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Remote Utilization Management Nurse Jobs in Nebraska

Gentell

Certified Wound Care Clinician/Nurse

Omaha, NE · On-site +1

Travel arrangements are made and paid for through our travel management system, with reimbursement ... utilization of wound care products - Understanding Medicare documentation and reimbursement ...

Webforge

Strategic Account Management Intern

Omaha, NE · Remote

... remote and urban locations to create a sustainable future and so much more. Simply put, Valmont is ... Support reporting needs, data cleanup, account updates, and consistent CRM utilization across ...

Cayenta

Work with colleagues and managers to implement and proactively manage superior utility CIS ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

LRS Healthcare

Recruiter (Remote)

Omaha, NE · On-site +1

... and nursing healthcare professional across the nation. The Recruiter position is integral in ... This position supports the department by sourcing new talent and working with the Account Managers ...

Nebraska Medicine

Virtual Nurse - Acute Care

Omaha, NE · On-site +1

Shift Details: 24 hours/ week Days Responsible for providing remote nursing care and assistance to ... management, critical care, emergency department, medical-surgical, obstetrics, cardiovascular ...

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Remote Utilization Management Nurse information

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$65

How much do remote utilization management nurse jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for remote utilization management nurse in Nebraska is $40.31, according to ZipRecruiter salary data. Most workers in this role earn between $31.88 and $46.30 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

More about Remote Utilization Management Nurse jobs

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

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

What are popular job titles related to Remote Utilization Management Nurse jobs in Nebraska?

For Remote Utilization Management Nurse jobs in Nebraska, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management Nurse jobs in Nebraska look for?

The top searched job categories for Remote Utilization Management Nurse jobs in Nebraska are:

What cities in Nebraska are hiring for Remote Utilization Management Nurse jobs?

Cities in Nebraska with the most Remote Utilization Management Nurse job openings:

Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Nebraska as of August 2026, with employment types broken down into 3% As Needed, 81% Full Time, 13% Part Time, and 3% Contract. Highlights an 100% Remote job distribution, with an average salary of $83,852 per year, or $40.3 per hour.

Clinical Study Coordinator

University of Nebraska Medical Center

Omaha, NE • On-site, Remote

$57K - $85K/yr

Full-time

Re-posted 18 days ago

University Of Nebraska Medical Center rating

8.5

Company rating: 8.5 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

55th of 1,061 rated hospitals

Job description

Requisition Details
GENERAL REQUISITION INFORMATION
EEO Statement:
UNMC is an Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location
Omaha, NE
Requisition Number:
Staff_14873
Department
FPBCC CTO 50000595
Business Unit
Eppley Institute
Reg-Temp
Full-Time Regular
Work Schedule
TBD
Remote/Telecommuting
No remote/telecommuting opportunity
Position Summary
Responsible for coordinating clinical research activities for the FPBCC. Assist UNMC Principal Investigators and nurse coordinators with project management, coordination and implementation of clinical trials. Provide data management support and works to ensure trials move forward toward enrollment goals.
Position Details
Additional Information
Posting Category
Healthcare
Working Title
Clinical Study Coordinator
Job Title
Health Care Specialist
Salary Grade
HC23S
Appointment Type
B1 - REG MGR PROF SALARY
Salary Range
$57,000 - $85,500/annual
Job Requisition Begin Date
07/16/2026
Application Review Date
07/25/2026
Review Date Information:
Initial application review will begin on the date provided in the field above. Applications received prior to this review date will be considered. Applications received after the review date may be considered.
Required and Preferred Qualifications
Required Education:
Bachelor's degree or equivalent
If any degree major/training is required, please specify the type. (NOTE: Concentration and minors are not equivalent to a major)
(Will consider six years education and/or related experience combined of which two years must include post high school education)
Required Experience
2 years
If any experience is required, please specify what kind of experience:
Clinical experience and/or research experience in a clinical or laboratory setting
(Will consider six years education and/or related experience combined of which two years must include post high school education)
Required License
No
If yes, what is the required licensure/certification?
Required Computer Applications:
Microsoft Excel, Microsoft Word, Microsoft Outlook
Required Other Computer Applications:
Required Additional Knowledge, Skills and Abilities:
1. Effective communication and interpersonal skills
2. Ability to work effectively with other team members
3. Solid organizational skills
4. Attention to detail and accuracy
5. Computer literacy and proficiency
6. Utilization of knowledge and skills related to meeting age-specific needs of the patient population served within the copy of the job description: Age specific populations served include Adult (18-65) and Geriatric (65 and older).
Preferred Education:
None Preferred
If any degree/training is preferred, please specify the type:
Preferred Experience:
Preferred License:
No
If yes, what is the preferred licensure/certification?:
Preferred Computer Applications:
Microsoft Access
Preferred Other Computer Applications:
EPIC One Chart
Preferred Additional Knowledge, Skills and Abilities:
Past clinical research skills and knowledge preferred
Email to a Friend
https://unmc.peopleadmin.com/postings/99324

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