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Internship Rn Utilization Review Nurse Jobs in Nebraska

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Omaha, NE · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Omaha, NE · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Omaha, NE · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 26 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Omaha, NE · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 20 weeks * 36 hours per week

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Omaha, NE · On-site

$1.9K - $2.6K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Telemetry * Discipline: RN * Duration: 18 weeks * 48 hours per week

Accura HealthCare

MDS Coordinator - RN

Pierce, NE · On-site

$35/hr

... utilization review for the purpose of clinical reimbursement. The MDS Coordinator confers with ... Current licensure as a Registered Nurse (RN) in the applicable state, without restrictions, and/or ...

TNAA TotalMed RN

Travel Dialysis RN

Scottsbluff, NE · On-site

TNAA TotalMed RN is seeking a travel nurse RN Dialysis for a travel nursing job in Scottsbluff, Nebraska. & Requirements * Specialty: Dialysis * Discipline: RN * Start Date: 09/08/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel PICU RN

Omaha, NE · On-site

TNAA TotalMed RN is seeking a travel nurse RN PICU - Pediatric Intensive Care for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: PICU - Pediatric Intensive Care * Discipline ...

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All JobsRn Utilization Review Nurse JobsInternship Rn Utilization Review Nurse JobsInternship Rn Utilization Review Nurse Jobs in Nebraska

Internship Rn Utilization Review Nurse information

What is an Internship RN Utilization Review Nurse?

An Internship RN Utilization Review Nurse is a registered nurse who is in a training or internship phase to learn how to evaluate the necessity, appropriateness, and efficiency of healthcare services provided to patients. This role involves reviewing patient records, coordinating with healthcare providers, and ensuring that treatments meet established guidelines and insurance requirements. The internship provides hands-on experience in the field of utilization review, helping nurses transition from direct patient care to a more administrative or case management-focused role. It is an entry-level opportunity for RNs interested in healthcare quality and cost management.

What types of tasks and learning experiences can I expect as an Internship RN Utilization Review Nurse?

As an Internship RN Utilization Review Nurse, you will typically assist experienced utilization review nurses in evaluating patient records, verifying the necessity of medical procedures, and ensuring compliance with insurance or regulatory guidelines. You'll gain exposure to interdisciplinary communication by collaborating with physicians, case managers, and insurance representatives. This role provides valuable insight into how clinical decisions impact both patient outcomes and healthcare costs, helping you develop analytical and communication skills essential for future advancement. Expect to participate in chart reviews, learn about medical necessity criteria, and attend case discussions as part of your hands-on learning.

What are the key skills and qualifications needed to thrive as an Internship RN Utilization Review Nurse, and why are they important?

To thrive as an Internship RN Utilization Review Nurse, you need a solid foundation in nursing principles, clinical assessment, and case management, typically supported by an RN license and current enrollment in a nursing program. Familiarity with medical coding systems (like ICD-10 or CPT), electronic health records (EHRs), and utilization review software is often required. Strong analytical thinking, communication skills, and attention to detail set candidates apart in this role. These competencies are crucial for ensuring appropriate patient care, regulatory compliance, and effective resource utilization within healthcare organizations.

What is the difference between Internship Rn Utilization Review Nurse vs Utilization Review Nurse?

AspectInternship Rn Utilization Review NurseUtilization Review Nurse
CredentialsRN license, internship or training programRN license, certification in utilization review often preferred
Work EnvironmentTraining setting, supervised, learning-focusedClinical or office setting, independent review tasks
Job ResponsibilitiesAssisting in review processes, gaining experiencePerforming utilization reviews, making coverage decisions

Internship Rn Utilization Review Nurse is a training role for nursing students or new graduates gaining experience, while Utilization Review Nurse is a full-time professional responsible for evaluating medical necessity and coverage. The internship role focuses on learning, whereas the utilization review nurse performs independent assessments in healthcare settings.

What are the most commonly searched types of Rn Utilization Review Nurse jobs in Nebraska?

The most popular types of Rn Utilization Review Nurse jobs in Nebraska are:

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Internship Rn Utilization Review Nurse jobs near you

Registered Nurse (RN) Case Manager - Saturday, Sunday

Childrens Healthcare of Atlanta

Arthur, NE • On-site

Part-time

Posted 27 days ago

Children's Healthcare Of Atlanta rating

7.5

Company rating: 7.5 out of 10

Based on 129 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers

Job description

Note: If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).

Work Shift

Weekends

Work Day(s)

Saturday, Sunday

Shift Start Time

7:00 AM

Shift End Time

7:00 PM

Worker Sub-Type

Regular

Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.

Job Description

Provides clinically and evidence-based patient care coordination. Supports delivery of safe, effective, high-quality, and efficient patient care at Children's Healthcare of Atlanta. Coordinates assessment, interdisciplinary discharge planning, and implementation of home healthcare and related services to assigned patients discharged from a Children's Healthcare of Atlanta facility.
This role is working Saturday and Sunday from 7AM-7PM.

Experience

  • 3 years RN experience with a Bachelor of Science in Nursing (BSN)
  • OR a current Children's nurse with 5 years RN experience with an Associate's degree in Nursing. (Current Children's nurse with an Associate's degree in Nursing is required to obtain a BSN within 2.5 years of hire date)
  • 3 years of broad clinical experience, predominantly in pediatric care

Preferred Qualifications

  • Master's degree
  • Experience in care coordination, case management, discharge planning, and utilization review
  • Epic

Education

  • Graduation from an accredited school of nursing

Certification Summary

  • Licensure as a Registered Nurse in the single State of Georgia or Multi-State through the Enhanced Nurse Licensure Compact
  • Registered Nurse case management certification from approved accrediting organization within 1 year of meeting eligibility requirements

Knowledge, Skills, and Abilities

  • Excellent communication skills, both verbal and written
  • Effective decision making/problem-solving skills and demonstration of creativity in problem-solving
  • Influential leadership skills
  • Demonstrated effective critical thinking skills and ability to anticipate patient discharge needs
  • Moderate to expert computer skills
  • Working knowledge of financial aspects of third-party payors and reimbursement
  • Must be able to successfully pass the Basic Windows Skill Assessment at 80% or higher rating within 30 days of employment

Job Responsibilities

  • Completes initial screen of all patients on admission (not to exceed within 24 hours of admission) utilizing specific trigger criteria to identify needs related to care coordination and/or discharge planning.
  • Develops, initiates, and implements a robust transition care plan in collaboration with clinical team for all applicable patients.
  • Cultivates and maintains effective interaction/communication with members of medical staff, nursing staff, social workers, and others to drive care coordination process and facilitate continuity of patient care.
  • Communicates with all members of multidisciplinary team to facilitate care coordination process for assigned workload.
  • Communicates with home health agencies, third-party payors, and other community resources as needed to coordinate discharge needs.
  • Facilitates and provides ongoing communication with patient/family and interdisciplinary staff to identify and resolve potential barriers.
  • Facilitates care conferences, interdisciplinary rounds, and other meetings.
  • Participates in focused system initiatives and facilitates clinical practice guidelines at the patient level.
  • Performs outpatient and clinic care coordination and monitors care as patients transition between outpatient and inpatient services where appropriate.
  • Refers cases identified as risk management, peer review, or quality issues to appropriate personnel.
  • Performs other responsibilities as required.

Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

Primary Location Address

2220 North Druid Hills Road

Job Family

Nursing-Bedside

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