Position Title Revenue Cycle Financial Analyst Remote, Southlake Campus Position Summary / Career ... Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation * Analyzes ...
Position Title Revenue Cycle Financial Analyst Remote, Southlake Campus Position Summary / Career ... Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation * Analyzes ...
Position Title Revenue Cycle Financial Analyst Remote, Southlake Campus Position Summary / Career ... Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation * Analyzes ...
Position Title Revenue Cycle Financial Analyst Remote, Southlake Campus Position Summary / Career ... Authorization, Eligibility, Medical Necessity, Utilization Review, Documentation * Analyzes ...
Clinical Documentation Integrity Specialist - Inpatient
Kansas City, KS · On-site +1
$33.50 - $45/hr
Position Title Clinical Documentation Integrity Specialist - Inpatient Days - Full Time Remote ... Clinical Documentation, Case Management/Utilization Review, or Critical Care. Required Licensure ...
Clinical Documentation Integrity Specialist - Inpatient
Kansas City, KS · On-site +1
$33.50 - $45/hr
Position Title Clinical Documentation Integrity Specialist - Inpatient Days - Full Time Remote ... Clinical Documentation, Case Management/Utilization Review, or Critical Care. Required Licensure ...
Topeka, KS (Mostly Remote - Must Live Within Commuting Distance) Job Type: Contract-to-Hire ... Document portfolio review decisions, action items, and governance outcomes * Maintain portfolio ...
Quick apply
Topeka, KS (Mostly Remote - Must Live Within Commuting Distance) Job Type: Contract-to-Hire ... Document portfolio review decisions, action items, and governance outcomes * Maintain portfolio ...
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
$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 ...
$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 ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
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
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
Achieve assigned sales and utilization targets within defined accounts. * Execute actionable ... Conduct routine account checkins to review program performance, identify barriers, and uncover new ...
... 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 ...
... 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 ...
... 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 ...
... 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 ...
Federal Program Manager
Overland Park, KS · On-site +1
Primarily remote, with occasional on‑site meetings as required (Arlington, VA). Employer: SnapIT ... Oversee quality control processes, including internal reviews of deliverables and corrective action ...
Quick apply
Federal Program Manager
Overland Park, KS · On-site +1
Primarily remote, with occasional on‑site meetings as required (Arlington, VA). Employer: SnapIT ... Oversee quality control processes, including internal reviews of deliverables and corrective action ...
Patient Billing Representative
Overland Park, KS · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Patient Billing Representative
Overland Park, KS · Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Defense Business Program Leader
Leavenworth, KS · On-site +1
$142K - $266K/yr
Remote Work: No Job Number: R0242255 Location: Leavenworth,KS,US Share job via: Share Defense ... Experience with utilization of simulations in support of Army, Joint, and multinational exercises
Defense Business Program Leader
Leavenworth, KS · On-site +1
$142K - $266K/yr
Remote Work: No Job Number: R0242255 Location: Leavenworth,KS,US Share job via: Share Defense ... Experience with utilization of simulations in support of Army, Joint, and multinational exercises
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Topeka, KS · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Topeka, KS · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · Remote
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · Remote
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Registered Nurse (RN) Case Manager
Overland Park, KS · On-site +1
$50K/yr
Nurseline triage, Call Center Utilization Management, Call Center Case Management, a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree preferred. * Remote work ...
Remote Utilization Review information
See Kansas salary details
$19.08 - $22.94
2% of jobs
$22.94 - $26.80
9% of jobs
$29.44 is the 25th percentile. Wages below this are outliers.
$26.80 - $30.66
21% of jobs
The median wage is $33.78 / hr.
$30.66 - $34.52
23% of jobs
$34.52 - $38.38
13% of jobs
$41.38 is the 75th percentile. Wages above this are outliers.
$38.38 - $42.23
10% of jobs
$42.23 - $46.09
8% of jobs
$46.09 - $49.95
5% of jobs
$49.95 - $53.81
5% of jobs
$53.81 - $57.67
2% of jobs
$57.67 - $61.53
2% of jobs
$19
$37
$61
How much do remote utilization review jobs pay per hour?
What are the key skills and qualifications needed to thrive in the Remote Utilization Review position, and why are they important?
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
What does a typical day look like for someone in a Remote Utilization Review role?
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
What is a Remote Utilization Review job?
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
- Per Diem Utilization Review Nurse
- Remote Utilization Management
- Appeals Nurse Remote
- Freelance Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
- No Experience Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Remote Prior Authorization Nurse
- Remote Chart Review Nurse
- Part Time Utilization Review Nurse
- Remote Physical Therapy Utilization Review
- Remote International Utilization Review Nurse
- Remote Insurance Utilization Review
- Weekend Utilization Review
- Utilization Review Nurse Compact License
- Discharge Planner Utilization Review
- Utilization Review Assistant
- Temporary Aetna Utilization Review Nurse
- Utilization Review
- Aetna Utilization Review Nurse

Full-time
Posted 6 days ago
University Of Kansas Health System rating
7.5
Based on 176 frontline employees who took The Breakroom Quiz
233rd of 887 rated healthcare providers
Job description
- 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 timeJob Requisition ID:R-56133Important 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.
We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.
What University Of Kansas Health System employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
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