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Remote Utilization Review Nurse Jobs in Kansas (NOW HIRING)

Finite State

$99K - $100K/yr

Manages utilization across the team to balance billable engagement work, capability development ... review, and continuous learning; fosters psychological safety in a fully remote operating ...

IQVIA

Flex Nurse Educator

Hutchinson, KS · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

IQVIA

Flex Nurse Educator

Kansas City, KS · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

IQVIA

Flex Nurse Educator

Liberal, KS · Remote

Deliver remote patient education, including medication administration training and adherence ... Candidates must possess a valid driver's license and will be subject to a review of their driving ...

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Remote Utilization Review Nurse information

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$19

$37

$61

How much do remote utilization review nurse jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote utilization review nurse in Kansas is $37.71, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $43.32 per hour, depending on experience, location, and employer.

What is a remote utilization review nurse?

A Remote Utilization Review Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments, typically from a remote location such as their home. They review patient medical records, apply clinical guidelines, and collaborate with providers and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role often involves making coverage determinations, conducting pre-authorizations, and participating in appeals processes. Remote Utilization Review Nurses play a critical role in improving patient outcomes and resource allocation within the healthcare system.

What does a remote utilization review nurse do?

As a remote utilization nurse, your duties are to work from home or a remote location to review patient medical records and prepare a range of paperwork for different types of actions a hospital or health care provider can take. Your responsibilities are to determine patient coverage, carry out denial of service authorizations, and negotiate different treatment options and hospital stay length for patients. You rely on your knowledge of treatment options and diseases to determine the level of appropriate care for a patient. Because you telecommute, you also need good technical skills.

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

To thrive as a Remote Utilization Review Nurse, you need a current RN license, clinical experience, and a solid understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, EHR systems, and certifications like CCM or URAC are highly valued. Strong analytical thinking, attention to detail, and effective communication skills enable success in evaluating clinical documentation and collaborating with providers remotely. These skills and qualifications are essential to ensure efficient, compliant care decisions that optimize patient outcomes and resource use.

How does a remote utilization review nurse collaborate with physicians and other healthcare team members while working remotely?

As a Remote Utilization Review Nurse, collaboration with physicians, case managers, and other healthcare professionals is primarily conducted through secure digital platforms such as email, video conferencing, and electronic health record systems. Effective communication is essential to discuss patient care plans, clarify medical necessity, and ensure compliance with utilization policies. Nurses in this role often participate in virtual meetings or case conferences to present findings and recommendations. Building strong working relationships remotely requires proactive communication, responsiveness, and familiarity with digital collaboration tools.

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

AspectRemote Utilization Review NurseRemote Case Manager
CertificationsRN license, possibly CCM or UR certificationsRN license, CCM or case management certifications
Work EnvironmentHealthcare facilities, insurance companies, telehealthInsurance companies, healthcare organizations, telehealth
Job FocusReview medical necessity, approve or deny servicesCoordinate patient care, arrange services, discharge planning

Remote Utilization Review Nurses primarily evaluate medical necessity for services, while Remote Case Managers coordinate patient care and discharge planning. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ. Understanding these distinctions helps job seekers find the best fit for their skills and career goals.

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

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Remote Utilization Review Nurse jobs near you
Infographic showing various 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, with an average salary of $78,435 per year, or $37.7 per hour.

Revenue Cycle Financial Analyst

The University of Kansas Health System

Kansas City, KS • On-site, Remote

Full-time

Posted 3 days ago

New

University Of Kansas Health System rating

7.4

Company rating: 7.4 out of 10

Based on 178 frontline employees who took The Breakroom Quiz

267th of 893 rated healthcare providers

Job description

Position Title
Revenue Cycle Financial Analyst
Days - Full Time
Remote
Position Summary / Career Interest:
The Revenue Cycle Financial Analyst is responsible for identifying, tracking and resolving trends for over and under payments with EMR. This position educates external and internal customers on policies and procedures to improve process flow and decrease denials, over payments and under payments.
Responsibilities and Essential Job Functions
  • Reviews Explanation Of Benefit's & Remittance Advisement's for denied claims.
  • Works with manage care organizations to identify and/or resolve claim submission requirements. Evaluates and resolves issues related to revenue cycle including charge capture, charge master, coding, claim submission or information system.
  • Prepares and maintains statistical and financial reports supporting areas of performance improvement.
  • Identifies areas of improvements utilizing financial - statistical indicators related to revenue cycle performance.
  • Reviews intradepartmental and interdepartmental processes for improvements that will decrease denials and underpaid claims that occur due to a variety of reasons related to: Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation
  • Analyzes situations and makes recommendations that will achieve financial objectives related to revenue cycle.
  • Provides training to external and internal customers to educate and improve revenue cycle processes.
  • Provides input in analysis of aging trends. Submits ticket requests with Hospital Systems on systems changes to ensure billing accuracy.
  • Prepares third party appeals as appropriate.
  • Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
  • These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience
  • High School Graduate or GED.
  • Associates Degree in related field, OR Associate's Degree equivalent of 4 years of experience in claims, denials, chargemaster, coding or insurance processing.
  • 4 or more years of experience in financial reporting, processing over and under payments, claims, denials, chargemaster, coding or insurance processing.

Preferred Education and Experience
  • Bachelors Degree in related field from an accredited college or university.
  • Epic experience.

Time Type:
Full time
Job Requisition ID:
R-53429
Important information for you to know as you apply:
  • The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity & Inclusion.
  • The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu.
  • Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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About University of Kansas Health System

Sourced by ZipRecruiter

Operating within the healthcare industry, The University of Kansas Health System is a renowned medical institution located in Kansas City, KS, United States. Established in 1905, this not-for-profit health system has evolved to offer an extensive range of products and services, which spans across a variety of specialist areas such as cancer care, neurology, cardiology, and organ transplants, among others. The core mission of The University of Kansas Health System is to enhance the health and wellness of individuals and communities by providing world-class healthcare services, quality education and conducting advanced research. They are also known for their unwavering commitment to academic medicine, which sets them apart from their peers.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Kansas City, KS, US

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