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Part Time Remote Utilization Review Nurse Jobs in Kansas

micro1 AI

Pharmacovigilance Expert

Olathe, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Overland Park, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Topeka, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Kansas City, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Wichita, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Kansas City, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Olathe, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Wichita, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Topeka, KS · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

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All JobsUtilization Review Nurse JobsPart Time Remote Utilization Review Nurse JobsPart Time Remote Utilization Review Nurse Jobs in Kansas

Part Time Remote Utilization Review Nurse information

What does a part time remote utilization review nurse do?

A Part Time Remote Utilization Review Nurse evaluates medical records and treatment plans to ensure that healthcare services are medically necessary and comply with insurance guidelines. Working remotely, they review patient cases, communicate with healthcare providers, and make recommendations on the appropriateness of care. Their role helps manage healthcare costs and ensures patients receive appropriate care while adhering to regulatory and insurance standards.

What are the key skills and qualifications needed to thrive as a part time remote utilization review nurse?

To thrive as a Part Time Remote Utilization Review Nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (like ICD-10 and CPT), healthcare management software, and payer guidelines is often required. Excellent written communication, attention to detail, and the ability to work independently are essential soft skills for remote success. These competencies ensure accurate review of medical records, compliance with regulations, and effective coordination with healthcare teams while working remotely.

How does a part time remote utilization review nurse typically collaborate with physicians and other healthcare professionals?

Part-time remote Utilization Review Nurses often communicate with physicians, case managers, and insurance representatives through secure digital platforms, emails, and scheduled virtual meetings. They review patient records and coordinate care authorizations, frequently clarifying clinical information or policy requirements with providers. Balancing asynchronous communication and timely responses is essential, as collaboration impacts both patient outcomes and reimbursement processes. Building strong professional relationships and maintaining clear documentation are key to effective teamwork in this remote setting.

What is the difference between Part Time Remote Utilization Review Nurse vs Part Time Remote Case Manager?

AspectPart Time Remote Utilization Review NursePart Time Remote Case Manager
CredentialsRN license, certifications in utilization review (e.g., CUC, URAC)RN or social work license, case management certification (e.g., CCM)
Work EnvironmentRemote, reviewing medical records and authorizationsRemote, coordinating care and discharge planning
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsInsurance companies, healthcare organizations, managed care firms

The Part Time Remote Utilization Review Nurse primarily evaluates medical necessity for insurance approvals, focusing on documentation review. In contrast, the Part Time Remote Case Manager manages patient care plans, coordinating services and discharge planning. Both roles are remote, require healthcare credentials, and are common in the insurance and healthcare industries, but they differ in daily responsibilities and focus areas.

What are the most commonly searched types of Remote Utilization Review Nurse jobs in Kansas?

The most popular types of Remote Utilization Review Nurse jobs in Kansas are:

What are popular job titles related to Part Time Remote Utilization Review Nurse jobs in Kansas?

For Part Time Remote Utilization Review Nurse jobs in Kansas, the most frequently searched job titles are:

What job categories do people searching Part Time Remote Utilization Review Nurse jobs in Kansas look for?

The top searched job categories for Part Time Remote Utilization Review Nurse jobs in Kansas are:

What cities in Kansas are hiring for Part Time Remote Utilization Review Nurse jobs?

Cities in Kansas with the most Part Time Remote Utilization Review Nurse job openings:

Part Time Remote Utilization Review Nurse jobs near you
Infographic showing various Part Time Remote Utilization Review Nurse job openings in Kansas as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

HIM Coder Certified, PRN, Remote

Amberwell Health

Atchison, KS • On-site, Remote

Full-time, Part-time, Per diem

Re-posted 28 days ago

Amberwell Health rating

6.7

Company rating: 6.7 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

BASIC FUNCTION:
Reviews patient records and assigns accurate codes for each diagnosis and procedure on the accounts assigned to coder. Applies knowledge of medical terminology, disease processes, and pharmacology. Demonstrates tested data quality and integrity skills. Performs chart verification as assigned. Performs final chart reviews as necessary.
SHIFT DAYS/HOURS:
Remote Position
Part-Time: 20-32 Hours per Week
Full-Time: 40 Hours per Week, Monday through Sunday.
PRN: As needed.
Hours and Days are Subject to change based on business necessity
EXPOSURE TO HAZARDS:
According to OSHA standards, this position is classified as low risk with little or no risk of exposure
EQUIPMENT USED:
Computer, Copier, Fax Machine, Phone and Printer
ESSENTIAL FUNCTIONS:
  • Review and abstract patient medical records. Report diagnoses, treatments, as well as surgical and non-surgical procedures for CAH facility medical services.
  • Perform coding duties of discharged patient medical records using AHA Coding Clinic for ICD-10-CM and ICD-10-PCS, AHA Coding Clinic for HCPCS, CMS ICD-10-CM Official Guidelines for Coding and Reporting, AMA CPT Assistant, and ACEP ED Facility Level Coding Guidelines.
  • Correctly assigns ICD-10-CM/PCS and CPT/HCPCS codes creating APG group assignments.
  • Abide by the standards of American Health Information Management Association (AHIMA) Standards of Ethical Coding. Concerns involving compliance issues are forwarded to the Manager of HIM for action.
  • Abide by the standards of American Health Information Management Association (AHIMA) Code of Ethics. Concerns involving compliance issues are forwarded to the Manager of HIM for action.
  • Apply accurate charges.
  • Queries physicians when documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
  • Report unusual findings to the supervisor when coding.
  • Ensure code assignment is supported by provider documentation.
  • Maintain professional competency and knowledge of third- party payer and QIO regulations.
  • Compliant with HIPPA, demonstrates discretion and integrity.
  • Ability to work with minimal supervision.
  • Other duties as assigned.

QUALIFICATIONS:
Education: A minimum of high school diploma plus successful obtainment and maintenance of the American Health Information Management Association (AHIMA) credentialCertified Coding Specialist (CCS) and/or CSS-P, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Knowledge of and demonstrated appropriate use of ICD 10, ICD 10 PCS, and CPT coding. AAPC credential of CPC also acceptable.
Experience: Two years of coding and abstracting experience in ICD-9 CM/ ICD10-CM and PCS, DRGs and CPT including modifiers and APCs.
Certificates, License, Registrations: Certified Coding Specialist (CCS), CCS-P, Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
Knowledge, Skills and Abilities: Thorough knowledge of the related Prospective payment systems (PPSs) and CAH payment methodology; Broad knowledge of pharmacology indications for drug usage and related adverse reactions; Knowledge of ancillary testing (laboratory, X-ray, EKG); Knowledge of anatomy, physiology and medical terminology; Understanding of coding practices and guidelines; Experience with PC, 3M encoding systems; Auditing skills for coding quality and compliance; Strong process management skills; Good communications skills in working with the public as well as co-workers; Basic Knowledge of MS Excel. Maintain compliance with HIPAA and patient confidentiality.
Physical: Light Work: Exerting up to 20 pounds occasionally, and/or 10 pounds of force frequently, or negligible constantly. Walking or standing to a significant degree or sitting constantly and pushing/pulling controls.
INTERPERSONAL RELATIONSHIPS:
Supervision Received: HIM Manager
Supervision Exercised: None
Other: Hospital personnel, medical staff, other medical facility personnel, some public/patients

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