Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests. * Assist with triage screenings for incoming behavioral health patients ...
Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests. * Assist with triage screenings for incoming behavioral health patients ...
Registered Nurse (RN) Supervisor
Wichita, KS · On-site
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS. Applicant must be able to work on-site. Position Summary The RN Supervisor ...
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Registered Nurse (RN) Supervisor
Wichita, KS · On-site
$70K - $85K/hr
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS. Applicant must be able to work on-site. Position Summary The RN Supervisor ...
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS.Applicant must be able to work on-site. Position Summary The RN Supervisor provides ...
Utilization Review RNs, RN Case Managers, Medical Assistant Care Navigators This position is located in Wichita, KS.Applicant must be able to work on-site. Position Summary The RN Supervisor provides ...
Medical Coding Specialist
Mission, KS · On-site
This role will collaborate with the medical providers, Utilization Review Department, and Accounts ... medical coding and to assist in successful achievement of KVC Hospitals' fiscal goals.
New
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Medical Coding Specialist
Mission, KS · On-site
This role will collaborate with the medical providers, Utilization Review Department, and Accounts ... medical coding and to assist in successful achievement of KVC Hospitals' fiscal goals.
New
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management ... Performs medical review activities pertaining to utilization review, quality assurance, and medical ...
Occupational Therapist Assistant
Bel Aire, KS · On-site
$23.25 - $31.25/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Occupational Therapist Assistant
Bel Aire, KS · On-site
$23.25 - $31.25/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
The CRM ensures clinical accuracy, regulatory compliance, appropriate utilization of services, and ... delivery. * Assist with resolution of clinical documentation issues impacting patient care or ...
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The CRM ensures clinical accuracy, regulatory compliance, appropriate utilization of services, and ... delivery. * Assist with resolution of clinical documentation issues impacting patient care or ...
Physical Therapy Assistant
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Physical Therapy Assistant
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Physical Therapy Assistant
Bel Aire, KS · On-site
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Physical Therapy Assistant
Bel Aire, KS · On-site
$25 - $33/hr
... utilization review meetings, and other meetings as required or directed. • Participate in in-service training program for other staff at the facility. • Participate in facility performance ...
Clinical Manager - $5,000 Sign on Bonus!
Hays, KS · On-site
$68K - $75K/yr
... CMH) will assist the Clinical Director in providing supervision to therapists, expressive ... utilization review services, initiating referrals to Peer Review Services, and performing ...
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Clinical Manager - $5,000 Sign on Bonus!
Hays, KS · On-site
$68K - $75K/yr
... CMH) will assist the Clinical Director in providing supervision to therapists, expressive ... utilization review services, initiating referrals to Peer Review Services, and performing ...
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Dodge City, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Dodge City, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Warehouse Assistant General Manager
Burlingame, KS · On-site
$116K - $174K/yr
As an Assistant General Manager (AGM) in a Walmart Distribution Center, you'll play a critical ... Support financial stewardship by monitoring expenses, labor costs, and asset utilization. * Review ...
Warehouse Assistant General Manager
Burlingame, KS · On-site
$116K - $174K/yr
As an Assistant General Manager (AGM) in a Walmart Distribution Center, you'll play a critical ... Support financial stewardship by monitoring expenses, labor costs, and asset utilization. * Review ...
Warehouse Assistant General Manager
Carbondale, KS · On-site
$116K - $174K/yr
As an Assistant General Manager (AGM) in a Walmart Distribution Center, you'll play a critical ... Support financial stewardship by monitoring expenses, labor costs, and asset utilization. * Review ...
Warehouse Assistant General Manager
Carbondale, KS · On-site
$116K - $174K/yr
As an Assistant General Manager (AGM) in a Walmart Distribution Center, you'll play a critical ... Support financial stewardship by monitoring expenses, labor costs, and asset utilization. * Review ...
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Clinical Educations Specialist
Liberal, KS · On-site
$80K/yr
Participate in appeals processes from a clinical perspective. * Assist in planning and monitoring managed care utilization review. Minimum Required Qualifications: * High school diploma or GED.
Utilization Review Assistant information
See Kansas salary details
$9.34 - $13.58
14% of jobs
$15.76 is the 25th percentile. Wages below this are outliers.
$13.58 - $17.83
22% of jobs
$17.83 - $22.07
13% of jobs
The median wage is $22.56 / hr.
$22.07 - $26.32
14% of jobs
$26.32 - $30.56
11% of jobs
$31.63 is the 75th percentile. Wages above this are outliers.
$30.56 - $34.81
9% of jobs
$34.81 - $39.05
7% of jobs
$39.05 - $43.30
4% of jobs
$43.30 - $47.54
3% of jobs
$47.54 - $51.79
2% of jobs
$51.79 - $56.03
1% of jobs
$9
$27
$56
How much do utilization review assistant jobs pay per hour?
What is a utilization review assistant?
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
What skills and qualifications are needed to be a utilization review assistant?
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
What does a utilization review assistant do?
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
- Per Diem Utilization Review Nurse
- Remote Utilization Review Nurse
- Remote Chart Review Nurse
- Part Time Utilization Review Nurse
- Remote Utilization Management
- Freelance Utilization Review Nurse
- Seasonal Remote Hedis Review Nurse
- No Experience Utilization Review Nurse
- Utilization Review Nurse
- Commission Cvs Health Utilization Management
- Remote Physical Therapy Utilization Review
- Part Time Utilization Review
- Weekend Utilization Review
- Utilization Review Nurse Compact License
- Utilization Review Coordinator
- Dental Utilization Review
- Remote International Utilization Review Nurse
- Coordinator Aetna Utilization Review
- Remote Insurance Utilization Review
- Discharge Planner Utilization Review

Other
Re-posted 5 days ago
Job description
Join a dedicated healthcare team in the Midwest region as a Registered Nurse Case Manager specializing in behavioral health utilization review. In this role, you will collaborate closely with healthcare providers and members to evaluate patient needs and benefit requirements, ensuring optimal resource use. You will manage patient cases within the behavioral health unit, reviewing medical necessity for admissions, continued stays, and services.
Essential Responsibilities:
- Assess patient situations and conduct reviews to ensure compliance with eligibility, benefits, policies, and contracts.
- Manage appeals and coordinate comprehensive reviews of medical records to verify accurate admission and diagnosis information.
- Promote improved quality of care and support reduced hospital stays when safe and appropriate.
- Advise pre-certification staff and maintain records and reports related to non-clinical activities.
- Coordinate with insurance companies to secure authorizations for behavioral health services, ensuring adherence to payer requirements and facility standards.
- Maintain thorough documentation of utilization review activities, including clinical justifications and authorization requests.
- Assist with triage screenings for incoming behavioral health patients to determine immediate care needs and facilitate timely care delivery.
- Provide psychosocial support to patients and families, addressing emotional, social, and financial barriers.
- Serve as a liaison between healthcare teams and patients/families to ensure smooth care transitions.
- Support discharge planning processes when needed, ensuring safe and appropriate discharge plans.
- Conduct safety assessments and make protective reports for adults and children as indicated.
- Participate in ongoing professional development and mandatory training, including de-escalation techniques.
- Adhere to privacy and security regulations regarding Protected Health Information (PHI).
- Maintain effective communication and professional relationships with patients, team members, physicians, and external agencies.
- Graduate of a nursing or Bachelor of Social Work (BSW) program.
- Experience in behavioral health settings, particularly crisis management and inpatient care.
- Current licensure as a Registered Nurse (RN) or BSW in the relevant state.
- Current Basic Life Support (BLS) certification from American Heart Association or American Red Cross within 30 days of hire.
- De-escalation training required within six months of start date.
- Experience in utilization review, insurance coordination, and interdisciplinary team collaboration.
- Advanced degrees such as BSN or MSW are a plus.
- Strong collaboration skills with interdisciplinary teams to ensure high-quality care.
- Familiarity with community resources, mental health services, and post-acute care.
- Basic computer proficiency and experience documenting in electronic health records.
- Ability to multitask, prioritize, and communicate effectively.
Physical Requirements: Medium work involving occasional exertion up to 50 lbs and frequent standing or walking (26-50% of the day).
This position offers a competitive salary and benefits package, providing a meaningful opportunity to impact behavioral health care in a supportive regional healthcare environment.