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Remote Utilization Review Rn Jobs in Topeka, KS (NOW HIRING)

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 ...

This role is fully remote with a flexible schedule, allowing you to help shape the future of health ... Review non-CC/MCC records to assess proper coding or identify the need for additional documentation.

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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Remote Utilization Review Rn information

See Topeka, KS salary details

$17

$34

$57

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

As of May 29, 2026, the average hourly pay for remote utilization review rn in Topeka, KS is $34.93, according to ZipRecruiter salary data. Most workers in this role earn between $27.60 and $40.10 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 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 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 popular job titles related to Remote Utilization Review Rn jobs in Topeka, KS? For Remote Utilization Review Rn jobs in Topeka, KS, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Topeka, KS look for? The top searched job categories for Remote Utilization Review Rn jobs in Topeka, KS are:
What cities near Topeka, KS are hiring for Remote Utilization Review Rn jobs? Cities near Topeka, KS with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Topeka, KS as of May 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution, with an average salary of $72,664 per year, or $34.9 per hour.
Value Analyst - Purchased Services - FT - Day

Value Analyst - Purchased Services - FT - Day

Stormont Vail Health

Topeka, KS • Remote

Full-time

Posted 16 hours ago


Stormont Vail Health rating

6.1

Company rating: 6.1 out of 10

Based on 51 frontline employees who took The Breakroom Quiz

707th of 864 rated healthcare providers


Job description

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information
Exemption Status: Exempt
A Brief Overview
The Value Analyst provides leadership for Clinical Value Analysis, Surgical Value Analysis and Purchase Services/Indirect Spend committees and various subcommittees across Stormont Vail Health. This position is responsible for investigating, evaluating and implementing product and service standardization, utilization and conversion opportunities that achieve quantifiable cost savings to the organization. This position requires interaction with suppliers, internal customers and department staff daily. This position must possess the ability to uncover and understand current practice, calculate overall impact of proposed changes and professionally present new ideas to the hospital administration team and department directors. Ideal candidate will be experienced in the value analysis process. The individual will act as a Materials Management Information System (MMIS) super user as well as Subject Matter Expert on GPO resources.
Education Qualifications

  • Bachelor's Degree Required


Experience Qualifications

  • 2 years Experience in purchasing, contracts, data analysis, information systems or related business. Required


Skills and Abilities

  • Ability to read, analyze, and interpret proposals and contracts for terms, conditions and financial impact. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, customers, vendors and the general public. (Required proficiency)
  • Ability to calculate figures and amounts such as discounts, interest, commissions and percentages. Ability to apply concepts of basic algebra. (Required proficiency)
  • Ability to define problems, collect data, establish facts, and draw valid conclusions. (Required proficiency)
  • Ability to interpret an extensive variety of proposals and presentations and deal with several abstract and concrete variables. (Required proficiency)
  • Must be proficient in Microsoft platform including Word, Excel, and Outlook. Experience in Workday Supply Chain Management or other SCIS a plus. (Required proficiency)


Licenses and Certifications

  • CMRP certification is preferred.


What you will do

  • Supports hospital expense management by identifying opportunities for cost reductions through value analysis, product/service standardization, contract optimization, vendor proposals and utilization of group purchasing organization (GPO) contracts.
  • Leads multiple value analysis projects simultaneously.
  • Works with Integrations Analyst and Vizient Spend Manager to perform data analysis of current product mix and promotes compliance to GPO contracts.
  • Maintains high degree of knowledge of market and GPOs.
  • Conducts data validation of current category spend for GPO analytics team.
  • Plans projects, develops timelines, provides team leadership for supply initiatives and negotiates with vendors.
  • Presents all cost savings opportunities in standard department template.
  • Evaluates potential substitute products for clinical efficacy.
  • Leads interdisciplinary teams and provides appropriate levels of service.
  • Analyzes impact of recall notifications, coordinates action planning and notifies appropriate stakeholders.
  • Analyzes impact of discontinued product and works with end users to identify appropriate alternatives.
  • Creates new items and performs contract price updates in the MMIS Item Master.
  • Works with Sourcing Director to develop departmental Standard Work Documents.
  • Communicates with supervisor regarding potential or existing concerns.
  • Actively supports all policies and procedures of the department and hospital.


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 Not 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

  • Hybrid


Scope

  • No Supervisory Responsibility

  • No Budget Responsibility No Budget Responsibility


Physical Demands

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


Working Conditions

  • Noise/Sounds: 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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