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Remote Utilization Review Rn Jobs in Lawrence, KS

LMH Health

Coder

Lawrence, KS · Remote

Reviews inpatient and outpatient medical records to identify the principal diagnosis and all ... This position is entirely remote or work from home following completing of onboarding training ...

Army National Guard Units

MATERIALS HANDLER

Topeka, KS · On-site +1

$27.53 - $32.12/hr

Males born after 31 December 1959 must be registered for Selective Service. * Federal employment ... Review our benefits Eligibility for benefits depends on the type of position you hold and whether ...

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

As of Jun 10, 2026, the average hourly pay for remote utilization review rn in Lawrence, KS is $39.87, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.77 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 are popular job titles related to Remote Utilization Review Rn jobs in Lawrence, KS? For Remote Utilization Review Rn jobs in Lawrence, KS, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Lawrence, KS look for? The top searched job categories for Remote Utilization Review Rn jobs in Lawrence, KS are:
What cities near Lawrence, KS are hiring for Remote Utilization Review Rn jobs? Cities near Lawrence, KS with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Patient Safety Monitor - Virtual Nursing and Patient Safety - FT - Day

Patient Safety Monitor - Virtual Nursing and Patient Safety - FT - Day

Stormont Vail Health

Topeka, KS • On-site, Remote

$15 - $19.75/hr

Full-time

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

Stormont Vail Health rating

6.1

Company rating: 6.1 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

712th of 870 rated healthcare providers

Job description

Position Status:
Full time
Shift:
12 Hour Day Shift (United States of America)
Hours per week:
36
Job Information
Exemption Status: Non-Exempt
A Brief Overview
Member of the care delivery team will function under the direction of and be assistive to the bedside nursing team to provide delegated direct patient care intervention. Responsible to provide a safe environment for his/her assigned patients; to complete the assigned work; to monitor the patient for changes in condition and to report those changes to the RN/LPN. Responsible for documentation of ongoing monitoring of patients at required intervals per orders and nursing direction. This position is an important member of the patient care team who uses acquired, clerical skills to assist in maintaining efficient workflow to ensure safe, quality care with a patient centered approach focusing on continuity of patient care and satisfaction. Making independent clinical decisions is outside of the scope for this position.
Education Qualifications
  • Must successfully complete Safety Monitor/Patient Sitter competency checklist within 90 days of hire.

Experience Qualifications
  • 1 year Customer service experience. Required
  • Direct patient care experience. Preferred

Skills and Abilities
  • Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency)
  • Formulates positive working relationships with all health care customers. (Required proficiency)
  • Demonstrates competency in selected psychomotor skills. (Required proficiency)
  • Maintains confidentiality of all patient information. (Required proficiency)

Licenses and Certifications
  • First Responder - RQI required with 90 days of hire.

What you will do
  • Implements identified plan through coordination of care with interdisciplinary care team to employ strategies to promote health and wellness.
  • Collaborative with interdisciplinary care team encompassing strategies to achieve expected outcomes.
  • Obtains verbal report from patient's nurse to include information regarding identified care needs, diagnosis, communication barriers, and special considerations (NPO, bed alarms, suicide precautions, ambulation limitation etc.).
  • Communicate pertinent data and information relative to the patient, situation, or setting in a timely manner. Accurately and legibly records data collected and notifies nurse of any condition and/or behavior changes.
  • Provides patient comfort, safety and satisfaction. Assist in ambulation (walking to/from bathroom, hallways, positions to include turning and up to the chair, eating, hygiene and other ADLs as directed by the primary nurse.
  • Promote infection prevention through use of standard precautions, hand hygiene and cleanliness of the patient rooms/department.
  • Delivers care guided by Jean Watson's Theory of Human Caring illustrated by creating caring relationships, taking time to have uninterrupted moments with patients and displaying unconditional acceptance and respect.
  • Positions self in patient room continuously observing patient's behavior and activity Never leaves the patient alone or out of sight unless specifically instructed by the nurse.
  • Assists with lifting and movement of patients to chairs, gurneys, beds, etc, as directed by the nurse.
  • Promotes a mutually respectful environment that encourages the exchange of ideas and supports the effectiveness of professional relationships and integrates ethics in all aspects of practice.
  • Practices Diversity, Equity and Inclusion principles in their daily work by respecting others' uniqueness, perspectives, backgrounds or beliefs.
  • Commits to lifelong learning through critical thinking, self-reflection, and inquiry for personal growth and development.
  • Demonstrates willingness to participate in process of evolution the scope of the Stormont Vail Health professional practice model
  • Utilizes appropriate resources to provide, and sustain evidence-based nursing services that are safe, effective, and financially responsible, and used judiciously.

Required for All Jobs
  • Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
  • Performs other duties as assigned

Patient Facing Options
  • Position is Patient Facing

Remote Work Guidelines
  • Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
  • Stable access to electricity and a minimum of 25mb upload and internet speed.
  • Dedicate full attention to the job duties and communication with others during working hours.
  • Adhere to break and attendance schedules agreed upon with supervisor.
  • Abide by Stormont Vail's Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability
  • On-Site; No Remote

Scope
  • No Supervisory Responsibility
  • No Budget Responsibility

Physical Demands
  • Balancing: Occasionally 1-3 Hours
  • Carrying: Occasionally 1-3 Hours
  • Climbing (Stairs): Occasionally 1-3 Hours
  • Crawling: Occasionally 1-3 Hours
  • Crouching: Occasionally 1-3 Hours
  • Eye/Hand/Foot Coordination: Occasionally 1-3 Hours
  • Feeling: Occasionally 1-3 Hours
  • Grasping (Fine Motor): Occasionally 1-3 Hours
  • Grasping (Gross Hand): Occasionally 1-3 Hours
  • Handling: Occasionally 1-3 Hours
  • Hearing: Occasionally 1-3 Hours
  • Kneeling: Occasionally 1-3 Hours
  • Lifting: Occasionally 1-3 Hours up to 50 lbs
  • Pulling: Occasionally 1-3 Hours up to 25 lbs
  • Pushing: Occasionally 1-3 Hours up to 25 lbs
  • Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs
  • Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs
  • Repetitive Motions: Occasionally 1-3 Hours
  • Sitting: Frequently 3-5 Hours
  • Standing: Frequently 3-5 Hours
  • Stooping: Frequently 3-5 Hours
  • Talking: Frequently 3-5 Hours
  • Walking: Frequently 3-5 Hours

Working Conditions
  • Burn: Rarely less than 1 hour
  • Chemical: Rarely less than 1 hour
  • Combative Patients: Occasionally 1-3 Hours
  • Dusts: Rarely less than 1 hour
  • Electrical: Rarely less than 1 hour
  • Explosive: Rarely less than 1 hour
  • Extreme Temperatures: Rarely less than 1 hour
  • Infectious Diseases: Occasionally 1-3 Hours
  • Mechanical: Rarely less than 1 hour
  • Needle Stick: Occasionally 1-3 Hours
  • Noise/Sounds: Occasionally 1-3 Hours
  • Other Atmospheric Conditions: Rarely less than 1 hour
  • Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
  • Radiant Energy: Rarely less than 1 hour
  • Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours
  • Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
  • Hazards (other): Rarely less than 1 hour
  • Vibration: Rarely less than 1 hour
  • Wet and/or Humid: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.
Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.

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