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Remote Utilization Review Rn Jobs in Kansas (NOW HIRING)

The position directly supports management of the MRO-A team, nursing staff, and support personnel ... However, we are open to remote candidates within the United States. APPLY NOW : Learn more about ...

Collaborate with network providers, Nurse Case Management, Utilization Management, and specialists to guide care decisions. * Review and process medical bills with accuracy and timeliness. * Secure ...

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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 Jul 13, 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 are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 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 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 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 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 July 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 40% Physical, 3% Hybrid, and 57% Remote job distribution, with an average salary of $78,435 per year, or $37.7 per hour.
Medical Review Officer (MRO)

Medical Review Officer (MRO)

Abbott

Kansas City, KS • On-site, Remote

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.


Abbott rating

7.9

Company rating: 7.9 out of 10

Based on 136 frontline employees who took The Breakroom Quiz

156th of 527 rated manufacturers


Job description

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries.JOB DESCRIPTION:

WORKING AT ABBOTT:

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You'll also have access to:

  • Career development with an international company where you can grow the career you dream of.
  • Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan.
  • An excellent retirement savings plan with high employer contribution
  • Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor's degree
  • A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
  • A company that is recognized as one of the best big companies to work for as well as a best place to work for diversity, working mothers, female executives, and scientists.

THE OPPORTUNITY:

The MRO, a licensed physician, supports the Medical Director in overseeing Toxicology - Workplace Services. This role is responsible for ensuring regulatory compliance, providing clinical leadership, and contributing to the strategic direction of occupational medicine and drug testing programs.

The position directly supports management of the MRO-A team, nursing staff, and support personnel, and plays a key role in budget oversight, quality assurance, and stakeholder engagement (including regulatory agencies, internal leadership, and external partners). This role reports to the Medical Director and operates within a highly collaborative environment.

WHAT YOU'LL WORK ON:

  • Leads and supports the management of physicians and cross-functional support staff within Medical Affairs, delivering occupational medicine and drug testing services.
  • Reviews and interprets drug test results, including determining legitimate medical explanations in accordance with federal regulations.
  • Ensures compliance with specimen collection procedures, chain-of-custody requirements, and recordkeeping standards.
  • Supports and, as appropriate, conducts fitness-for-duty evaluations, including DOT FMCSA-certified driver medical exams.
  • Provides insights into industry trends and evolving regulatory requirements, aligning program strategy with organizational objectives.
  • Develops, implements, and continuously improves policies and procedures to ensure high-quality, evidence-based, and compliant occupational health services.
  • Supports oversight of quality assurance programs, including adverse event reporting and safety monitoring activities.
  • Maintains expert knowledge of applicable federal regulations and occupational medicine guidelines.
  • Contributes to budget planning, resource allocation, and operational efficiency initiatives.
  • Coordinates regulatory reporting and ensures the timely and accurate submission of required documentation.
  • Maintains all required licensure, certifications, and continuing education to support role responsibilities.

REQUIRED QUALIFICATIONS:

  • MD or DO with an active, unrestricted medical license; ability and willingness to obtain additional state licenses as required.
  • Board-certified or board-eligible; Occupational and Environmental Medicine certification preferred.
  • Current Medical Review Officer (MRO) certification (AAMRO or MROCC).
  • Current DOT FMCSA Certified Medical Examiner (CDME) certification.
  • Minimum of 10 years of clinical experience, including occupational medicine and knowledge of substance use disorders.
  • Minimum of 5 years of experience serving as a certified MRO, with demonstrated knowledge of applicable regulations.
  • Strong knowledge of federal regulations and occupational health guidance.
  • Demonstrated leadership, decision-making, and stakeholder management skills.
  • Strong analytical, communication, and problem-solving capabilities.
  • Proficiency in Microsoft Office and relevant clinical/operational systems.
  • Experience providing testimony, depositions, or serving as an expert witness preferred.
  • Active participation in the ODAPC listserv required.

PREFERRED QUALIFICATIONS:

  • Prior leadership or people management experience in healthcare, corporate health, or regulatory environment.
  • Experience partnering with HR, Legal, or Compliance functions.
  • Strong data analysis and reporting experience to support quality and operational decision-making.
  • Experience in business operations, including budgeting and program management.

Candidate should ideally be based in Kansas City. However, we are open to remote candidates within the United States.

APPLY NOW:

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives: www.abbottbenefits.com

Follow your career aspirations to Abbott for diverse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee diversity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal

The base pay for this position is

$149,300.00 - $298,700.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:Sales Support & AdministrationDIVISION:TOX ARDx ToxicologyLOCATION:United States of America : RemoteADDITIONAL LOCATIONS:United States > Kansas City : 8140 Ward ParkwayWORK SHIFT:StandardTRAVEL:Yes, 25 % of the TimeMEDICAL SURVEILLANCE:Not ApplicableSIGNIFICANT WORK ACTIVITIES:Keyboard use (greater or equal to 50% of the workday)Abbott is an Equal Opportunity Employer of Minorities/Women/Individuals with Disabilities/Protected Veterans.EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO_English.pdfEEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO_Spanish.pdf

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