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Remote Utilization Review Rn Jobs in Nebraska (NOW HIRING)

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

BetterHelp

Licensed Psychologist - Remote

Omaha, NE · Remote

$650/wk

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

State of North Carolina

$62K - $102K/yr

Ability to conduct, review, gather and assess and evaluate information gathered for compliance with ... Licensed to practice as a Registered Nurse in the State of North Carolina and one year of ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Nebraska

Remote Utilization Review Rn information

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

As of Jun 29, 2026, the average hourly pay for remote utilization review rn 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 the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.
What are popular job titles related to Remote Utilization Review Rn jobs in Nebraska? For Remote Utilization Review Rn jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Nebraska look for? The top searched job categories for Remote Utilization Review Rn jobs in Nebraska are:
What cities in Nebraska are hiring for Remote Utilization Review Rn jobs? Cities in Nebraska with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Certified Wound Care Clinician/Nurse

Certified Wound Care Clinician/Nurse

Gentell

Lincoln, NE • On-site, Remote

Full-time

Posted 20 days ago

Job description

Job Type
Full-time
Description
Gentell is one of the largest vertically integrated wound care companies in the world. Based in Yardley, PA and with offices, distribution centers and manufacturing plants around the world, our purpose is to make a positive difference in the quality of life for the injured, the chronically ill and those near the end of life.
Our success is a result of the talents, dedication and commitment of our people to drive our business forward. We provide career advancement opportunities through Gentell University, leadership development programs and executive mentoring. You would be joining a company committed to "make it better" every day, for our customers and for our employees.
We are looking for a licensed nurse, physical therapist, occupational therapist or LPN. The ideal candidate will live within the greater Lincoln area (Omaha/Lincoln/Kearney/Grand Island) and travel to facility locations across multiple cities. Day travel and some overnights may be required including some early morning wound rounds based on facility schedules. Periodic (annual at minimum) corporate training may involve flight travel and hotel stays. Travel arrangements are made and paid for through our travel management system, with reimbursement of incidental expenses.
We are committed to the health and safety of our employees and our customers. We require employees to self-monitor for COVID-19 symptoms and to follow all CDC and CMS guidelines. We provide full PPE for each of our employees who are conducting facility visits. We also provide tools for telehealth for those facilities that need to be serviced remotely.
Responsibilities:
- Working with long-term care facilities in a designated territory to assist with wound assessments and treatment decisions
- Monitoring proper application and utilization of wound care products
- Understanding Medicare documentation and reimbursement guidelines
- Educating facility staff on documentation that meets federal and state requirements
- Ordering wound care products through our internal system "FastCare" for the residents to receive their products
- Supporting facilities wound care programs by assisting with tracking, documentation, and understanding of the wound care products coverage guidelines
Requirements
The ideal Wound and Product Specialist:
- Valid healthcare license (RN, LPN, PT, OTR-L, DPM or similar) preferred but could be certified in the first year of hire
- Must have exemplary customer service skills
- Must be business savvy, sales-minded
- Must be a self-starter and work independently
- Must be hard-working and motivated
- Must be organized and detail-oriented
- Must live in the area designated and be willing to travel on a daily basis

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