2

Part Time Utilization Review Jobs in Nebraska (NOW HIRING)

Schedule: Part-Time, 10:00 AM-2:00 PM Monday-Friday Location: Pacific Street * MAJOR ... Participates in Utilization Review Committee and activities. * Assumes the duties of the discharge ...

Schedule: Part-Time, 10:00 AM-2:00 PM Monday-Friday Location: Pacific Street * MAJOR ... Participates in Utilization Review Committee and activities. * Assumes the duties of the discharge ...

RN-ARU

Norfolk, NE ยท On-site

Work Status Details: Part Time Benefit Eligible | 48.00 Hours Every Two Weeks Exempt from Overtime ... utilization review regarding clinical nursing issues. 4. Assumes all other duties and ...

Monitor pharmacy utilization, ensuring appropriate medication prescribing and administration ... Benefits for All Associates (Full-Time, Part-Time & Per Diem): * Competitive Pay * 401(k) with ...

Part Time Utilization Review information

What is a part time utilization review?

A Part Time Utilization Review job involves evaluating healthcare services provided to patients in order to ensure they are medically necessary and cost-effective. Professionals in this role review patient records, treatment plans, and insurance information to make recommendations about the appropriateness of care. Working part-time, they may collaborate with healthcare providers, insurance companies, and patients to optimize healthcare outcomes while managing costs. This position is often found in hospitals, insurance companies, or healthcare management organizations, and typically requires a background in nursing or healthcare administration.

What are some common challenges faced in a part time utilization review role and how can I effectively manage them?

Part-time utilization review professionals often face challenges such as managing fluctuating caseloads within limited hours and staying up-to-date with rapidly changing healthcare regulations. Balancing efficiency and thoroughness is crucial, especially when reviewing complex cases or communicating with providers on tight timelines. Effective time management, strong organizational skills, and clear communication with your team are key to overcoming these challenges. Many employers provide flexible schedules and supportive technology platforms, which can help streamline your workflow and maintain high-quality reviews.

What is the difference between Part Time Utilization Review vs Part Time Case Management?

AspectPart Time Utilization ReviewPart Time Case Management
CredentialsTypically requires healthcare-related certifications (e.g., RN, LPN, or medical reviewer credentials)Often requires social work, nursing, or healthcare certifications, with some overlap
Work EnvironmentHealthcare facilities, insurance companies, or third-party review organizationsHospitals, insurance companies, or community health agencies
Employer & Industry UsageUsed mainly in insurance and healthcare to evaluate medical necessityUsed in healthcare to coordinate patient care and services

Part Time Utilization Review focuses on assessing the medical necessity of services, while Part Time Case Management involves coordinating patient care and services. Both roles require healthcare credentials and are common in insurance and healthcare settings, but they serve different functions within patient care and resource management.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse?

To thrive as a Part Time Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and experience in case management or utilization review. Familiarity with healthcare management systems, InterQual or MCG guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, attention to detail, and effective communication help in collaborating with healthcare providers and payers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes in a part-time capacity.
What are the most commonly searched types of Utilization Review jobs in Nebraska? The most popular types of Utilization Review jobs in Nebraska are:
What are popular job titles related to Part Time Utilization Review jobs in Nebraska? For Part Time Utilization Review jobs in Nebraska, the most frequently searched job titles are:
What cities in Nebraska are hiring for Part Time Utilization Review jobs? Cities in Nebraska with the most Part Time Utilization Review job openings:
Infographic showing various Part Time Utilization Review job openings in Nebraska as of July 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution.

Medical Social Worker (Part-Time)

Boystown

Omaha, NE โ€ข On-site

Part-time

Life, Retirement

Re-posted 6 days ago


Job description

Business: Boys Town National Research Hospital
Job Summary:
In a career as a Medical Social Worker, you join us in providing life-changing care to patients from across the region. In this role, you will address financial and social concerns impacting care of Boys Town National Research Hospital and Clinic patients.
Schedule: Part-Time, 10:00 AM-2:00 PM Monday-Friday
Location: Pacific Street
  • MAJOR RESPONSIBILITIES & DUTIES:
  • Facilitates care for the patient through referral to appropriate resources in the community or within the Boys Town system.
  • Provides leadership in the identification and acquisition of resources (local, state, and federal) for patients and their families.
  • Coordinates activities/follow-up to meet identified needs of select patients to facilitate necessary care, specialty consultation and/or surgery.
  • Serves as a resource for BTNRH physicians, nurses and staff.
  • Participates in multi-disciplinary teams as requested.
  • Maintains complete, accurate, and timely documents of completed work, patient files and office files.
  • Complies with all applicable statutes, rules, regulations, policies and procedures.
  • Maintains working knowledge of relevant medical/legal issues that impact patient care.
  • Participates in quality improvement activities through staff meetings, committees, continuing educational and professional activities.
  • Participates in Utilization Review Committee and activities.
  • Assumes the duties of the discharge planning coordinator. Will provide oversight of the discharge planning process. A daily review of the active patient discharge plans will be completed as needed.
  • Reassess the discharge planning process on an on-going basis (i.e., at least quarterly), review discharge plans in closed medical record review to determine staff responsiveness to the patient's post-discharge needs and review re-admissions for trends.

REQUIRED QUALIFICATIONS:

  • Bachelor's degree in Social Work required.
  • Certification, Licensure, or Provisional Licensure as a Social Worker in the State of NE required.

Care and respect for others is more than a commitment at Boys Town - it is the foundation of who we are and what we do.

At Boys Town, we cultivate a culture of belonging for all employees that respects their individual strengths, views, and experiences. We believe that our differences enable us to be a better team - one that makes better decisions, drives innovation, and delivers better business results.

About Boys Town:

Boys Town has been changing the way America cares for children and families since 1917. With over a century of service, our employees have helped us grow from a small boardinghouse in downtown Omaha, Nebraska, into one of the largest national child and family care organizations in the country. With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference.

Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities. A unique feature for employees and their dependents enrolled in medical benefits are reduced to no cost visits for services performed by a Boys Town provider at a Boys Town location. Additional costs savings for the employee and their dependents are found in our pharmacy benefits with low to zero-dollar co-pays on certain maintenance drugs. Boys Town takes your mental health seriously with no cost mental health visits to an in-network provider. We help our employees prepare for retirement with a generous match on their 401K or 401K Roth account. Additional benefits include tuition reimbursement, parenting resources from our experts and professional development opportunities within the organization, just to name a few. Working at Boys Town is more than just a job, it is a way of life.

This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and/or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.