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Utilization Management Assistant Jobs in Kansas (NOW HIRING)

Evolent

Field Medical Director, Vascular Surgeon

Topeka, KS · On-site

$130 - $140/hr

May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. * On a requested basis, may ...

New

SD Department of Veterans Affairs

KS · On-site

$85K/yr

The Revenue Utilization Review (RUR) Assistant Nurse Manager role is a highly specialized ... management of complex client care beyond the immediate practice setting.MSN and 2 years of ...

New

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Utilization Management Assistant information

See Kansas salary details

$25.9K

$43.2K

$62K

How much do utilization management assistant jobs pay per year?

As of Jul 13, 2026, the average yearly pay for utilization management assistant in Kansas is $43,162.00, according to ZipRecruiter salary data. Most workers in this role earn between $37,500.00 and $43,300.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Utilization Management Assistant, and why are they important?

To thrive as a Utilization Management Assistant, you need a solid understanding of healthcare processes, medical terminology, and administrative procedures, often supported by a high school diploma or associate's degree. Familiarity with electronic health records (EHR) systems, insurance verification tools, and Microsoft Office Suite is typically required. Strong organizational skills, attention to detail, and effective communication are crucial soft skills for managing documentation and collaborating with clinical teams. These skills ensure accurate data handling, efficient workflow, and compliance with healthcare regulations, all of which are vital for successful utilization management operations.

What are some common challenges Utilization Management Assistants face when working with insurance pre-authorizations?

Utilization Management Assistants often encounter challenges such as navigating complex insurance requirements, meeting tight deadlines for pre-authorization requests, and communicating effectively with both healthcare providers and insurance representatives. Staying organized and detail-oriented is essential to ensure all documentation is accurate and submitted promptly. Additionally, adapting to frequent changes in insurance policies and maintaining strong problem-solving skills are key to overcoming these obstacles.

What is a Utilization Management Assistant?

A Utilization Management Assistant is a healthcare administrative professional who supports the utilization management team by handling clerical tasks, coordinating communications, and organizing patient documentation. They often help ensure that medical services are used efficiently and that insurance requirements are met by gathering information, processing authorizations, and maintaining records. This role is essential in facilitating collaboration between healthcare providers, insurance companies, and patients, ultimately helping to optimize the quality and cost-effectiveness of patient care.
What are the most commonly searched types of Utilization Management jobs in Kansas? The most popular types of Utilization Management jobs in Kansas are:
Utilization Management Assistant jobs near you
Revenue Utilization Review Nurse

Revenue Utilization Review Nurse

US Department of Veterans Affairs

Fort Leavenworth, KS • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 6 days ago

New

U.S. Department Of Veterans Affairs rating

8.1

Company rating: 8.1 out of 10

Based on 667 frontline employees who took The Breakroom Quiz

40th of 283 rated public sector bodies

Job description

Revenue Utilization Review Registered Nurse

The Revenue Utilization Review (RUR) Registered Nurse is under the supervision of a Nurse Manager, Assistant Nurse Manager, or designee, who provides the administrative and clinical supervision and general instruction, plans and assigns work, assigns time schedules, approves leave, performs quality reviews, coordinates internal control audits, and completes performance evaluations. The RUR Nurse is responsible for being self-directed in the delivery of revenue reimbursement processes and under moderate supervision and instruction by the registered nurse manager.

Responsibilities of the RUR nurse include, but are not limited, to the following:

  • Serves as a patient advocate providing accurate and timely clinical information to third-party payers.
  • Ensures compliance with established third-party payer criteria for reimbursement and appeal of clinical denials.
  • Provides feedback as appropriate, for performance improvement, utilization management, and compliance related issues.
  • Conducts precertification with third party-payers including VA and Community Care as applicable.
  • Validates Service Connection (SC)/Special Authority (SA) relatedness for revenue cases.
  • Manages clinical denials for revenue.
  • Performs legal case relatedness review for revenue billing purposes.
  • Provides education to VA medical facility providers and other staff on revenue related topics.
  • Collaborates as needed for revenue cycle tasks with CPAC and VA medical facility staff, including but not limited to Facility Revenue, Billing, Insurance Verification, Veteran Services, Compliance, Providers, Health Information Management (HIM), Utilization Management (UM), and Community Care.
  • Collects, analyzes, and reports data.
  • Collaborates with third party payers on ordered level of care and treatment plans, conducting reviews on Service Connection (SC), non-SC, Special Authority (SA), precertification, prospective review, concurrent review, denial management, retrospective review, admission, and continued stay patients.
  • The RUR RN participates on CPAC and/or facility committees, workgroups, performance improvement projects, and/or huddle boards.
  • Program or service level outcomes must be broad and complex and can be demonstrated at any organizational level within a facility, Veterans Integrated Systems Network (VISN), or Veterans Affairs Central Office (VACO).

VA offers a comprehensive total rewards package: VA Nurse Total Rewards

Pay: Competitive salary, regular salary increases, potential for performance awards

Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)

Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA

Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)

Licensure: 1 full and unrestricted license from any US State or territory

Work Schedule: 08:00am- 4:30pm Monday- Friday

Compressed/Flexible: Compressed schedule maybe considered after training requirements have been met.

Telework: No

Virtual: This is not a virtual position. Must have ability to report to Leavenworth, KS.

Relocation/Recruitment Incentives: Not Authorized

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

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