ZipRecruiter

Log In

2

Remote Insurance Utilization Review Jobs in Nebraska

CSAA Insurance Group

... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... review paths, exception handling, override mechanisms, explainability, and feedback loops.

CSAA

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Lead quarterly and ad-hoc TPA due diligence reviews. * Drive strategic and operational initiatives ...

Ourhrconnect

... Review, Medicare Part A, or Utilization Management. * Ability to work with multiple Windows-based ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

Ourhrconnect

... Review, Medicare Part A, or Utilization Management. * Ability to work with multiple Windows-based ... Life Insurance * Paid Time Off (PTO) * On-site cafeterias and fitness centers in major locations

CSAA

Our mission is to reinvent commercial insurance in the mobility space to offer our partners ... Review work of Consultants and Analysts and oversees the successful completion of projects within ...

Imagenet

Claims Quality Analyst - Remote

Omaha, NE · On-site +1

Ensure all reviewed processes align with applicable regulatory requirements. Participate in ... Familiarity with Medi-Cal and Commercial insurance claim * Strong analytical and problem-solving ...

CSAA

$41.50 - $57/hr

... Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and ... Review test results and support issues resolution in alignment with business stake-holders.

MMT AMBULANCE

Payroll and Benefits Specialist

Omaha, NE · Remote

$49K - $64K/yr

Prepare and analyze reports related to benefits utilization and costs. * Review and approve monthly ... Health Insurance : Medical, Dental, Vision, Health savings account, and Flexible spending account

MMT Ambulance

Payroll and Benefits Specialist

Omaha, NE · Remote

$49K - $64K/yr

Prepare and analyze reports related to benefits utilization and costs. * Review and approve monthly ... Health Insurance : Medical, Dental, Vision, Health savings account, and Flexible spending account

next page

Showing results 1-20

All JobsRemote Insurance Utilization Review JobsRemote Insurance Utilization Review Jobs in Nebraska

Remote Insurance Utilization Review information

What is the difference between Remote Insurance Utilization Review vs Remote Claims Reviewer?

AspectRemote Insurance Utilization ReviewRemote Claims Reviewer
CredentialsTypically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professionalUsually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H
Work EnvironmentRemote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of servicesRemote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance
Industry UsageCommonly used in healthcare insurance to evaluate medical necessityUsed across insurance sectors to process and validate claims

Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.

How does a remote insurance utilization review professional collaborate with healthcare providers and insurance companies?

Remote insurance utilization review professionals regularly interact with healthcare providers to gather patient information, clarify treatment plans, and ensure that clinical documentation supports insurance requirements. They also communicate with insurance companies to advocate for patient care, provide necessary justifications, and resolve coverage issues. While the work is done remotely, collaboration typically occurs via secure email, phone calls, and virtual meetings, requiring strong communication and organizational skills to ensure timely and accurate exchange of information.

What are remote insurance utilization review jobs?

Remote insurance utilization review jobs involve evaluating medical records and treatment plans to determine whether healthcare services are medically necessary and covered by a patient’s insurance plan. Professionals in these roles, often nurses or other healthcare specialists, work from home and communicate with healthcare providers, insurance companies, and patients. Their main goal is to ensure that patients receive appropriate care while also helping insurance companies manage costs and comply with regulations.

What are the key skills and qualifications needed to thrive as a Remote Insurance Utilization Review Specialist, and why are they important?

To thrive as a Remote Insurance Utilization Review Specialist, you need a strong understanding of medical terminology, clinical guidelines, and insurance policies—usually supported by a nursing or health-related degree and relevant licensure. Familiarity with electronic medical record (EMR) systems, insurance claims platforms, and utilization review software is essential. Strong analytical skills, attention to detail, and effective written communication are crucial soft skills for this role. These competencies ensure accurate case evaluations, compliance with regulations, and clear communication between healthcare providers and insurers.
What are popular job titles related to Remote Insurance Utilization Review jobs in Nebraska? For Remote Insurance Utilization Review jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Insurance Utilization Review jobs in Nebraska look for? The top searched job categories for Remote Insurance Utilization Review jobs in Nebraska are:
What cities in Nebraska are hiring for Remote Insurance Utilization Review jobs? Cities in Nebraska with the most Remote Insurance Utilization Review job openings:
Remote Insurance Utilization Review jobs near you
Psychiatric Nurse Practitioner (PMHNP) - Remote

Psychiatric Nurse Practitioner (PMHNP) - Remote

BetterHelp

Lincoln, NE • Remote

$73 - $160/hr

Full-time, Part-time, Contractor

Posted 27 days ago

BetterHelp rating

6.5

Company rating: 6.5 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

UpLift – Redefining Access to Mental Healthcare

At UpLift, we believe mental health is just as important as physical health — and we're rethinking the mental healthcare model. UpLift is a multi-sided marketplace, applying technology to empower patients to find Therapists and Psychiatric providers covered by their insurance plan.

While 1 in 5 Americans struggle with mental health issues, only 40% of this group received care in the last year. At the same time, only 30% of therapists accept insurance. UpLift acts as the bridge between patient, provider, and insurer — empowering patients to find the best care for their needs at a price they can afford.

Why Join UpLift

  • Estimated Effective Hourly Earnings*: Earnings between $73 to $160 per hour is based on a 60-minute session assumption that includes a combination of patient visits and hourly equivalent CPT codes. Compensation for CPT codes can vary based on clinician's license and state of licensure. Compensation for CPT codes can vary based on clinician's license and state of licensure.
  • Expand access to care: Provide psychiatric services to individuals who otherwise may not have access to mental healthcare.
  • Collaborative model: Work hand-in-hand with UpLift's network of licensed therapists to deliver world-class, evidence-based care.
  • All-in-one virtual platform: Focus on your patients — UpLift handles credentialing, enrollment, and platform operations.
  • Work from anywhere: This role is 100% remote, with care delivered via UpLift's purpose-built telemedicine platform.
  • Flexible commitment: Part-time, 1099 contract position

What You'll Do

  • Conduct video consultations and message with patients via telemedicine.
  • Assess, screen, diagnose, and prescribe medication as clinically appropriate.
  • Coordinate treatment planning and care delivery with UpLift's network of therapists.
  • Provide empathetic, high-quality care and uphold UpLift's clinical and service standards.
  • Share product and workflow feedback with UpLift's engineering and operations teams to help improve care delivery.

Who We're Looking For

  • At least one year of experience as a certified Psychiatric Mental Health Nurse Practitioner (PMHNP).
  • Active medical license in good standing.
  • Comfortable prescribing medication when clinically appropriate and permitted by state law.
  • Skilled at using online tools and technology to deliver virtual care.
  • Previous telemedicine experience is a plus.
  • Multiple state licenses and fluency in additional languages are strong advantages.

Important to Know

  • This is a part-time, contract (1099) position — not a salaried employee role.
  • UpLift will credential and enroll you with multiple health plans to expand access to insured patients.
  • All care is delivered remotely through UpLift's telehealth platform.
  • All clinical decisions are made independently by licensed providers in accordance with state telehealth laws and professional standards.

License/Certification:

  • Medical License (Preferred)
  • PMHNP

Location:

  • United States (Required)
  • Work Location: Remote


*Estimated effective hourly earnings are for licensed Psychiatric Mental Health Nurse Practitioners and are illustrative estimates derived from modeled assumptions, not a guaranteed hourly rate, wage, or salary. These estimates are calculated using assumptions regarding number of completed visits per hour, CPT code mix, and utilization of add-on codes (such as 90833) when clinically appropriate and properly documented. Actual earnings vary and are dependent on individual clinical decisions, case mix, scheduling availability, payer reimbursement, licensure, and geographic market factors..

BetterHelp logo

About BetterHelp

Sourced by ZipRecruiter

* We help people change their lives. BetterHelp is the world's largest therapy service. We set out on a mission to provide everyone with easy, affordable, and private access to professional counseling: anytime, anywhere. To date, our network of over 20,000 licensed, accredited, and board-certified therapists have assisted more than 1,000,000 people. Every month, our secure website and mobile app facilitate over 5,000,000 messages, chats, voice calls, and video sessions that help people face life's challenges. * We're taking mental healthcare to the next level. We combine clinical care, cutting-edge technology and data-driven product development to constantly learn, iterate, and improve. We are relentless in our pursuit of better, always questioning the status quo and discovering new ways to get things done and serve our members. * We are a community that grows together - both professionally and personally. Even with our exponential growth, our team is kept agile and nimble, allowing you to have a huge impact and carve your own path from day one. We invest in our team's well-being and professional development because we know that business and individual growth go hand-in-hand. You will move fast, remain flexible, and be challenged every day. Join us!

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

San Francisco, CA, US

Year founded

2013

Social media

FacebookTwitter

View All BetterHelp Jobs