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Remote Utilization Review Jobs in Kansas (NOW HIRING)

Pharmacy Careers

Appeals Pharmacist (Remote)

Wichita, KS · On-site +1

$48.25 - $58.75/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Olathe, KS · On-site +1

$55.50 - $67.50/hr

Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

CVS Health

Case Manager, Registered Nurse

Topeka, KS · Remote

$54K - $155K/yr

Position Summary This is a remote work from home role anywhere in the US with virtual training ... Utilization Review. * CCM and/or other URAC recognized accreditation preferred. * 1+ years ...

Finite State

$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 ...

Foundever

Digital Services Consultant

Anthony, KS · Remote

... utilization, then formulate recommendations to improve processes and systems. Primary Job ... Review existing tools and systems, identifying gaps and proposing technological solutions to ...

Autodesk

$89K - $122K/yr

This role is fully remote-friendly, with team members distributed across the US and Canada ... Optimize distributed workflows for performance, reliability, resource utilization, and cost ...

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All JobsRemote Utilization Review JobsRemote Utilization Review Jobs in Kansas

Remote Utilization Review information

See Kansas salary details

$19

$37

$61

How much do remote utilization review jobs pay per hour?

As of Jun 10, 2026, the average hourly pay for remote utilization review 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 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.

What are the most commonly searched types of Utilization Review jobs in Kansas? The most popular types of Utilization Review jobs in Kansas are:
What are popular job titles related to Remote Utilization Review jobs in Kansas? For Remote Utilization Review jobs in Kansas, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review jobs in Kansas look for? The top searched job categories for Remote Utilization Review jobs in Kansas are:
What cities in Kansas are hiring for Remote Utilization Review jobs? Cities in Kansas with the most Remote Utilization Review job openings:
Remote Utilization Review jobs near you
Infographic showing various Remote Utilization Review job openings in Kansas as of June 2026, with employment types broken down into 81% Full Time, 4% Part Time, and 15% Contract. Highlights an 100% Remote job distribution, with an average salary of $78,435 per year, or $37.7 per hour.

Licensed Master Social Worker

nTech Solutions

Arkansas City, KS • Remote

Other

Posted 7 days ago

Job description

Terms of Employment:
W2 Contract, 3 Months
Remote Opportunity (Must Reside in the state of Arkansas)

Required Skills & Experience:
Behavioral Health Master's degree from an accredited college or university in a related field.
2+ years of experience in a behavioral health setting, conducting utilization reviews or behavioral health case management.
Ability to handle HIPAA confidential information with discretion.
Skilled in interfacing with multiple providers across various settings.
Strong knowledge of:
Medical, psychiatric, and psychological terminology
Mental health assessment tools and treatment plans
Delivery of behavioral health services across acute inpatient, and outpatient home and community settings
Highly responsible, self-motivated, and detail-oriented with strong listening, verbal, and written communication skills.
Solid clinical skills for assessing services based on clinical record reviews.
Excellent written and verbal communication skills.
Hold an active, unrestricted Arkansas licensure in Social Work OR Counseling OR Psychology issued by the Arkansas Social Work Licensing Board OR Arkansas Board of Examiners in Counseling and Marriage & Family Therapy OR Arkansas Psychology Board in good standing, in one of the following:
LCSW, LMSW
LAMFT, LMFT
LAC, LPC
LPE, LPE-I

Preferred Skills & Experience:
Experience with Child and Adolescent Behavior.
Experience in Utilization Review (UR) and Utilization Management (UM) within behavioral health or medical settings.
Clinical quality review experience, including the evaluation of medical records.
Familiarity with medical necessity review criteria specific to Arkansas Medicaid.
In-depth knowledge of Arkansas Medicaid behavioral health policies and procedures.
Proficient in automated review systems and Microsoft Office Suite..

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