Utilization Review Specialist

KVC Health Systems, Inc.; Olathe (KS); Hybrid; USD 51,577,000 - 57,308,000; Full time

Job summary

Camber Connect in Olathe, KS seeks a detail-oriented Utilization Review Specialist to bridge clinical teams and health plans, managing initial, concurrent, and discharge interfaces to ensure essential services for children, youth, and adults. Hybrid work location starts after a 90-day review, with 2 days in the office and 3 days remote.

The role demands accuracy, urgency, and advocacy, with education requirements including a high school diploma and a preferred Bachelor’s in Human Services or

Qualifications

• Requires High School Diploma or GED; Bachelor’s in Human Services preferred.
• Valid driver’s license and auto insurance are preferred.
• Clinical experience in hospital/clinical setting is highly valued.

Responsibilities

• Act as the primary point of contact for health plans, providing clinical updates and managing authorizations.
• Collaborate with physicians, nurses, and therapists to ensure timely and complete patient assessments.
• Coordinate with Admissions to facilitate referrals and placements.
• Maintain data integrity within EHR systems.
• Navigate insurance policies and reimbursement procedures to support patient care.
• Assist with quality assurance audits and compliance with state, federal, and Joint Commission guidelines.

Skills

EHR proficiency

Medical terminology

Analytical thinking

Communication

Education

High School Diploma or GED

Bachelor’s degree in Human Services

Tools

EHR software

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Corporate Shared Services, Olathe, KS, US

4 days ago Requisition ID: 9675

Salary Range: $18.00 To $20.00 Hourly

Are you looking for a fast-paced clinical role where your contributions are truly valued? Camber Connect is seeking a detail-oriented, compassionate professional to join our Utilization Review department.

At Camber, we do not just talk about a supportive culture—we live it. We are proud to share that our team has earned a Work Wellbeing score of 83, placing us in the top 1% of employers nationwide for employee satisfaction and support.

The Role

As a Utilization Review Specialist, you serve as the vital link between our clinical treatment teams and health plans. You will manage initial, concurrent, and discharge interfaces to ensure children, youth, and adults receive the essential services they need. This is a high-impact position that requires accuracy, urgency, and a commitment to advocacy.

Work Location:

Hybrid after a positive 90-day review. 2 days in office at our Olathe corporate office, 3 days remote.

What You Will Do

• Act as the primary point of contact for health plans, providing clinical updates and managing authorizations.
• Collaborate with physicians, nurses, and therapists to ensure timely and complete patient assessments.
• Coordinate with Admissions to facilitate appropriate referrals and placements.
• Maintain rigorous data integrity within Electronic Health Record (EHR) systems.
• Navigate insurance policies and reimbursement procedures to support patient care.
• Assist with quality assurance audits and compliance with state, federal, and Joint Commission guidelines.

What We Are Looking For

• Education: High School Diploma or GED required. A Bachelor’s degree in a Human Services field (Social Work, Psychology, Sociology, Education, Applied Behavioral Sciences) or Criminal Justice is preferred.
• Licensure: Valid driver’s license and auto insurance.
• Clinical Insight: Experience in a hospital or clinical setting, particularly with at-risk youth and families, is highly preferred.
• Technical Skills: Proficiency with EHR systems and a strong understanding of medical terminology and healthcare regulations.
• Analytical Mindset: Excellent critical thinking skills and the ability to work in a fast-moving, high-detail environment.
• Communication: A collaborative spirit and the ability to interface professionally with diverse healthcare teams and insurance providers.

Why Camber?

We operate under a clear set of values: The heart of our work is helping people. We believe in authenticity, compassion, and the power of diverse perspectives. As part of our team, you are expected to be a solutions-focused role model who builds on the strengths of those around you.