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Intern Insurance Utilization Review Jobs in Wichita, KS

ProviDRs Care

Registered Nurse (RN) Supervisor

Wichita, KS · On-site

$70K - $85K/hr

Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is ... Benefits Medical insurance Dental insurance Vision insurance Employer-paid life insurance Employee ...

Oak St. Health

Grad Pharmacist

Wichita, KS · On-site

$16.50 - $20.50/hr

Graduate Pharmacy Intern You've invested a lot of time and energy in your education. Now you want ... quality assurance drug utilization review (DUR), pharmacy professional standards such as ...

CVS Health

Grad Pharmacist

Wichita, KS · On-site

$15 - $18.50/hr

As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and ... quality assurance drug utilization review (DUR), pharmacy professional standards such as ...

CVS Health

Grad Pharmacist

Wichita, KS · On-site

$16.50 - $20.50/hr

As a Graduate Pharmacy Intern, you will apply your didactic learning from pharmacy school and ... quality assurance drug utilization review (DUR), pharmacy professional standards such as ...

Airliquidehr

Sales Intern

Wichita, KS · On-site

$13.50 - $18/hr

... AD&D) insurance, Employee Assistance Program (EAP), pre-tax commuter transportation benefit ... Associates who are members of collective bargaining units should review their bargaining agreement ...

Global Partners

Advanced Analytics Intern

Newton, KS · On-site

$18/hr

Document methodology and assumptions so that analyses can be reviewed and repeated by others ... Health & Wellness- Medical, Dental, Visions and Life Insurance. Along with additional wellness ...

PRAIRIE VIEW INC

Community Case Manager

Newton, KS · On-site

$17.50 - $22.50/hr

Work cooperatively with Utilization Review staff and Treatment Team to assure authorization is in place to provide services, and specific services are identified on the active Treatment Plan. Insure ...

Walgreens

Pharmacy Intern Grad

Wichita, KS · On-site

$33.50 - $45.30/hr

Responsible for ensuring the proper compounding, dispensation, review and verification of ... Follows-up with insurance companies as well as medical providers and participates in 3rd party ...

Walgreens

Pharmacy Intern Grad

Wichita, KS · On-site

$33.50 - $45.30/hr

Responsible for ensuring the proper compounding, dispensation, review and verification of ... Follows-up with insurance companies as well as medical providers and participates in 3rd party ...

Walgreens

Pharmacy Intern Grad

Wichita, KS · On-site

$13 - $16.25/hr

Responsible for ensuring the proper compounding, dispensation, review and verification of ... Follows-up with insurance companies as well as medical providers and participates in 3rd party ...

Walgreens

Pharmacy Intern Grad

Wichita, KS · On-site

$13 - $16.25/hr

Responsible for ensuring the proper compounding, dispensation, review and verification of ... Follows-up with insurance companies as well as medical providers and participates in 3rd party ...

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All JobsIntern Insurance Utilization Review JobsIntern Insurance Utilization Review Jobs in Wichita, KS

Intern Insurance Utilization Review information

See Wichita, KS salary details

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How much do intern insurance utilization review jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for intern insurance utilization review in Wichita, KS is $15.01, according to ZipRecruiter salary data. Most workers in this role earn between $12.88 and $16.78 per hour, depending on experience, location, and employer.

What does an intern insurance utilization review do?

An Intern Insurance Utilization Review assists with evaluating medical records and insurance claims to ensure that healthcare services are medically necessary and covered by insurance policies. They work under supervision to review documentation, communicate with healthcare providers, and help determine if treatments meet established guidelines. This role provides valuable exposure to the insurance and healthcare industries, helping interns learn about claims processing, policy compliance, and the importance of cost-effective care.

What skills and qualifications are needed to thrive as an intern insurance utilization review?

To thrive as an Intern in Insurance Utilization Review, you typically need a background in healthcare administration or a related field, along with strong analytical and organizational skills. Familiarity with electronic health records (EHRs), insurance databases, and claims processing systems is often required. Attention to detail, effective communication, and the ability to collaborate with both clinical and administrative teams are essential soft skills. These competencies ensure accurate review of insurance claims, compliance with regulations, and efficient coordination between healthcare providers and insurers.

What is the difference between Intern Insurance Utilization Review vs Insurance Claims Processor?

AspectIntern Insurance Utilization ReviewInsurance Claims Processor
CredentialsTypically pursuing or holding a relevant degree (e.g., health administration, nursing)High school diploma or equivalent; some roles may require insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or administrative officesInsurance companies, healthcare providers, or claims processing centers
Primary ResponsibilitiesAssisting in reviewing medical necessity, supporting utilization review processesProcessing and reviewing insurance claims for accuracy and completeness

Intern Insurance Utilization Review focuses on evaluating medical necessity and supporting healthcare decision-making, often involving review of patient records. Insurance Claims Processors handle the administrative task of reviewing and processing insurance claims for payment. While both roles involve insurance and healthcare, utilization review emphasizes clinical assessment, whereas claims processing centers on administrative claim management.

How do I get into an intern insurance utilization review?

To become an intern in insurance utilization review, candidates typically need to be enrolled in or have recently completed a relevant healthcare or insurance-related program, such as health administration or nursing. Gaining knowledge of medical terminology, insurance policies, and utilization review processes, along with strong analytical skills, is important; some positions may require certification or training in healthcare quality or case management. Internships are often offered through insurance companies, healthcare organizations, or hospitals and may require applying through their career portals or internship programs.

Is utilization review a stressful job?

Utilization review as an intern involves evaluating insurance claims and determining appropriate care, which can be demanding due to strict deadlines and the need for accuracy. The role requires attention to detail and knowledge of insurance policies, but stress levels vary depending on workload and individual coping skills.
Intern Insurance Utilization Review jobs near you

RN Case Manager - Behavioral Health Utilization Review

MLee Medical Employment

Goddard, KS • On-site

Other

Re-posted 25 days ago

Job description

Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with healthcare providers and members to evaluate patient needs and benefit requirements, ensuring optimal resource use. You will manage patient cases within the behavioral health unit, reviewing medical necessity for admissions, continued stays, and services.
Essential Responsibilities:

  • Assess patient situations and conduct reviews to ensure compliance with eligibility, benefits, policies, and contracts.
  • Manage appeals and coordinate comprehensive reviews of medical records to verify accurate admission and diagnosis information.
  • Promote improved quality of care and support reduced hospital stays when safe and appropriate.
  • Advise pre-certification staff and maintain records and reports related to non-clinical activities.
  • Coordinate with insurance companies to secure authorizations for behavioral health services, ensuring adherence to payer requirements and facility standards.
  • Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests.
  • Assist with triage screenings for incoming behavioral health patients to determine immediate care needs and facilitate timely care delivery.
  • Provide psychosocial support to patients and families, addressing emotional, social, and financial barriers.
  • Serve as a liaison between healthcare teams and patients/families to ensure smooth care transitions.
  • Support discharge planning processes when needed, ensuring safe and appropriate discharge plans.
  • Conduct safety assessments and make protective reports for adults and children as indicated.
  • Participate in ongoing professional development and mandatory training, including de-escalation techniques.
  • Adhere to privacy and security regulations regarding Protected Health Information (PHI).
  • Maintain effective communication and professional relationships with patients, team members, physicians, and external agencies.
Education and Experience:
  • Graduate of a nursing or Bachelor of Social Work (BSW) program.
  • Experience in behavioral health settings, particularly crisis management and inpatient care.
Licenses and Certifications:
  • Current licensure as a Registered Nurse (RN) or BSW in the relevant state.
  • Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross within 30 days of hire.
  • De-escalation training required within six months of start date.
Preferred Qualifications:
  • Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
  • Advanced degrees such as BSN or MSW are a plus.
Skills and Abilities:
  • Strong collaboration skills with interdisciplinary teams to ensure high-quality care.
  • Familiarity with community resources, mental health services, and post-acute care.
  • Basic computer proficiency and experience documenting in electronic health records.
  • Ability to multitask, prioritize, and communicate effectively.

Physical Requirements: Medium work involving occasional exertion up to 50 lbs and frequent standing or walking (26-50% of the day).
This position offers a competitive salary and benefits package, providing a meaningful opportunity to impact behavioral health care in a supportive regional healthcare environment.
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About McCall and Lee

Sourced by ZipRecruiter

McCall and Lee is a well-known and reputable company, headquartered in Austin, Texas, United States. Operating in the healthcare industry, their primary services center around professional recruiting and executive search. They cater to the needs of various levels of medical practitioners and executive positions for healthcare establishments. McCall and Lee is founded on the premise of filling healthcare vacancies with the most suitable and competent professionals to ensure top-quality medical service delivery. Their core value revolves around integrity, excellence, commitment, and customer satisfaction.

Industry

Recruiting and staffing services and human resources consulting services

Company size

11 - 50 Employees

Headquarters location

Austin, TX, US

Social media

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