews and case authorizations. You will partner with providers, vendors and internal teams to ensure evidence-based care and maintain accreditation standards.
Hybrid/onsite work option;
Kansas or Missouri residency or relocation required. Manage budgets, drive quality programs (HEDIS/QRS/QIS/Stars) and serve as SME for URAC UM accreditation and Kansas Nurse Practice Act scope.
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