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Remote Utilization Management Nurse Jobs in Nebraska

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Remote Utilization Management Nurse information

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$20

$40

$65

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

As of Sep 4, 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 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $83,852 per year, or $40.3 per hour.

Benefits & Employee Experience Manager

MMT AMBULANCE

Omaha, NE • Remote

Full-time

Medical, Dental, Vision, Life, Retirement

Re-posted 14 days ago

MMT Ambulance rating

6.6

Company rating: 6.6 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

572nd of 898 rated healthcare providers

Job description

Benefits & Employee Experience Manager

For more than 35 years, MMT Ambulance has been putting Medicine in Motion through reliable patient transportation services for leading healthcare organizations. As we continue to grow, we're seeking a Benefits & Employee Experience Manager to lead benefits administration, employee wellbeing, recognition, and engagement programs across our multi-state workforce, partnering with internal stakeholders and external vendors to deliver a best-on-class employee experience.

Location: Remote (Preferred locations: Nebraska, Minnesota, Wisconsin, or Illinois)
Travel: Approximately 10%
Reports To: Chief Human Resources Officer

If you're passionate about creating meaningful employee programs, simplifying complex benefits information, and building strong vendor partnerships, we'd love to hear from you!

What You'll Do

  • Lead the administration of employee benefit programs, including medical, dental, vision, life, disability, retirement, wellness, and voluntary benefits.
  • Own open enrollment planning and execution, including communications, employee education, system readiness, and post-enrollment support.
  • Manage employee eligibility, enrollments, life events, escalations, and benefit-related inquiries.
  • Develop clear, employee-friendly benefits resources and communication materials.
  • Build and manage relationships with brokers, carriers, wellness providers, and recognition partners.
  • Conduct monthly benefits audits and reporting to ensure accuracy, compliance, and operational excellence.
  • Partner with Payroll and internal stakeholders to ensure benefit deductions and eligibility data remain accurate and timely.
  • Lead service award, recognition, wellbeing, and employee experience initiatives that drive engagement and retention.
  • Support organizational growth and acquisitions through benefits integration and employee communication planning.
  • Analyze employee feedback, participation trends, and utilization data to recommend program enhancements.

What We're Looking For

  • Bachelor's degree in Human Resources, Business, Benefits Administration, or a related field preferred; equivalent experience considered.
  • 5+ years of progressive experience in benefits administration, total rewards, HR operations, employee experience, or vendor management.
  • Experience administering benefits for a multi-state workforce.
  • Strong knowledge of benefits administration systems and vendor platforms; Paycom experience preferred.
  • Ability to translate complex benefits information into clear, engaging employee communications.
  • Proven project management skills with experience leading programs such as open enrollment, recognition, service awards, and wellbeing initiatives.
  • Strong analytical, organizational, and problem-solving abilities.
  • Excellent communication and relationship-building skills with employees, leaders, vendors, brokers, and carriers.
  • High level of professionalism, discretion, and ability to manage confidential information.

Why Join MMT Ambulance?

At MMT Ambulance, you'll play a key role in shaping programs that support employee wellbeing, engagement, and retention while helping a growing organization scale for the future. Join a mission-driven team committed to delivering exceptional service to healthcare partners and meaningful support to employees across the country.

Statement of Equal Opportunity Employment:

It is the policy of MMT Ambulance to provide equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, gender identify, sex, sexual orientation, national origin, age, physical or mental disability, genetic information, marital status, status as a veteran military service, or any other characteristic protected by applicable federal, state, or local civil rights laws.  

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