ZipRecruiter

Log In

1

Free Utilization Review Training Jobs in Nebraska

GLC On-The-Go

Travel RN MDS/IP

Nebraska City, NE · On-site

$75/hr

Utilization Review * Discipline: RN * Start Date: ASAP * Duration: 13 weeks * 40 hours per week ... Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free ...

next page

Showing results 1-20

All JobsFree Utilization Review Training JobsFree Utilization Review Training Jobs in Nebraska

Free Utilization Review Training information

What is free utilization review training?

Free utilization review training refers to educational programs or courses that teach individuals the fundamentals of utilization review without requiring payment. Utilization review is a process used in healthcare to assess the necessity, efficiency, and appropriateness of medical services, procedures, or admissions. These free training options are often available online and can help nurses, case managers, or other healthcare professionals gain the skills needed to pursue roles in utilization management. Training typically covers topics such as clinical guidelines, insurance protocols, and regulatory compliance. Completing such training can enhance career opportunities in healthcare case management and insurance settings.

What are the key skills and qualifications needed to thrive as a utilization review nurse, and why are they important?

To thrive as a Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and knowledge of insurance and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and possibly certifications like Certified Utilization Review Nurse (CURN) are typically expected. Excellent communication, analytical thinking, and attention to detail are standout soft skills in this position. These abilities are crucial for ensuring appropriate patient care, compliance, and cost-effective healthcare delivery.

What are some common challenges faced by professionals during utilization review training, and how can they be overcome?

During utilization review training, professionals often encounter challenges such as adapting to complex healthcare regulations, learning to interpret medical records efficiently, and effectively applying clinical guidelines to decision-making. Overcoming these challenges requires strong attention to detail, ongoing engagement with training modules, and seeking mentorship from experienced utilization review nurses or case managers. Actively participating in case discussions and staying updated with industry standards can also help trainees build confidence and competence for a successful career in utilization review.

What is the difference between Free Utilization Review Training vs Utilization Review Nurse?

AspectFree Utilization Review TrainingUtilization Review Nurse
CredentialsTypically no formal credentials required; focus on training programsRegistered Nurse (RN) license required, with possible certifications like CCM or UR-specific credentials
Work EnvironmentTraining sessions, online courses, workshopsHospitals, insurance companies, healthcare facilities
Employer & Industry UsageUsed for skill development and certification prepPerforming reviews, making coverage decisions, ensuring appropriate care

Free Utilization Review Training provides foundational knowledge and skills for those interested in entering or advancing in utilization review roles. In contrast, a Utilization Review Nurse is a licensed healthcare professional actively performing review duties in clinical settings. The training is often a prerequisite or supplement to the nurse's practical work, which requires licensure and clinical experience.

How to become a free utilization review training?

To pursue free utilization review training, individuals can seek online courses, webinars, or workshops offered by healthcare organizations or professional associations. Gaining knowledge of medical terminology, insurance processes, and review protocols is essential, and some programs may require prior healthcare experience or certification in related fields.

What are popular job titles related to Free Utilization Review Training jobs in Nebraska?

For Free Utilization Review Training jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Free Utilization Review Training jobs in Nebraska look for?

The top searched job categories for Free Utilization Review Training jobs in Nebraska are:

What cities in Nebraska are hiring for Free Utilization Review Training jobs?

Cities in Nebraska with the most Free Utilization Review Training job openings:

Free Utilization Review Training jobs near you
Infographic showing various Free Utilization Review Training job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Utilization Review Specialist

Berkshire Hathaway Homestate Companies

Omaha, NE • On-site

Other

Posted 17 days ago

Job description

Berkshire Hathaway Homestate Companies, Workers Compensation Division, has an opening for a Utilization Review Specialist in Omaha to join its Medical Management team. The individual ensures that medical treatment requests from providers are medically appropriate and reviewed in compliance with State laws and Company policies.
ESSENTIAL RESPONSIBILITIES
  • Triages and manages intake coordination of requests for authorization and independent medical review requests.
  • Reviews authorization requests for approval in accordance with evidence-based medical treatment guidelines.
  • Researches claim files in relation to the requested medical treatment, interprets medical reports while utilizing critical thinking, and applies appropriate established guidelines to requested treatment.
  • Advocates for the injured worker and Claims department, ensuring proposed treatment requests are appropriate for the diagnosis.
  • Escalates treatment requests outside of authorization authority for review by a Utilization Review Specialist 2 or Utilization Review Nurse.
  • Ensures that utilization review processes are performed in accordance with the time limits and other requirements set by State law and Company policy.
  • Routinely contacts providers to clarify treatment requests and examination findings, as well as to obtain additional medical information as needed.
  • Gains and Maintains a thorough understanding of Company policies regarding the review of authorization requests by Utilization Review Specialists.
  • Establishes and maintains a close, positive communicative relationship and working partnership with Medical Bill Review staff to ensure effective and efficient integrated medical management of treatment provided to injured workers.
  • Fosters a positive and close working relationship with other Company staff, including adjusting staff, other Medical Management staff, Special Investigations Unit, Legal, Liens, Customer Care, and Client Services.
  • Maintains patient confidentiality and safeguards protected health information in accordance with State and Federal laws and Company policies.
  • Enters clear, concise, and accurate documentation of requested medical treatments, to include clinical findings, treatment guidelines, and determinations.
  • Ensures that appropriate notices are forwarded to medical providers, injured workers, Claims staff, and attorneys.
  • Provides general office or administrative support throughout the department.

QUALIFICATIONS
  • EDUCATION: Bachelor's or Associate's degree in a medical field from an accredited college or technical school required.
  • EXPERIENCE: Minimum of 6 months of relevant experience and/or training in a medical field, or equivalent combination of education and experience, required.
  • TECHNICAL SKILLS: Able to effectively use Microsoft Office/365 applications and able to become proficient in proprietary and vendor software applications.
  • LANGUAGE ABILITY: Able to read and understand basic documents, including statutes, regulations, medical records, medical bills, medical resource materials, claim notes, and claim data fields. Able to write clear, concise reports accurately conveying complex and nuanced information, as well as correspondence on medical and legal points. Able to effectively present information and respond to questions with adjusting staff, Management, and others.
  • MATH AND REASONING ABILITY: Able to solve practical problems and deal with a variety of variables in situations where only limited standardization exists. Able to interpret a variety of instructions furnished in written, oral, diagram, graph, or schedule form. Able to apply concepts such as addition, subtraction, multiplication, division, fractions, percentages, ratios, and proportions to practical situations. Ability to derive appropriate conclusions and apply on the job.

CORE COMPETENCIES
ATTENTION TO DETAIL
• Double-checks the accuracy of information and work product to provide accurate and consistent work.
• Completes all work according to procedures and standards.
• Works in a conscientious, consistent, and thorough manner.
COMMUNICATION
• Communicates and articulates clearly; is informative and appropriately concise.
• Asks questions freely to broaden knowledge and skills.
• Prepares clear and concise e-mails and other basic required written communications.
PROBLEM SOLVING & DECISION MAKING
• Is objective; is able to evaluate facts apart from personal bias.
• Identifies key decisions within area of responsibility and escalates tasks to appropriate authority as needed.
• Effectively uses appropriate decision-making techniques.

Apply