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Medical Review Rn Jobs in Nebraska (NOW HIRING)

CHI Health

Utilization Review RN

Omaha, NE · On-site

$33.51 - $48.58/hr

Job Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in optimizing healthcare delivery by ensuring medical necessity and appropriate patient status throughout ...

TNAA TotalMed RN

Travel Med Surg RN

Norfolk, NE · On-site

$1.9K - $2.6K/wk

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

TNAA TotalMed RN

Travel Med Surg RN

Lincoln, NE · On-site

$1.7K - $2.3K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Lincoln, Nebraska. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel Med Surg RN

Lincoln, NE · On-site

$1.7K - $2.3K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Lincoln, Nebraska. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 10/05/2026 * Duration: 15 ...

TNAA TotalMed RN

Travel Med Surg RN

Omaha, NE · On-site

$1.9K - $2.5K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Omaha, Nebraska. & Requirements * Specialty: Med Surg * Discipline: RN * Start Date: 09/28/2026 * Duration: 17 weeks ...

TNAA TotalMed RN

Travel Med Surg RN

Hastings, NE · On-site

$1.9K - $2.6K/wk

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

TNAA TotalMed RN

Travel Med Surg RN

Scottsbluff, NE · On-site

$1.8K - $2.4K/wk

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

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Medical Review Rn information

What is a Medical Review RN?

A Medical Review RN is a registered nurse who specializes in reviewing medical records and claims to ensure they meet established guidelines and standards. These nurses often work for insurance companies, government agencies, or healthcare organizations, evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. Their role may include determining medical necessity, performing utilization reviews, and supporting appeals or audits. They use their clinical knowledge to interpret complex medical information and collaborate with healthcare providers to support accurate decision-making.

How does a Medical Review RN collaborate with other healthcare professionals during the review process?

A Medical Review RN often works closely with physicians, case managers, and insurance representatives to ensure that medical claims and treatment plans meet regulatory and clinical guidelines. Collaboration may involve participating in interdisciplinary meetings, discussing complex cases, and providing clinical expertise to support utilization management decisions. Effective communication and teamwork are essential, as you'll need to relay findings, request additional information, and sometimes clarify medical necessity with providers. This collaborative environment helps ensure quality care for patients while maintaining compliance with payer policies.

What are the key skills and qualifications needed to thrive as a Medical Review RN, and why are they important?

To thrive as a Medical Review RN, you need a strong clinical background, critical thinking skills, and an active RN license, often supported by experience in case management or utilization review. Familiarity with medical coding, claims management software, and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong attention to detail, excellent written communication, and the ability to work independently are essential soft skills for this role. These competencies ensure accurate and compliant medical record reviews, which are critical for proper claims adjudication and regulatory adherence.

How to become a medical review RN?

To become a medical review RN, you need to earn a nursing license by completing an accredited nursing program and passing the NCLEX-RN exam. Additionally, gaining experience in clinical settings and obtaining certifications such as Certified Professional Coder (CPC) or specialized training in medical review can enhance qualifications for this role.

What cities in Nebraska are hiring for Medical Review Rn jobs?

Cities in Nebraska with the most Medical Review Rn job openings:

Medical Review Rn jobs near you
Infographic showing various Medical Review Rn job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Utilization Review Registered Nurse

Ironside Human Resources

Kearney, NE • On-site

Other

Re-posted 2 days ago

Job description


A facility located near Lexington, Nebraska is seeking a Utilization Review Registered Nurse to join their team!
Utilization Review Registered Nurse Opportunity:
  • Full-time, permanent position
  • Schedule: Monday-Friday, 9:00AM-5:00PM
  • Collaborates with providers, departments, and community resources to ensure patient-centered care and effective communication of care plans
  • Supports utilization review, quality data collection, compliance, and accurate medical documentation while maintaining patient safety and infection control standards
Utilization Review Registered Nurse Requirements:
  • NE Registered Nurse License
  • Associate's or Bachelor's degree in Nursing required (Bachelor's preferred)
  • At least two years of nursing experience
  • BLS certification required within six months of hire
  • Strong communication, documentation, and confidentiality skills with the ability to collaborate with patients, staff, insurance representatives, and regulatory agencies while following infection control protocols
The Location:
  • Located in South Central Nebraska
  • Maintains more than 100 acres of green space, public parks, trails, a skate park, aquatic center, indoor sports field house and racquets center
  • Not far from Johnson Lake which offers boating, fishing, and trails
  • Known for a welcoming small-town feel with affordable living and a strong sense of community

Interested? Contact Aidan G.Ironsidehr.com469-921-0777aidan@ironsidehr.com
Ironside Human Resources logo

About Ironside Human Resources

Sourced by ZipRecruiter

Ironside Human Resources, based in Dallas, TX, US, is a national healthcare recruitment company that offers staffing solutions to hospitals and healthcare providers across the United States. With an official website located at ironsidehr.com, the firm specializes in direct-hire recruitment for diverse sectors, including nursing, allied health, ancillary, administrative and executive-level roles in the healthcare industry. The company was founded in 2011 and has since committed to solving the healthcare staffing shortage through their unique, cost-effective recruitment strategies. Their core commitment is defined by their professional integrity, exceptional customer service, and dedication to delivering value and effective solutions.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Dallas, TX, US

Year founded

2011

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