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Remote Utilization Review Nurse Practitioner Jobs in Nebraska

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Remote Utilization Review Nurse Practitioner information

What is a remote utilization review nurse practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a remote utilization review nurse practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

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

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

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

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

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

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

Remote Utilization Review Nurse Practitioner jobs near you
Infographic showing various Remote Utilization Review Nurse Practitioner job openings in Nebraska as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% Remote job distribution.

Nurse Practitioner, Fellowship

University of Nebraska Medical Center

Omaha, NE • On-site, Remote

$95K - $152K/yr

Full-time

Re-posted 22 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

54th of 1,065 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_14844
Department
CON-Transformational Prac&Partnerships 50001256
Business Unit
College of Nursing
Reg-Temp
Full-Time Regular
Work Schedule
Clinical Schedule
Remote/Telecommuting
No remote/telecommuting opportunity
Position Summary
Nurse Practitioner (NPs) specialist is a participant in a 12-month paid fellowship designed for newly (18 months or less) certified and licensed NPs. The Fellowship program is structured to give mentored clinical time and dedicated learning opportunities. The NP Fellow will gain broad exposure to primary and integrated mental health care and engage in skills training, didactic seminars, supervised and independent clinical practice, interprofessional education and collaboration, professional development activities and enhance leadership skills. This one-year fellowship is full-time employment as a trainee within UNMC and is designed for NP graduates who aspire to practice in rural and underserved areas of Nebraska.
Position Details
Additional Information
Posting Category
Healthcare
Working Title
Nurse Practitioner, Fellowship
Job Title
Nurse Practitioner, Specialist
Salary Grade
HC33S
Appointment Type
B1 - REG MGR PROF SALARY
Salary Range
$95,000 - $152,000/annual
Job Requisition Begin Date
07/07/2026
Application Review Date
07/14/2026
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:
Master's degree
If any degree major/training is required, please specify the type. (NOTE: Concentration and minors are not equivalent to a major)
Graduate of an accredited Nurse Practitioner program
Required Experience
1 year
If any experience is required, please specify what kind of experience:
LESS THAN 18 months post-graduation nurse practitioner experience
Required License
Yes
If yes, what is the required licensure/certification?
Current RN license and current APRN licensure and certification as a nurse practitioner by an appropriate national professional organization.
Required Computer Applications:
Not Applicable
Required Other Computer Applications:
Microsoft 365: Teams, One-Drive, SharePoint
Required Additional Knowledge, Skills and Abilities:
Ability to relate to patients and staff, to assess patient needs and to provide appropriate primary healthcare services. Demonstrated ability to effectively communicate in verbal and written form. Effective critical thinking and analytical skills. Knowledge of healthcare policy, Medicare/Medicaid regulations and societal factors affecting the delivery of primary healthcare. Ability to work independently as well as in a multi-disciplinary team setting.
Preferred Education:
Doctoral degree
If any degree/training is preferred, please specify the type:
Doctor of Nursing Practice; Nurse Practitioner (NP) with specialty certification as Family NP, Women's Health NP, Adult Gerontology NP, or Pediatric NP
Preferred Experience:
Three year's experience as RN
Preferred License:
No
If yes, what is the preferred licensure/certification?:
Preferred Computer Applications:
Microsoft Outlook
Preferred Other Computer Applications:
Preferred Additional Knowledge, Skills and Abilities:
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https://unmc.peopleadmin.com/postings/99146

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