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Remote Rn Case Review Jobs in Omaha, NE (NOW HIRING)

Utilization Review RN

Omaha, NE · On-site +1

$33.51 - $48.58/hr

Job Summary and Responsibilities As our Utilization Review RN, you will play a pivotal role in ... Accredited Case Manager, upon hire

NCLEX-RN Tutor

Omaha, NE · Remote

$18 - $40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Nurse Health Coach

Omaha, NE · Remote

$25 - $30/hr

Nurse Health Coach Remote - United States - Part-time. $25 - $30 hourly. 15-20 hours per week ... We are seeking a Patient Care Coordinator - LVN/LPN or RN . * Must have a current nursing license.

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Remote Rn Case Review information

See Omaha, NE salary details

$18

$45

$76

How much do remote rn case review jobs pay per hour?

As of Aug 31, 2026, the average hourly pay for remote rn case review in Omaha, NE is $45.47, according to ZipRecruiter salary data. Most workers in this role earn between $33.80 and $54.95 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

Utilization Review RN

CHI Health

Omaha, NE • On-site, Remote

$33.51 - $48.58/hr

Other

Posted 5 days ago


CHI Health rating

6.5

Company rating: 6.5 out of 10

Based on 130 frontline employees who took The Breakroom Quiz

612th of 896 rated healthcare providers


Job description

Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.
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 the hospitalization journey. You will serve as a clinical expert, collaborating with attending physicians, consultants, and care coordination teams to apply evidence-based guidelines-such as MCG or InterQual-to facilitate seamless patient care transitions. Your expertise in managed care environments and CMS standards will be essential in navigating payer requirements, preventing claim denials, and upholding the high-quality standards of our health system.
Every day you will perform comprehensive admission and concurrent stay reviews to validate the clinical necessity of care, ensuring every patient interaction is documented with precision. You will engage in proactive denial prevention strategies, coordinate peer-to-peer reviews between providers and insurance payers, and communicate critical status updates to stakeholders. By balancing clinical data analysis with professional communication, you will ensure our facility remains compliant with regulatory agencies and Joint Commission standards while supporting the overall progression of care for our diverse patient population.
To be successful in this role, you will hold an active Registered Nurse (RN) license in NE or IA and possess at least two years of acute hospital clinical experience. We are seeking a detail-oriented professional with a strong grasp of utilization management programs, excellent time management skills, and the ability to thrive in a fast-paced, self-directed environment. Proficiency in clinical criteria application, a collaborative mindset, and a commitment to our organizational mission and core values are required to succeed as a key member of our utilization management team.
Job Requirements
Required
  • Graduate of an accredited school of nursing and 1-3 years Minimum two (2) years of acute hospital clinical experience , upon hire or
  • Masters Other In Case Management or Nursing field in lieu of 1 year experience., upon hire and
  • Registered Nurse: NE, upon hire or
  • Registered Nurse: IA, upon hire and

Preferred
  • Bachelors Of Science BSN in Nursing or related healthcare field and 4-6 years Five years of nursing experience, upon hire
  • Certified Case Manager, upon hire and
  • Accredited Case Manager, upon hire

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