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Remote Utilization Review Rn Jobs in Kansas (NOW HIRING)

Nursing degree (RN/BS/BA/MS) in Canada or US Excellent verbal and written communication skills ... Whilst ProPharma supports remote working, we also recognise the value that comes from in person ...

Lead Quarterly Business Reviews, presenting utilization trends, realized savings, and optimization ... Remote-first culture * Opportunity to shape and scale a category-defining FinTech platform

Lead Quarterly Business Reviews, presenting utilization trends, realized savings, and optimization ... Remote-first culture * Opportunity to shape and scale a category-defining FinTech platform

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Care Manager

Hutchinson, KS · On-site +1

$56K - $101K/yr

Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Care Manager

Salina, KS · On-site +1

$56K - $101K/yr

Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Care Manager

Salina, KS · On-site +1

$56K - $101K/yr

Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Showing results 41-60

Remote Utilization Review Rn information

See Kansas salary details

$19

$37

$61

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

As of Aug 23, 2026, the average hourly pay for remote utilization review rn 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 RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What cities in Kansas are hiring for Remote Utilization Review Rn jobs?

Cities in Kansas with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn 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.

Medical Information Specialist (Nurse)

ProPharma Group

Remote

Full-time

Posted 5 days ago


Job description

For the past 25 years, ProPharma has improved the health and wellness of patients by providing advice and expertise that empowers biotech, med device, and pharmaceutical organizations of all sizes to confidently advance scientific breakthroughs and introduce new therapies. ProPharma partners with its clients through an advise-build-operate model across the complete product lifecycle.With deep domain expertise in regulatory sciences, clinical research solutions, quality & compliance, pharmacovigilance, medical information, and R&D technology, ProPharma offers an end-to-end suite of fully customizable consulting solutions that de-risk and accelerate our partners' most high-profile drug and device programs.

The Medical Information Specialist (MIS) position is part of the ProPharma Medical Information Contact Center and follows all corresponding regulations, industry standards, and client/internal policies regarding medical information and the collection and documentation of adverse events, special situation events, and product complaints.
Essential Functions Include:Medical Information service delivery
Responds to unsolicited consumer, health care professional and other external customer requests for medical and safety information received via telephone, website/e-mail, letter, fax, and scientific meetings on behalf of ProPharma' s pharmaceutical clients.
Provides labeled and unlabeled medical/safety information responses in accordance with regulatory requirements, industry standards and client and ProPharma internal policies and practices.
Accurately identifies, documents and reports adverse events, pregnancy reports, special situation events and product complaints in a clear and concise manner per government regulations, ProPharma Standard Operating Procedures (SOPs) and client Working Practices (WPs).
Ensures tasks are completed within the deadlines documented in the agreed ProPharma SOPs and WPs.
Formulates and provides accurate responses utilizing approved labeling and company standard responses, published literature and other data. Assists with writing custom medical information responses utilizing this data.
Logging all enquiries handled in an accurate, comprehensive, and timely fashion into Inquiry Handling Systems. Quality Assurance
Maintains quality in all areas of the job, including performing quality checks on Adverse Events, Product Quality Complaints, correspondence, and enquiries logged into the Inquiry Handling Systems General
Provides after-hours coverage on a rotated basis subject to business requirements.
Adheres to company and country-specific privacy policies, ensuring any confidential information or personal data related to ProPharma and its clients is managed in accordance with Data Privacy regulations described in ProPharma SOPs and the Confidentiality Statement within the Contract of Employment.
Complies with the Company's health and safety policies.
Other activities as assigned as delegated by the Manager.
Qualified candidates must have:
Nursing degree (RN/BS/BA/MS) in Canada or US
Excellent verbal and written communication skills, including proofreading, professional telephone etiquette and empathetic customer service skills.
Ability to write in a fluent and grammatically correct manner in the target language for the role
English language proficiency.
Working knowledge of medical terminology, pathophysiology, pharmacology, regulations and industry standards.
Strong cognitive abilities, including verbal reasoning, critical thinking and analytical ability.
Ability to multitask with attention to detail within restrictive timeframes, including sound planning, prioritizing and organizational skills.
Proactive with demonstrative ability to independently identify problems and suggest effective solutions.
Ability to learn, take instruction and apply to daily operations/tasks.
Receptive to constructive feedback and able to take responsibility for work allocated.
Self-motivating. Ability to demonstrate initiative and internal drive. Willingness to seek out additional workload projects.
Effectively work independently and as part of a team.
Highly proficient in computer applications, including Microsoft Office software platforms and Adobe Acrobat, and experience using a document management system. Aptitude to learn other computer systems including inquiry handling database.

#LI-KP1

#LI-REMOTE

We celebrate our differences and strive to create a workplace where each person can be their authentic self. We are committed to diversity, equity, and inclusion. Employees are encouraged to unleash their innovative, collaborative, and entrepreneurial spirits. With a holistic approach as an Equal Opportunity Employer, we provide a safe space where all employees feel empowered to succeed.

All applications to roles at ProPharma are personally reviewed by a member of our recruitment team. We do not rely on AI screening tools to support our hiring process. You will always receive an outcome to your application so that you have an answer from us - whether you're successful or not.

Whilst ProPharma supports remote working, we also recognise the value that comes from in person collaboration. As such, we encourage any new hires that are based within a reasonably short commute of one of our offices to work on a hybrid basis and spend some time working from that office location, as agreed with your manager. All applications will be treated on their own merit and candidates will not be at any advantage or disadvantage based on their proximity to an office.

***ProPharma Group does not accept unsolicited resumes from recruiters/third parties. Please, no phone calls or emails to anyone regarding this posting.***